Exam (elaborations)
ENPC QUESTIONS WITH CORRECT ANSWERS
- Course
- Institution
ENPC QUESTIONS WITH CORRECT ANSWERS
[Show more]
Content preview
ENPC QUESTIONS WITH CORRECTANSWERS
A64-day-
old6who6is6brought6to6the6emergency6department6with6the6parental6complaint6of6"not6acti
ng6right"6is6found6to6be6hypoglycemic.6What6is6the6appropriate6glucose6concentration6to6
administer6to6this6neonate?
A.Dextrose65%
B.Dextrose610%
C.Dextrose625%
D.Dextrose650%6-6ans--B
Dextrose610%6is6the6preferred6concentration6for6neonates6with6hypoglycemia6to6protect6t
heir6fragile6vasculature6while6providing6needed6glucose.6Dextrose65%6is6not6used6to6trea
t6hypoglycemia6in6children.6Dextrose625%6is6used6for6children6above6the6age6of656years.6
Dextrose650%6is6not6recommended6for6use6in6pediatrics6unless6it6is6diluted.
Assessment6of6the6fontanelle6provides6the6most6useful6information6for6which6two6compo
nents6of6the6primary6survey?
A.Circulation6and6disability
B.Breathing6and6circulation
C.Disability6and6exposure
D.Circulation6and6exposure6-6ans--A
A6sunken6fontanelle6is6a6red6flag6for6circulation6assessment6in6pediatric6triage6and6may6i
ndicate6dehydration6.6A6bulging6fontanel6is6a6red6flag6for6disability6assessment6in6pediatri
c6triage6and6can6indicate6increased6intracranial6pressure.
Which6of6the6following6indicates6the6need6for6additional6caregiver6education6regarding6a6
urinary6tract6infection?
A.I6should6encourage6my6child6to6drink6extra6fluids.
B.I6need6to6make6a6follow-up6appointment6with6child's6physician.
C.My6child6will6grow6out6of6their6frequent6urinary6tract6infections.
D.My6child6should6complete6all6of6their6antibiotic6medication.6-6ans--C
A6nurse6providing6trauma6informed6care6to6the6family6of6a6seriously6ill6child6should6be6doi
ng6which6of6the6following?
A.Placing6the6family6in6a6quiet,6secluded6room
,B.Referring6to6their6child6as6"the6patient"
C.Making6sure6the6family6does6not6stay6at6the6bedside.
D.Appointing6one6staff6member6to6stay6with6the6family6-6ans--D
Caregivers6experiencing6the6crisis6of6a6critically6ill6child6have6low6attentiveness6and6incre
ased6stress6so6would6benefit6from6having6a6member6of6the6healthcare6team6to6stay6with6t
hem6as6much6as6possible6and6communicate6updates6on6the6plan6of6care.6Caregivers6sh
ould6be6allowed6to6stay6with6their6child6as6much6as6possible6and6not6placed6in6a6seclude
d6room6away6for6them.
The6caregiver6of6a67-
year6old6reports6witnessing6a6seizure6at6home,6but6no6seizure6history.6The6patient6is6post
-
ictal6with6a6heart6rate6of61426beats6per6minute,6respiratory6rate6of6366breaths6per6minute,6
and6blood6pressure6of686/726mm6Hg.6Significant6burns6are6noted6to6the6patient's6back6an
d6lower6extremities.6The6caregiver6states6the6burns6accidentally6occurred6three6days6ago
,6but6was6afraid6to6bring6the6patient6in6due6to6an6ongoing6child6welfare6investigation.Whic
h6of6the6following6groups6of6interventions6are6the6priority6for6this6patient?
A.Call6police6and6child6welfare6authorities6and6have6security6detain6the6caregiver
B.Administer6intravenous6analgesics6and6obtain6a6point6of6care6glucose
C.Draw6a6metabolic6panel,6point6of6care6glucose,6and6administer6a6fluid6bolus
D.Administer6lorazepam6and6a6fluid6bolus6and6place6on6seizure6precautions6-6ans--C
Burn6injuries6result6in6fluid6and6electrolyte6shifts6leading6to6hypovolemia6and6electrolyte6i
mbalances.6Early6identification6and6treatment6of6electrolyte6imbalances6can6help6prevent
6further6seizures.6Contacting6child6protective6services6and6other6authorities6can6wait.6Th
e6patient6is6post-
ictal6so6does6not6require6lorazepam6medication6at6this6time.6Pain6medication6can6and6sh
ould6be6considered6with6significant6burns,6but6is6not6a6priority.
What6is6the6priority6intervention6for6symptomatic6bradycardia6in6a6four-year-old6child?
A.Administer6intravenous6atropine
B.Administer6intravenous6epinephrine
C.Initiate6bag-mask6ventilation
D.Initiate6transcutaneous6pacing6-6ans--C
\
Identifying6and6treating6other6causes,6chest6compressions,6and6epinephrine6are6interven
tions6for6pediatric6bradycardia6with6signs6of6poor6perfusion6that6are6not6improved6by6ade
quate6oxygenation6and6ventilation.6Atropine6and6pacing6may6be6considered6if6there6is6no
6response6to6the6other6interventions.
A65-year-
old6child6presents6to6the6emergency6department6after6being6hit6by6a6car.6The6patient6co
mplains6of6left6upper6quadrant6pain,6and6the6focused6assessment6with6sonography6for6tr
auma6(FAST)6exam6shows6fluid6around6her6spleen.6Which6of6the6following6findings6woul
d6be6an6early6indication6of6ongoing6blood6loss?
, A.Widening6pulse6pressure
B.Bradycardia
C.Decreasing6diastolic6blood6pressure
D.Weak6peripheral6pulses6-6ans--D
Early6signs6of6hypovolemic6shock6include6tachycardia6and6delayed6capillary6refill.6The6n
urse6may6note6a6strong6central6pulse6but6weaker6peripheral6pulses,6indicating6the6child6i
s6compensating6by6shunting6blood6to6their6core.
Which6of6the6following6patients6should6be6evaluated6first?
A.A63-year-old6with6a6dislodged6gastrostomy6tube
B.An618-month-old6with6bilious6emesis
C.A612-year-old6with6vomiting6after6a6handlebar6injury
D.A63-month-old6with6periods6of6inconsolable6crying6-6ans--B
The6presence6of6bilious6emesis6is6especially6concerning6because6it6may6be6indicative6of6
an6immediately6life-
threatening6bowel6obstruction.6A6dislodged6gastrostomy6tube6should6be6reinserted6within
64-
66hours6to6prevent6stoma6closure.6Vomiting6following6a6handlebar6injury6may6be6indicativ
e6of6many6possible6injuries,6but6does6not6take6precedence6unless6other6symptoms6are6p
resent.6Infantile6colic6is6described6as6inconsolable6crying6in6infants,626weeks6to646months
6old,6for6up6to636hours6per6day,6more6than636days6per6week,6and6lasting6for6more6than636
weeks.
inconsolable6crying6-6ans--rule6of63s:
crying6more6than636hours6per6day,6more6than6three6days6per6week,6for6longer6than6three6
weeks
A6three-year-
old6is6rescued6after6being6submerged6in6a6pool6for6several6minutes.6On6arrival6the6patien
t6is6responsive6to6painful6stimuli6with6shallow6respirations,6diminished6breath6sounds,6an
d6an6occasional6cough.6Which6of6the6following6interventions6is6the6initial6management6pri
ority?
A.Initiation6of6abdominal6thrusts6to6remove6fluid6from6the6lungs
B.Insertion6of6orogastric6to6remove6of6water6and6debris6from6stomach
C.Endotracheal6intubation6to6provide6positive6pressure6ventilation
D.Removal6of6wet6clothing6to6prevent6hypothermia6-6ans--C
The6primary6survey6assessment6and6treatment6of6deficits6are6the6priority.6Airway6control6
and6positive6pressure6ventilation6while6preparing6for6intubation6of6a6child6who6meets6intu
bation6criteria6(GCS6<68)6should6be6performed6while6also6maintaining6cervical6spine6stab
ilization.6The6child6is6responsive6only6to6painful6stimuli,6has6shallow6respirations,6and6dim
inished6breath6sounds.6All6of6these6are6breathing6problems6and6must6be6addressed6imm
ediately.6Removing6wet6clothing6is6necessary,6but6is6not6the6main6priority6initially.6With6in
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller AGRADEPROMASTER. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78075 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now