Examen
ENPC 6TH EDITION COURSE EXAM 2025 WITH 100- CORRECT ANSWERS
ENPC 6TH EDITION COURSE EXAM 2025 WITH 100- CORRECT ANSWERS
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ENPC 6TH EDITION COURSE EXAM 2025 WITH 100%CORRECT ANSWERS
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous membranes.
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Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per
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minute. Which of the following laboratory values would be most expected in this child? - correct answer
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Hypoglycemia (wrong) c
Remediation feedback: c
Children can present with new onset diabetes in diabetic ketoacidosis. Manifestations include signs of
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dehydration ( dry mucous membranes, hypotension, tachycardia), incontinence (polyuria), vomiting,
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abdominal pain, Kussmaul respirations (to counter the acidosis), polydipsia, anorexia, and weight loss.
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Expected laboratory values would reveal an acidotic state with a pH level below 7.3, an elevated serum
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bIcarbonate level, and an elevated blood glucose level > 200 mg.dL.
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An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on auscultation in the right
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upper lobe of the lung field after a choking event 4 days ago. The white blood cell count is elevated and the
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patient noted to be tachypneic, tachycardic, agitated, and has an increased respiratory effort. At the time of
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the event, the patient was started on antibiotics with subsequent increasing manifestations instead of
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improvement. Which of the following would be considered to be definitive treatment for the suspected
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diagnosis? - correct answer Computed tomography (wrong)
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, Remediation feedback: c
Manifestations of a lower airway foreign body include a choking incident with subsequent failure to improve c c c c c c c c c c c c c c c c
on antibiotics. Wheezing or decreased lung sounds in one area of the pulmonary system is a high indicator for a
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foreign body along with signs of hypoxia such as cyanosis, tachypnea, tachycardia, increased respiratory
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effort, agitation or lethargy, and elevated white blood cell counts indicating an infectious process. The
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definitive treatment would be a bronchoscopy in order to retrieve the suspected foreign body instead of
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diagnostic tests to locate the foreign body itself. c c c c c c c
A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with a bag-mask
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device. Once return of spontaneous circulation has been confirmed, which of the following would be the
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priority intervention? - correct answer Establishing a secure airway
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Parents report their 3-year-old child has developed noisy breathing. On assessment, high-pitched wheezes
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are audible and auscultated on inspiration and expiration. What medication would be appropriate to
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administer first? - correct answer Humidified oxygen (wrong) c c c c c c c
Remediation feedback: c
Wheezing is most often identified with asthma in the pediatric population. Initial medication intervention
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includes an inhaled short-acting beta agonist. c c c c c
A 6-week-old is brought to the emergency department by the caregivers for poor feeding, listlessness, and
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fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52 breaths/minute, rectal temperature of
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96.0 F (35.5 C), and a bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings what is the
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most likely diagnostic test the nurse should anticipate? - correct answer Lumbar puncture
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A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the following
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intravenous medication orders should the nurse question? - correct answer Hydromorphone (wrong) c c c c c c c c c c c
Remediation feedback: c
Ketorolac is an appropriate medication for moderate to severe pain, however, it should not be used pre-
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operatively due to its potential to increase the bleeding risk. c c c c c c c c c
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