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2024 ENPC 6TH EDITION COURSE EXAM WITH CORRECT ANSWERS
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2024 ENPC 6TH EDITION COURSEEXAM WITH CORRECT ANSWERS
A 4-year-old presents with vomiting, lethargy, frequent urination, weight
loss, and dry mucous membranes. Vital signs reveal deep respirations at 44
breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per minute.
Which of the following laboratory values would be most expected in this
child? - CORRECT-ANSWERSHypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifestations include signs of dehydration ( dry mucous membranes,
hypotension, tachycardia), incontinence (polyuria), vomiting, abdominal
pain, Kussmaul respirations (to counter the acidosis), polydipsia, anorexia,
and weight loss. Expected laboratory values would reveal an acidotic state
with a pH level below 7.3, an elevated serum bIcarbonate level, and an
elevated blood glucose level > 200 mg.dL.
EMS is transporting a 12-year-old restrained passenger involved in a high-
speed motor vehicle collision. The patient complains of increasing dyspnea.
Breath sounds are clear and equal, and heart sounds are difficult to
auscultate. Vitals include HR 132 beats/minute, RR 36 breaths/minute, and
BP 80/55 mm Hg. Which of the following is the priority intervention? -
CORRECT-ANSWERSPericardiocentesis
A 3-year-old is assessed for the presence of increasing amounts of
serosanguineous drainage from his left nares over the past 6 hours. Which of
the following foreign bodies is the most likely etiology? - CORRECT-
ANSWERSButton battery
An infant presents to the emergency department with difficulty breathing.
The patient is pale and respirations appear rapid and shallow. Which location
on the torso is the most effective site for assessing bilateral breath sounds? -
CORRECT-ANSWERSBilateral midaxillary
A child presents with a history of poor oral intake. The patient is pale,
lethargic, and has shallow, rapid respirations. Central pulses are weak and
capillary refill time is four seconds. Which of the following interventions has
the highest priority? - CORRECT-ANSWERSInitiate an intravenous fluid bolus
, A 5-year-old arrives in the ED with a 4 day history of vomiting. Vital signs: HR
136 beats/minute, RR 36 breaths/minute, BP 92/56 mm Hg, T 38oC
(100.4oF), and pulse oximetry 93% on room air. The child is pale with warm,
dry skin and a capillary refill of 3 seconds. A fluid bolus is completed. Which
of the following reassessment findings indicate that a second fluid bolus is
necessary? - CORRECT-ANSWERSBlood pressure of 92/78 mm Hg
A 3-week old is brought to the emergency department with a history of
fussiness, spitting up, crying, and watery stools. Assessment reveals an alert
child with moist mucous membranes. Which of the following should be the
priority? - CORRECT-ANSWERSIdentify the type of formula the caregiver uses
Which of the following is considered a "red flag" when triaging a pediatric
patient? - CORRECT-ANSWERSA 5-year-old with a temperature of 40.1°C
(104.2°F) (wrong)
Remediation feedback:
Any temperature greater than 38°C (100.4°F) in a neonate is a significant
red flag and should be treated as neonatal sepsis.
A neonate presents to the emergency department with irritability, weak cry,
and hypotonia. Which of the following is a priority intervention? - CORRECT-
ANSWERSSerum blood glucose
A 10-year-old playing baseball is hit in the chest with a ball. He immediately
demonstrates loss of consciousness with no pulses. Which of the following is
the priority intervention? - CORRECT-ANSWERSUtilize AED/defibrillator
A 12-year-old female patient arrives awake and alert with an acute onset of
abdominal pain on the right side, nausea, vomiting, and vaginal spotting. On
palpation, the pain is localized to the right side and there is tenderness to
the breasts. Which of the following laboratory tests is the priority for this
patient? - CORRECT-ANSWERSHuman chorionic gonadotropin
A 7-year-old is being seen for new onset of headaches. Which of the
following manifestations would most likely rule out the potential of a primary
etiology? - CORRECT-ANSWERSPulsating, unilateral pain (wrong)
Remediation feedback:
Urinary catheters are contraindicated for placement if pelvic injury is
suspected or blood is noted at the urinary meatus. Scrotal or perineal
discolorations with edema to the areas is also a contraindication for this
adjunct.
Which of the following is a first-line treatment for atopic dermatitis? -
CORRECT-ANSWERSSkin hydration therapy
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