ENPC 6TH EDITION COURSE
EXAM /ACCURATE
ANSWERS/VERIFIED AND
UPDATED
1.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?: Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifesta- tions include signs of dehydration ( dry mucous membranes,
hypotension, tachycar- dia), incontinence (polyuria), vomiting,
abdominal pain, Kussmaul respirations (to counter the acidosis),
polydipsia, anorexia, and weight loss. Expected laboratory values would
,reveal an acidotic state with a pH level below 7.3, an elevated serum
bIcarbonate level, and an elevated blood glucose level > 200 mg.dL.
2. An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing
noted on auscultation in the right upper lobe of the lung field after a choking event
4 days ago. The white blood cell count is elevated and the patient noted to be
tachypneic, tachycardic, agitated, and has an increased respiratory effort. At the
time of the event, the patient was started on antibiotics with subsequent increasing
manifestations instead of improvement. Which of the following would be
considered to be definitive treatment for the suspected diagnosis?: Computed
tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident
with subse- quent failure to improve on antibiotics. Wheezing or
decreased lung sounds in one area of the pulmonary system is a high
indicator for a foreign body along with signs of hypoxia such as cyanosis
tachypnea, tachycardia, increased respiratory effort, agitation or
lethargy, and elevated white blood cell counts indicating an infectious
process. The definitive treatment would be a bronchoscopy in order to
, retrieve the suspected foreign body instead of diagnostic tests to locate
the foreign body itself.
3.A child in cardiopulmonary arrest is receiving chest compressions and manual
ventilations with a bag-mask device. Once return of spontaneous circulation has been
confirmed, which of the following would be the priority intervention?: Establishing
a secure airway
4. Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on inspiration and
expiration. What medication would be appropriate to administer first?: -
Humidified oxygen (wrong)
Remediation feedback:
Wheezing is most often identified with asthma in the pediatric
population. Initial medication intervention includes an inhaled short-
acting beta agonist.
5.A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C), and a
EXAM /ACCURATE
ANSWERS/VERIFIED AND
UPDATED
1.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?: Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifesta- tions include signs of dehydration ( dry mucous membranes,
hypotension, tachycar- dia), incontinence (polyuria), vomiting,
abdominal pain, Kussmaul respirations (to counter the acidosis),
polydipsia, anorexia, and weight loss. Expected laboratory values would
,reveal an acidotic state with a pH level below 7.3, an elevated serum
bIcarbonate level, and an elevated blood glucose level > 200 mg.dL.
2. An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing
noted on auscultation in the right upper lobe of the lung field after a choking event
4 days ago. The white blood cell count is elevated and the patient noted to be
tachypneic, tachycardic, agitated, and has an increased respiratory effort. At the
time of the event, the patient was started on antibiotics with subsequent increasing
manifestations instead of improvement. Which of the following would be
considered to be definitive treatment for the suspected diagnosis?: Computed
tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident
with subse- quent failure to improve on antibiotics. Wheezing or
decreased lung sounds in one area of the pulmonary system is a high
indicator for a foreign body along with signs of hypoxia such as cyanosis
tachypnea, tachycardia, increased respiratory effort, agitation or
lethargy, and elevated white blood cell counts indicating an infectious
process. The definitive treatment would be a bronchoscopy in order to
, retrieve the suspected foreign body instead of diagnostic tests to locate
the foreign body itself.
3.A child in cardiopulmonary arrest is receiving chest compressions and manual
ventilations with a bag-mask device. Once return of spontaneous circulation has been
confirmed, which of the following would be the priority intervention?: Establishing
a secure airway
4. Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on inspiration and
expiration. What medication would be appropriate to administer first?: -
Humidified oxygen (wrong)
Remediation feedback:
Wheezing is most often identified with asthma in the pediatric
population. Initial medication intervention includes an inhaled short-
acting beta agonist.
5.A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C), and a
