ENPC 5TH EDITION EXAM PREP QUESTIONS WITH WELL SOLVED ANSWERS GRADED AND RATED A+.ENPC 5TH EDITION EXAM PREP QUESTIONS WITH WELL SOLVED ANSWERS GRADED AND RATED A+.
ENPC 5TH EDITION EXAM PREP
QUESTIONS
Ask about any new bed-wetting or sleep disturbances
Pediatric patients with anxiety and PTSD may present with physical complaints.
Assess for other behavioral symptoms to facilitate appropriate care and follow-
up.
A 5 year-old with no health problems presents to the Emergency Department with a
sudden onset of chest pain and shortness of breath. Parents state that the family was
involved in a bad car crash one week ago. A thorough assessment and workup has not
revealed any abnormalities. Which of the following steps is the best next step to take?
Ensuring all firearms in the home are locked in a safe place with no access by the
patient.
Promoting injury prevention with caregivers of patients with a history of
depression or suicidal ideation by encouraging that all firearms and medications
are under lock to prevent overdoses or suicide attempt.
You are discharging a patient to home with a history of depression. Discharge teaching
should include which of the following?
Obtain vascular access for rapid fluid administration
Rapid vascular access and fluid administration are the priority interventions.
A 2-year old has uniformly demarcated burns to bilateral lower extremities,
approximately 30% of the childs total body surface area. The father states he briefly left
the room while the child was in the bath and the child apparently played with the faucet.
Which of the following interventions has the highest priority?
Draw and send a metabolic panel and venous blood gas, administer a fluid bolus,
and obtain a point of care glucose
Electrolyte imbalances need to be identified and treated to prevent another
seizure.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a seizure at
home. The patient has no seizure history. Upon examination, the patient is post-ictal
with a heart rate of 142 beats per minute, respiratory rate of 36 breaths per minute, and
blood pressure of 86/72 mm Hg. Significant burns are noted to the patient's back and
lower extremities. The mother states the burns accidentally occurred 3 days ago, but
she was afraid to bring patient in due to an ongoing child welfare investigation. Which of
the following are the MOST appropriate immediate interventions?
ventilation to address hypoxia is the priority intervention.
What is the priority intervention for symptomatic bradycardia in a four-year-old child?
,Commotio cordis
Comotio Cordis "occurs when chest is struck during the refractory period of the
cardiac conduction cycle. This type of injury usually occurs in recreational sports
such as baseball or ice hockey."
A 14-year-old high school student who was pitching for his baseball team was hit in the
chest by the ball and had a sudden cardiac arrest. Of the following, which is the most
likely cause of the cardiac arrest?
Focused Assessment: Vital Signs: "As the patient compensates for altered tissue
perfusion, the pulse pressure narrows and the heart rate increases" - (need to
rewrite either the question or the answers)
Widening Pulse pressure - not correct (suppose to be narrow pulse pressure)
Bradycardia - not correct
Decreasing diastolic blood pressure - late sign
Weak peripheral pulses - late sign
A 5-year-old child presents to the emergency department after being hit by a car. She
complains of left upper quadrant pain and the focused assessment with sonography for
trauma (FAST) exam shows fluid around her spleen. Which of the following findings
would be an early indication of ongoing blood loss?
Increasing heart rate
Pathophysiology: Cardiac Output. In pediatric patients, cardiac out is primarily
regulate by increasing heart rate
A 5-year-old patient presents to the emergency department with severe dehydration due
to viral gastroenteritis. He has signs of shock due to his hypovolemia. Which of the
following physiologic responses to shock has the greatest impact on improving cardiac
output in the pediatric patient?
Bruising to the left ear of a newborn from sleeping on his side
Pg 10- Any bruises in a non exploratory location (especially torso ears, neck) in
children younger than 4
Pg 11Any bruising in a child younger than 4 months.
Which of the following patient presentations should increase suspicion of potential child
maltreatment?
Fifth Disease at 6 months
There is an animal vaccine, but not a human vaccine for Fifth Disease.
All of the vaccine administrations listed are appropriate EXCEPT for which of the
following?
My child can go to daycare since they have been off of Tylenol and fever free for
24 hours.
Yes, the patient needs to be afebrile WITHOUT the use of antipyretics to be able
to go back to daycare or school.
, Which of the following statements indicates the caregiver understands your discharge
teaching on influenza?
Dedicate a healthcare team member with a qualified interpreter to be with the
family during the procedure.
Providing the option for family presence with an assigned team member to
facilitate communication is most supportive of the family in this situation.
The neurosurgeon has decided to perform an invasive procedure in the emergency
department to monitor the intracranial pressure on a 5-year-old patient. The family does
not speak English and has identified their religion as Muslim. Which of the following
interventions is most supportive of the family?
Rubeola On presentation the child starts with cough, nasal inflammation (coryza)
and a non-purulent conjunctivitis.
After 2-4 days a rash begins as erythematous macules and papules on the face
that spreads to the torso and extremities.
A 6 year-old child presents to the emergency department with caregivers who report a
cough with nasal congestion and pink-eye that started 2 days ago. They have been
treating with an over-the-counter medicine without relief. Today they noticed a raised
red rash on the face and papules in the mouth. You suspect which of the following?
removal of clothing and decontamination
Decontamination of nerve agents requires removal of clothing and flushing the
skin with copious amounts of soap and water
A fertilizer silo exploded during a school tour of a working farm. The children are able to
manage their own secretions but are all incontinent and salivating with excess tearing.
Which of the following is the priority intervention?
Succinylcholine
Succinylcholine may increase intraocular pressure and should be avoided.
The emergency nurse is caring for a patient with significant facial trauma and a
suspected globe rupture. Which of the following medication orders would the nurse
question?
Copious eye irrigation with an isotonic solution
Normal saline or Ringer's lactate solution are both acceptable for irrigation.
Irrigate until the pH of the eye returns to normal. The pH of Ringer's lactate is
closer to that of human tears and may be more comfortable than normal saline.
A toddler has a chemical eye injury. Which of the following is the priority intervention?
(Do not pick acetaminophen)
Which of the following medications is appropriate for treating the fever of a four-year-old
with scleral jaundice and elevated aspartate transaminase (AST)?
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