ENPC 5th edition Questions and
Answers with 100% Complete and
Verified solutions
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 follo...
ENPC 5th edition Questions and
Answers with 100% Complete and
Verified solutions
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 ANS 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 ANS 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 ANS 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 ANS 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 ANS 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 ANS A 14-year-old high school
student who was pitching for his baseball team was hit in the chest by the ball and
, ENPC 5th edition Questions and
Answers with 100% Complete and
Verified solutions
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 ANS 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 ANS 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 ANS 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. -
CORRECT ANS 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. - CORRECT ANS 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.
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