ENPC 5th edition LATEST 2024-2025
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS/ALREADY GRADED A+
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? - ANSWER>>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? - ANSWER>>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.
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? - ANSWER>>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? - ANSWER>>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.
What is the priority intervention for symptomatic bradycardia in a four-year-old
child? - ANSWER>>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? - ANSWER>>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? -
ANSWER>>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)
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS/ALREADY GRADED A+
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? - ANSWER>>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? - ANSWER>>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.
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? - ANSWER>>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? - ANSWER>>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.
What is the priority intervention for symptomatic bradycardia in a four-year-old
child? - ANSWER>>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? - ANSWER>>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? -
ANSWER>>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)
