ENPC Exam Questions And Answers
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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 no...
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? - answer✔✔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.
You are discharging a patient to home with a history of depression. Discharge teaching should
include which of the following? - answer✔✔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.
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? - answer✔✔Obtain vascular access for rapid fluid administration
Rapid vascular access and fluid administration are the priority interventions.
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? - answer✔✔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.
What is the priority intervention for symptomatic bradycardia in a four-year-old child? -
answer✔✔ventilation to address hypoxia is the priority intervention.
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? - answer✔✔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."
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? - answer✔✔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
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? - answer✔✔Increasing heart rate
Pathophysiology: Cardiac Output. In pediatric patients, cardiac out is primarily regulate by
increasing heart rate
Which of the following patient presentations should increase suspicion of potential child
maltreatment? - answer✔✔Bruising to the left ear of a newborn from sleeping on his side
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