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ENPC Exam 6th edition 100% CORRECT QUESTIONS AND ANSWERS GRADE A+

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A 5-year-old child presents with hives, swelling of the lips and face, and stridor that developed about an hour after eating lunch. The child has no known allergies. Which of the following is the priority intervention? A. Administer intramuscular epinephrine B. Auscultate bilateral breath sounds C. Insert an intravenous catheter D. Administer inhaled albuterol A. Administer intramuscular epinephrine An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the following findings would be most indicative that respiratory failure is developing? A. SpO2 of 94 % on room air B. Widened pulse pressure C. Extreme lethargy D. Flash capillary refill A. SpO2 of 94 % on room air A 3-year-old has a two-day history of runny nose, low-grade fever, and a "barky" cough at night. The child is awake and alert with noted stridor. Pulse oximetry is 96% on room air. Which of the following interventions would be the most appropriated for this child? A. Delivery of humidified oxygen by nasal cannula B. Administration of nebulized epinephrine C. Suctioning secretions from the oropharynx D. Administration of albuterol with a spacer B. Administration of nebulized epinephrine A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of the following should be included in the discharge instructions? A. Practice yawning three to four times a day B. Resume eating a regular diet later today C. Apply hot packs to the joint area for pain control D. Use a nonsteroidal anti-inflammatory for pain control D. Use a nonsteroidal anti-inflammatory for pain control Which of the following parameters would indicate that appropriate post resuscitation interventions were successfully carried out in the pediatric patient? A. Pulse oximetry reading of 96% B. Temperature of 99.8°F (37.6°C) C. Capillary refill of 1 second D. Capnography reading of 60 mm Hg A. Pulse oximetry reading of 96% An anxious 12-year-old child presents to the emergency department with a sudden onset of nausea, diarrhea, abdominal cramping, flushing, and hypotension. Symptoms started about 60 minutes after lunch. Which of the following conditions is the most likely cause of these symptoms? A. Anaphylaxis B. Renal colic C. Crohn's Disease D. Menarche A. Anaphylaxis An 8-year-old trauma patient suddenly develops increased respiratory distress with a rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of the jugular veins is noted. Which of the following emergent interventions should be anticipated first? A. High flow oxygen B. Drug assisted intubation C. Chest tube insertion D. Needle decompression D. Needle decompression A 4-week-old infant born prematurely is brought to the emergency department due to the rapid onset of abdominal distention, vomiting, bloody stools, and exhibiting signs of shock. Based on these findings, what condition should the nurse suspect? A. Necrotizing enterocolitis B. Pyloric stenosis C. Megacolon D. Congenital diaphragmatic hernia A. Necrotizing enterocolitis 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? A. Hypoglycemia B. Severe anemia C. Low pH level D. Elevated serum bicarbonate C. Low pH level Which of the following pathologic processes would most likely be attributed to a primary diagnosis of cystic fibrosis? A. Hypernatremia B. Constipation C. Obesity D. Epiglottitis B. Constipation Which of the following is the highest priority intervention for a well-appearing 2-month-old with a fever? A. Lumbar puncture B. Urine culture C. Intravenous fluid bolus D. Chest radiograph B. Urine culture The caregivers of a 6-year-old report the child developed a cough with nasal congestion and "pink-eye" that started two days ago. Today they noticed a raised, red rash on the face, and grey papules in the mouth. Which of the following is the priority intervention for this patient? A. Obtain a nasopharyngeal swab B. Place in airborne isolation C. Place in contact isolation D. Obtain a fingerstick glucose C. Place in contact isolation A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted to the left, decreased sensation to the extremities, and urinary incontinence. The patient has no history of trauma. Which of the following diagnostics is the priority for this patient? A. Lumbar spine magnetic resonance imaging B. Complete neurologic exam C. Urinalysis by straight catheterization D. Cervical spine radiographs D. Cervical spine radiographs 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? A. Presence of ataxia B. Pulsating, unilateral pain C. Occurrence of photophobia D. Nausea, vomiting A. Presence of ataxia A 3-week old is brought to the emergency department with a history of fussiness, spitting up, crying, and watery stools. Assessment reveals an alert child with moist mucous membranes. Which of the following CONTINUED....

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PHI 105 GRADE A+ GUARANTEED
SOLUTIONS

APPEAL TO IGNORANCE
An appeal to ignorance uses lack of evidence (for or against) as the
basis of the argument. For example, if something can't be disproven,
it must be true!

Example

You have a family member who has a terminal disease. You hear of a
possible new cure being offered in another country. You contact the
group promoting this cure and ask if it works. They say, "No one has
ever shown that it doesn't work, so of course it works!"
HASTY GENERALIZATION
Definition

A hasty generalization occurs 'when a conclusion is drawn from a
sample that is too small or selective to assume with any confidence
that it represents the subject accurately' (Goodpaster & Kirby, 2006,
p. 205).
POST HOC ERGO PROPTER HOC
Definition

Post Hoc Ergo Propter Hoc at times is one of the most persuasive
fallacies. Assuming that because B follows A, A must have caused B.
This is an easy fallacy to assume because this could happen, but we
cannot always assume this happens. Some things just happen due to
coincidence and the two things really having nothing to do with each
other.
Post Hoc Ergo Propter Hoc can also be the source of superstitious
thinking. Think about an athlete who wears his 'lucky' socks and the
team wins the game, you might conclude that wearing 'lucky' socks
leads to winning. Maybe you break a mirror and then soon after you
get into an accident, you might conclude that breaking the mirror led
to that misfortune. These occurrences are merely coincidental and are
not the reason for one's misfortune.
APPEAL TO AUTHORITY
An Appeal to Authority is a fallacy with the following form:

Person A is (claimed to be) an authority on subject S.

, Person A makes claim C about subject S.
Therefore, C is true (Nizkor, 2013).
In the video above, we see a young man proceed with a lawsuit based
on the advice of his doctor even though the doctor has no legal
background whatsoever. This erroneous acceptance is based on the
belief that the person is the expert or authoritative so therefore
everything they say must be true. In this case, the doctor was not
qualified to make a claim about the legality of the car cash, so his
reasoning was fallacious.
SLIPPERY SLOPE
Definition

Slippery Slope can be described as an analogy to take the argument in
one direction with a series of steps leading to a much more extreme
outcome. Once someone asks for one thing and receives it, they will
not stop until they have taken it all (Kirby & Goodpaster, 2011,
p.209).
FALLACY OF DIVISION
Definition

What is true for the whole has to be true for any of the pieces of
the whole as well (Kirby & Goodpaster, 2011, p.192).

Example

Housing prices are down in the United States. This means that housing
prices are down in my neighborhood. Since every neighborhood is
different you cannot assume that just because prices are down
nationally that they must be down in your neighborhood.
CIRCULAR REASONING
Definition

This fallacy is also known as "talking in circles". The premise is
restated instead of proven. The conclusion of the argument is
actually one of the stated premises, so no evidence is offered to
support the argument.
Example
Thunder Lope is a good mascot because Thunder Lope is good. We stated
that Thunder Lope is a good mascot and our reason for believing this
is because he is good. This type of reasoning does not advance
understanding or add to knowledge. When we use the circular reasoning
fallacy in our writing, our argument goes nowhere and literally moves
in a circle providing no real evidence.
EITHER/OR

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