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ENPC 5th edition Questions and Correct Answers | Latest Update

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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 not revealed any abnormalities. Which of the ...

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  • 24 septembre 2024
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  • 2024/2025
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MASTER01
1 | P a g e | © copyright 2024/2025 | Grade A+




ENPC 5th edition Questions and
Correct Answers | Latest Update
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?


→ ::- 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?


→ ::- 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.




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+




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?


→ ::- 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?


→ ::- Draw and send a metabolic panel and venous blood gas,

administer a fluid bolus, and obtain a point of care glucose




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


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?


→ ::- 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?


→ ::- 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?




Master01 | September, 2024/2025 | Latest update

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