ENPC 5th edition Exam Questions And
Answers
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 answer ✅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 answer ✅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
,ENPC 5th edition Exam Questions And
Answers
Rapid vascular access and fluid administration are the priority
interventions. -
correct answer ✅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 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. -
correct answer ✅What is the priority intervention for symptomatic
bradycardia in a four-year-old child?
, ENPC 5th edition Exam Questions And
Answers
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 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 -
correct 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?
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