ENPC 5th edition questions with complete solutions 2023
Pediatric patients with anxiety and PTSD may present with physical complaints. Assess for other behavioral symptoms to facilitate appropriate care and follow-up. - correct answer A 5 year-old with no health problems presents to the Emergency ...
ENPC 5th edition questions with
complete solutions 2023
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. - correct
answer 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. - correct answer 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. - correct
answer 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. -
correct answer 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. - correct answer 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." - correct answer 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 - correct answer 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 - correct answer 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. - correct answer Which of the
following patient presentations should increase suspicion of potential child
maltreatment?
Fifth Disease at 6 months
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