Exam (elaborations)
ENPC PMC EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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ENPC PMC EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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ENPC PMC EXAM QUESTIONS WITH COMPLETESOLUTIONS
Acetaminophen phases Correct Answer 1. Asymptomatic 0-24
hrs
2. Signs of hepatic damage 24-48 hr
3. Signs of hepatic failure, encephalopathy, necrosis
4. Death or full recovery
Acuity Rating Decision Correct Answer Vital signs
crying child
fever pain and rash
immunizations
child maltreatment
Adolescents Correct Answer 11 to 18
Experimentation and risk taking
body appearance
quest for independence
peer relationships are important
mood swings, depression, eating disorders, common
common fears: changes in appearance, dependency and loss of
control
Airway and special health care needs Correct Answer May
have abnormal airways
Larger tongues
Smaller and softer tracheas
minor decreases in LOC
Limited ability to handle secretions
,Airway Assessment Correct Answer Vocalization
tongue obstruction
loose teeth/foreign body
vomitus, blood, or secretions
edema
preferred posture
drooling dysphagia
abnormal airway sounds
Alternate AIrwa Correct Answer Laryngeal mask airway
Needle Cricothyrotomy
when all other options fave failed
surgical cric
emergency trach . not recomended
Analysis and Expected Outcomes Correct Answer Airway
breathing
central and peripheral perfusion
LOC
urinary output
pain
cardiac rhythm
02 sat
Anatomical Physiological differences of neonate Correct
Answer Respiratory
Periodic breathing
apnea
tachypnea
Cardiovascular
,small stroke volume
capillary refill less than 3 sec
Compensate with increased HR
Integumentary
thinner skin
GI
Immature, irregular peristalsis, at risk for distention
GU
Kidneys not mature
Neuro
Moro
Babinski - neonate up, otherwise down
Unilateral is a problem
Fluids and electrolytes
- improperly concentrated formula
Apparent life threatening events Correct Answer Episode of
apnea with
Color change
loss of muscle tone
choking
gagging
HX
detailed
infant
, family
diagnostic procedures
Apparent Life threatening events assess for: Correct Answer
Infection
GERD
seizures
pulmonary assessment
metabolic labs
neuromuscular
abuse
Appendicitis Correct Answer Inflammation of the vermiform
appendix
Signs and symptoms
-abdominal pain, fever, vomiting, anorexia
Diagnostics
-Clinical Exam
-Ultrasound
-CT
Interventions
Approach to adolescent Correct Answer Be honest,
straightforward
Gain trust
interview techniques
HEEADSSS to guide and organize questions
home environment
education
employment eating habits,
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