ENPC 5th Edition Tested Exam
Questions And Revised Correct
Answers
Electrolyte imbalances need to be identified and treated to
prevent another seizure. - ANSWER : A 7-year-old arrives
via ambulance. The patient's mother reports witnessing a
seizure at home. The patient has no seizure his...
ENPC 5th Edition Tested Exam
Questions And Revised Correct
Answers
Electrolyte imbalances need to be identified and treated to
prevent another seizure. - 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. -
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." - 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 - 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 -
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. -
ANSWER : 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. - ANSWER : 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. -
ANSWER : 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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