Examen
ENPC 6TH EDITION PROVIDER COURSE EXAM REVIEW
ENPC 6TH EDITION PROVIDER COURSE EXAM REVIEW
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ENPC 6TH EDITION PROVIDER COURSE EXAMREVIEW
A caregiver presents to the emergency department with an 18-month-old and reports
the child is not using their left arm after playing a game with an older sibling. The child is
alert and curious, with regular, even respirations, and skin color is appropriate.
Sick
A 12-year-old restrained, back -seat passenger involved in a motor vehicle crash is
noted to have hypotension, tachycardia, and contusions and discoloration across the
lap area. On exam a splenic rupture is suspected. Which of the following diagnoses
should be suspected as a companion injury with these findings and associated
mechanism of injury?
Pneumothorax
4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry
mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP
of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory
values would be most expected in this child?
Low pH level
You are discharging a patient home who has a history of depression. Discharge
teaching should include which of the following?
Ensuring all firearms in the home are locked in a safe place with no access by the
patient
The triage nurse is assessing a 14 year old male who was brought in by ambulance.
The patient reports he was playing his video games at home when he had a sudden
onset of groin pain that was so severe he became nauseated and vomited. Further
assessment reveals a swollen scrotum. What is the priority intervention for this patient?
Preparing the patient for ultrasound
Which of the following is a first-line treatment for atopic dermatitis?
Skin Hydration therapy
page 202
A 2-year-old child is seen with acute respiratory distress after playing alone. Caregiver
statements indicate the child was found playing with irregular, ½ - ¾ inch sized pieces
, of a game. Which of the following assessment findings would most likely be expected
for this situation?
Audible wheeing and retractions
page 118
The nurse is triaging an infant brought to the emergency department by their caregiver.
Which finding by the nurse leads the infant to be placed in isolation?
Purpuric rash
A child was found unresponsive under the monkey bars during recess and arrives with
the following assessment: eyes open only with supraorbital pressure stimulus, no verbal
response is elicited, and withdraws arms and legs when a swab is inserted in the nose.
Which of the following is the priority intervention for this child?
Prepare for immediate intubation
A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C), and a
bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings what is
the most likely diagnostic test the nurse should anticipate?
Lumbar puncture
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 the local language. Which of the following interventions is most supportive of
the family during the procedure?
Dedicating a healthcare team member witha qualified interpreter to be with the family
The caregivers of a 6-year-old report the child developed a cough with nasal congestion
and "pink-eye" that started two days ago. Today they noticed a raised, red rash on the
face, and grey papules in the mouth. Which of the following is the priority intervention
for this patient?
Place in airborne percautions
A 4-week-old infant born prematurely is brought to the emergency department due to
the rapid onset of abdominal distention, vomiting, bloody stools, and exhibiting signs of
shock. Based on these findings, what condition should the nurse suspect?
Necrotizing enterocolitis
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