ENPC FINAL EXAM LATEST 2024/2025 REAL EXAM 150 STUDY
QUESTIONS AND CORRECT ANSWERS GUARANTEED PASS | RATED
A+
Red flag assessment signs for pt with history of vomiting - Answer>>> Bilious vomiting,
hematemesis or bloody stools, projectile, evidence of shock or dehydration, neuro changes,
distention or pain, no bowel sounds, weight loss
What do you think this child has?
Hypotension, vomiting, abdominal cramping, diarrhea - Answer>>> Anaphylaxis
A three-year-old is rescued after being submerged in a pool for several minutes. On arrival the
patient is responsive to painful stimuli with shallow respirations, diminished breath sounds, and
an occasional cough. Which of the following interventions is the initial management priority?
A.Initiation of abdominal thrusts to remove fluid from the lungs
B.Insertion of orogastric to remove of water and debris from stomach
C.Endotracheal intubation to provide positive pressure ventilation
D.Removal of wet clothing to prevent hypothermia - Answer>>> C
The primary survey assessment and treatment of deficits are the priority. Airway control and
positive pressure ventilation while preparing for intubation of a child who meets intubation
criteria (GCS < 8) should be performed while also maintaining cervical spine stabilization. The
child is responsive only to painful stimuli, has shallow respirations, and diminished breath
sounds. All of these are breathing problems and must be addressed immediately. Removing wet
clothing is necessary, but is not the main priority initially. With intubation an orogastric tube will
be placed and abdominal thrusts are not necessary to remove fluid from the abdomen.
A 3-month-old is brought to the emergency department with new onset of fever. You note the
child to be pale, tachypneic, and tachycardic, with weak distal pulses. Which intervention is the
priority for this patient?
A.Administer an appropriate dose of an antipyretic
B.Infuse a rapid 10-20 mL/kg bolus of an isotonic crystalloid
C.Prepare a broad spectrum antibiotic infusion
D.Administer a vasoactive medication - Answer>>> B
This patient most likely has septic shock. An immediate goal is to reverse shock and restore
tissue perfusion with fluids. An antipyretic may be needed based on the temperature and patient
symptoms. An antibiotic should be started within an hour, and vasoactive medications may not
be needed if fluid resuscitation is successfu
A 6-month-old is seen for a recurrent respiratory infection. During the assessment, the mother
adds that the patient's stools seem to be fatty or "greasy". Which of the following disease
,processes would be a primary concern for this child?
A.Cystic fibrosis
B.Bronchopulmonary dysplasia
C.Pneumonitis
D.Down syndrome - Answer>>> A
In patients with cystic fibrosis, thick mucus inhibits the release of pancreatic enzymes necessary
for digestion. This results in impaired absorption and the inability to utilize ingested fats. These
fats are excreted in the stools and can present as "fatty" or "greasy". Combined with the recurrent
upper respiratory infections for an infant, cystic fibrosis should be ruled out. The other three
disease processes frequently present with respiratory issues but fatty stools would not normally
be seen.
A 14-year-old patient sustained a displaced fracture of the radius and ulna after falling from a
bicycle. Which of the following pain control interventions is most likely to result in
improvement in symptoms related to pain?
A.Applying a topical lidocaine-based cream
B.Elevating the extremity to the level of the heart
C.Placing warm compresses on the affected extremity
D.Applying a splint to the affected extremity - Answer>>> D
Splinting is an effective non-pharmacologic intervention to reduce pain associated with
fractures. This will also help to minimize complications. Topical creams and elevation of the
extremity will not help with pain control. The application of ice in an appropriate manner can
help, but not warmth which would be contraindicated in the early stages of the injury
Unilateral lower abdominal pain is considered from time of menarche due to risk of -
Answer>>> Emergency
Risk of hemorrhage from ruptured fallopian tube til pregnant test confirmed
What to do first when preparing to go into room of kid with infectious disease - Answer>>> Don
PPE and consider safety threats/precautions
Sign of non-blanching rash - Answer>>> Non blanching means doesn't fade or turn white when
pressure applied
Sign of it may indicate shock or meningitis
Possible allowances for minor consent - Answer>>> contraceptives, emancipation, marital
, status, medical care for minor's child, military, pregnancy, substance dependence
How much of medication can you give IN? - Answer>>> 1 mL per nare
When to perform neonate resuccitation? - Answer>>> Does baby appear to be term, good muscle
tone, breathing or crying?
If no- start compressions 120/min, 40-60 breaths per min
First line tx for neonatal resucitation - Answer>>> ventilating
Hyponatremia can cause what in children? - Answer>>> seizures
Congestive diaphragmatic hernia tx CHD - Answer>>> surgery and NG
What happens during compensated shock - Answer>>> BP maintained/inc due to
vasoconstriction to try to shunt blood to vital organs
decompensated shock is when - Answer>>> BP drops - The body can no longer compensate for
low blood volume and can't sustain perfusion
irreversible shock stage is when - Answer>>> multi-organ dysfunction
Hypovolemic shock is - Answer>>> tank/fluid problem
Obstructive shock is - Answer>>> pump or pipe problem- actual obstruction (clot, tension
pnuemo, pulm htn)
cardiogenic shock - Answer>>> pump problem- trauma, toxins, genetic dx, cardiomyopathy
.
Which of the following is a known cause of pediatric seizures?
A.Benzodiazepine overdose
B.Supraventricular tachycardia
C.Overdiluted formula
D.Congenital heart disease - Answer>>> C
Water overload is a well-documented etiology of hyponatremia in infants, which can be caused
by excess dilution of formula. Hyponatremia is a known cause of seizures. Benzodiazepine
overdose is more likely to result is respiratory depression and coma. CHD and SVT are not
readily known to cause seizures.
For the infant, what duration of time is consider apneic?
A.10 seconds
B.20 seconds
C.5 seconds
D.15 seconds - Answer>>> B
QUESTIONS AND CORRECT ANSWERS GUARANTEED PASS | RATED
A+
Red flag assessment signs for pt with history of vomiting - Answer>>> Bilious vomiting,
hematemesis or bloody stools, projectile, evidence of shock or dehydration, neuro changes,
distention or pain, no bowel sounds, weight loss
What do you think this child has?
Hypotension, vomiting, abdominal cramping, diarrhea - Answer>>> Anaphylaxis
A three-year-old is rescued after being submerged in a pool for several minutes. On arrival the
patient is responsive to painful stimuli with shallow respirations, diminished breath sounds, and
an occasional cough. Which of the following interventions is the initial management priority?
A.Initiation of abdominal thrusts to remove fluid from the lungs
B.Insertion of orogastric to remove of water and debris from stomach
C.Endotracheal intubation to provide positive pressure ventilation
D.Removal of wet clothing to prevent hypothermia - Answer>>> C
The primary survey assessment and treatment of deficits are the priority. Airway control and
positive pressure ventilation while preparing for intubation of a child who meets intubation
criteria (GCS < 8) should be performed while also maintaining cervical spine stabilization. The
child is responsive only to painful stimuli, has shallow respirations, and diminished breath
sounds. All of these are breathing problems and must be addressed immediately. Removing wet
clothing is necessary, but is not the main priority initially. With intubation an orogastric tube will
be placed and abdominal thrusts are not necessary to remove fluid from the abdomen.
A 3-month-old is brought to the emergency department with new onset of fever. You note the
child to be pale, tachypneic, and tachycardic, with weak distal pulses. Which intervention is the
priority for this patient?
A.Administer an appropriate dose of an antipyretic
B.Infuse a rapid 10-20 mL/kg bolus of an isotonic crystalloid
C.Prepare a broad spectrum antibiotic infusion
D.Administer a vasoactive medication - Answer>>> B
This patient most likely has septic shock. An immediate goal is to reverse shock and restore
tissue perfusion with fluids. An antipyretic may be needed based on the temperature and patient
symptoms. An antibiotic should be started within an hour, and vasoactive medications may not
be needed if fluid resuscitation is successfu
A 6-month-old is seen for a recurrent respiratory infection. During the assessment, the mother
adds that the patient's stools seem to be fatty or "greasy". Which of the following disease
,processes would be a primary concern for this child?
A.Cystic fibrosis
B.Bronchopulmonary dysplasia
C.Pneumonitis
D.Down syndrome - Answer>>> A
In patients with cystic fibrosis, thick mucus inhibits the release of pancreatic enzymes necessary
for digestion. This results in impaired absorption and the inability to utilize ingested fats. These
fats are excreted in the stools and can present as "fatty" or "greasy". Combined with the recurrent
upper respiratory infections for an infant, cystic fibrosis should be ruled out. The other three
disease processes frequently present with respiratory issues but fatty stools would not normally
be seen.
A 14-year-old patient sustained a displaced fracture of the radius and ulna after falling from a
bicycle. Which of the following pain control interventions is most likely to result in
improvement in symptoms related to pain?
A.Applying a topical lidocaine-based cream
B.Elevating the extremity to the level of the heart
C.Placing warm compresses on the affected extremity
D.Applying a splint to the affected extremity - Answer>>> D
Splinting is an effective non-pharmacologic intervention to reduce pain associated with
fractures. This will also help to minimize complications. Topical creams and elevation of the
extremity will not help with pain control. The application of ice in an appropriate manner can
help, but not warmth which would be contraindicated in the early stages of the injury
Unilateral lower abdominal pain is considered from time of menarche due to risk of -
Answer>>> Emergency
Risk of hemorrhage from ruptured fallopian tube til pregnant test confirmed
What to do first when preparing to go into room of kid with infectious disease - Answer>>> Don
PPE and consider safety threats/precautions
Sign of non-blanching rash - Answer>>> Non blanching means doesn't fade or turn white when
pressure applied
Sign of it may indicate shock or meningitis
Possible allowances for minor consent - Answer>>> contraceptives, emancipation, marital
, status, medical care for minor's child, military, pregnancy, substance dependence
How much of medication can you give IN? - Answer>>> 1 mL per nare
When to perform neonate resuccitation? - Answer>>> Does baby appear to be term, good muscle
tone, breathing or crying?
If no- start compressions 120/min, 40-60 breaths per min
First line tx for neonatal resucitation - Answer>>> ventilating
Hyponatremia can cause what in children? - Answer>>> seizures
Congestive diaphragmatic hernia tx CHD - Answer>>> surgery and NG
What happens during compensated shock - Answer>>> BP maintained/inc due to
vasoconstriction to try to shunt blood to vital organs
decompensated shock is when - Answer>>> BP drops - The body can no longer compensate for
low blood volume and can't sustain perfusion
irreversible shock stage is when - Answer>>> multi-organ dysfunction
Hypovolemic shock is - Answer>>> tank/fluid problem
Obstructive shock is - Answer>>> pump or pipe problem- actual obstruction (clot, tension
pnuemo, pulm htn)
cardiogenic shock - Answer>>> pump problem- trauma, toxins, genetic dx, cardiomyopathy
.
Which of the following is a known cause of pediatric seizures?
A.Benzodiazepine overdose
B.Supraventricular tachycardia
C.Overdiluted formula
D.Congenital heart disease - Answer>>> C
Water overload is a well-documented etiology of hyponatremia in infants, which can be caused
by excess dilution of formula. Hyponatremia is a known cause of seizures. Benzodiazepine
overdose is more likely to result is respiratory depression and coma. CHD and SVT are not
readily known to cause seizures.
For the infant, what duration of time is consider apneic?
A.10 seconds
B.20 seconds
C.5 seconds
D.15 seconds - Answer>>> B
