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ENPC 6TH EDITION EXAMS 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS BY EXPERTS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST |GUARANTEED PASS|LATEST UPDATE 20,10 €
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ENPC 6TH EDITION EXAMS 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS BY EXPERTS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST |GUARANTEED PASS|LATEST UPDATE

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ENPC 6TH EDITION EXAMS 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS BY EXPERTS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST |GUARANTEED PASS|LATEST UPDATE

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  • 3 mai 2024
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  • 2023/2024
  • Examen
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Par: drjohna • 9 mois de cela

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ENPC 6TH EDITION EXAMS 2024 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS BY
EXPERTS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS
|ALREADY GRADED A+|NEWEST
|GUARANTEED PASS|LATEST UPDATE
A 4-year-old child with a history of the flu has a heart rate of 80 beats/minute, respirations of 16
breaths/minute, and capillary refill of more than 3 seconds. The proper sequence for nursing
interventions would be:
A. Position the airway, administer 100% oxygen, obtain venous access, and administer 20 ml/kg of an
isotonic solution.
B. Administer 100% oxygen, obtain venous access, administer 0.
1 mg/kg of epinephrine 1:10,000, and prepare for endotracheal intubation.
C. Position the airway, provide bag-mask ventilation, provide synchronized cardioversion, and provide
supplemental warmth.
D. Administer 100% oxygen, prepare for a venous cutdown, administer 20 ml/kg of an isotonic solution,
and obtain a chest x-ray.

A. Position the airway, administer 100% oxygen, obtain venous access, and administer 20 ml/kg of an
isotonic solution.

A 3-year-old is transported by prehospital personnel after being struck by a car. The parents are en
route. The child is screaming and uncooperative. Which is the best approach while conducting the
secondary survey?
A. Hold the child to comfort him.
B. Wait for the parent's arrival.
C. Observe for behavioral pain cues.
D. Use a doll to demonstrate the examination.

C. Observe for behavioral pain cues.

Which ocular finding is associated with child maltreatment?
A. Glaucoma.
B. Conjunctivitis.
C. Iritis.
D. Retinal hemorrhage.

,2|Page


Retinal hemorrhage.

A pregnant 18-year-old woman arrives at the emergency department about ready to deliver a full-term
infant. She states that she noticed a large amount of dark green fluid the last time she went to the
bathroom. During the delivery, the nurse should prepare to:
A. Dry and arm the infant as soon as is it delivered.
B. Stimulate and ventilate the infant immediately after delivery.
C. Suction the mouth and nose of the infant while on the perineum.
D. Administer blow-by oxygen and rub the back immediately after delivery.

Suction the mouth and nose of the infant while on the perineum

A 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

A teenager presents to the ED for evaluation of pain with deep inspiration. The pain was a sudden onset
after running track at school. While obtaining the history, the patient states that they have Marfan
Syndrome. What would be a priority triage question based on this information?

"Have you ever had a pneumothorax?"

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




A 6-month-old arrives with swelling to the left thigh. Caregivers deny any traumatic event. Assessment
findings include a patient who is active and alert, in the 10th percentile for length, and has blue-grey
sclera. Radiographs reveal a midshaft fracture of the left femur. Which of the following is the most likely
cause?

Osteogenesis imperfecta

Which of the following is considered a "red flag" when triaging a pediatric patient?

A 3-week-old with a temperature of 38.2°C (100.7°F)

A 4-year-old patient is being assessed for a foreign body in the nose. The child is awake and alert and
watching a video on the caregivers phone. Vitals include HR of 110 beats/minute, RR of 26 breaths per
minute, BP of 138/90 mm Hg, and T of 37.3oC (99.3oF) orally. Which of the following interventions
should the nurse perform next?

,3|Page


The normal systolic blood pressure for a 4 year old is between 89-112 mm Hg. The other vitals are within
normal limits for that age. When the clinical picture of the patient does not match the vitals, check to
make sure you are using the correctly sized equipment first. A blood pressure cuff that is too small will
give a reading that is higher than it actually is.

Parents with an infant requiring multiple laboratory tests, radiographic studies, and invasive procedures
appear to be distressed and withdrawn. Which of the following interventions would best ensure a sense
of comfort and control for these parents?

Providing frequent updates and re-educating them on the care that is being provided

Caregivers state an 18-month-old child had a harsh, barky cough, low-grade fever, and irritability
throughout the night. On assessment this morning, the child appears alert, is interactive, their present
cough is quiet, and their temperature is 98.8°F (37.1°C) axillary. Which of the following diagnoses is the
highest probablity for this child?

Croup

A 2-year-old is seen with a 3-day history of irritability, vomiting, and the presence of foul-smelling urine.
The child is hypotensive and tachycardic. Which of the following methods for obtaining a urine sample is
most appropriate in this circumstance?

Urinary catherization

A child has a nondisplaced fracture of the radius that has been splinted, with a sling in place and NSAIDs
given for pain. Prior to discharge home with follow-up at a pediatric facility, what actions must be
completed?

Discharge instructions including follow-up contact information.

A 7-year-old is being seen for new onset of headaches. Which of the following manifestations would
most likely rule out the potential of a primary etiology?

The presence of ataxia with an associated headache would indicate a secondary etiology. Other red flags
for secondary etiologies include age under 5 years, altered levels of consciousness, associated sickle cell
disease, ventriculoperitoneal shunt, fever, increase in head circumference, seizure, sudden onset, and
trauma related events. Migraines and tension headache are the two most common primary headaches.

A caregiver reports their one-month-old has had a yellowish color to their eyes and skin over the last
two weeks. If left untreated, which body system can this affect?

Neurological



A six-week-old infant presents to the emergency department with seizures. The infant is afebrile with a
normal glucose level ,and caregivers report no signs of illness other than formula intolerance, which
they treated by adding extra water to the formula. The nurse would expect to find which of the
following laboratory abnormalities?

Hyponatremia

, 4|Page


The nurse is reevaluating the effectiveness of interventions for a 4-year-old child with a suspected
tension pneumothorax. Which assessment finding indicates the interventions were effective?

Bilateral chest wall rise with assisted ventilations.

Immediately following birth, a full-term neonate is not breathing and has a heart rate of 45
beats/minute. The neonate has been warmed, dried, stimulated, and suctioned without improvement.
What the next step in resuscitation?

The initial steps in neonatal resuscitation are to warm, dry, stimulate, open the airway, and suction. If
the neonate is not breathing or is gasping, or if the neonate is breathing but the heart rate is below 100
beats/minute after these initial steps, initiate positive pressure ventilation (PPV) at 21% oxygen and 40-
60 breaths per minute.

Which of the following is a first-line treatment for atopic dermatitis?

Skin hydration therapy

Which of the following questions reflects the concept of the "teach-back" method?

"Would you repeat those instructions, so I can make sure I was clear?"

A 15-year-old patient has attempted suicide by overdosing on amitriptyline. The emergency nurse
should expect which of the following symptoms?

When assessing patients with a toxic ingestion, if the ABCs are within normal limits you move to
Disability. You should check blood sugar for any altered level of consciousness.

An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the windshield. On arrival
to the ED. the patient is minimally responsive with active bleeding from the nose and mouth. The
patient is vomiting. Which of the following interventions would most likely be considered?

Endotracheal intubation

An 8-year-old male presents to the emergency department with incoherent speech, hallucinations, and
violent behavior. What is the priority in caring for this patient?

Ensure safety of the patient and staff

A caregiver states their 3-year-old child ate some marijuana gummies approximately 3 hours prior to
arrival. The PAT reveals the child is pink, difficult to arouse, and work of breathing is normal. What is
your initial intervention?

Obtain a full set of vital signs

A fertilizer silo exploded during a school tour of a working farm. The children are able to manage their
own secretions but all are incontinent and salivating, with excess tearing. Which of the following is the
priority intervention?

Removal of clothing and decontamination

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