ENPC 6TH EDITION COURSE EXAMS (4 m m m m m
VERSIONS) EACH WITH 50 QUESTIONS AND m m m m m m
CORRECT SOLUTIONS| ALREADY GRADED A| m m m m m
ACE YOUR GRADES. m m
Enpc 6th edition course exam vesrion 1
m m m m m m
A 4-year-
m
old presents with vomiting, lethargy, frequent urination, weight loss, and dry mu
m m m m m m m m m m m
cous membranes. Vital signs reveal deep respirations at 44 breaths per minute,
m m m m m m m m m m m m
bp of 70/44 mm hg, and hr of 144 beats per minute. Which of the following lab
m m m m m m m m m m m m m m m m
oratory values would be most expected in this child? - correct answer-
m m m m m m m m m m m
hypoglycemia (wrong) m
Remediation feedback: m
Children can present with new onset diabetes in diabetic ketoacidosis. Manifest
m m m m m m m m m m
ations include signs of dehydration ( dry mucous membranes, hypotension, tach
m m m m m m m m m m
ycardia), incontinence (polyuria), vomiting, abdominal pain, kussmaul respiration
m m m m m m m
s (to counter the acidosis), polydipsia, anorexia, and weight loss. Expected labora
m m m m m m m m m m m
tory values would reveal an acidotic state with a ph level below 7.3, an elevated
m m m m m m m m m m m m m m
mserum bicarbonate level, and an elevated blood glucose level > 200 mg.dl.
m m m m m m m m m m m
An 18-month-
m
old is seen for fever, slight circumoral cyanosis, and wheezing noted on auscultat
m m m m m m m m m m m m
ion in the right upper lobe of the lung field after a choking event 4 days ago. Th
m m m m m m m m m m m m m m m m m
e white blood cell count is elevated and the patient noted to be tachypneic, tac
m m m m m m m m m m m m m m
hycardic, agitated, and has an increased respiratory effort. At the time of the ev
m m m m m m m m m m m m m
ent, the patient was started on antibiotics with subsequent
m m m m m m m m
,increasing manifestations instead of improvement. Which of the following woul
m m m m m m m m m
d be considered to be definitive treatment for the suspected diagnosis? -
m m m m m m m m m m m
mcorrect answer-computed tomography (wrong)
m m m
Remediation feedback: m
Manifestations of a lower airway foreign body include a choking incident with s
m m m m m m m m m m m m
ubsequent failure to improve on antibiotics. Wheezing or decreased lung sounds
m m m m m m m m m m
min one area of the pulmonary system is a high indicator for a foreign body alon
m m m m m m m m m m m m m m m
g with signs of hypoxia such as cyanosis, tachypnea, tachycardia, increased resp
m m m m m m m m m m m
iratory effort, agitation or lethargy, and elevated white blood cell counts indicat
m m m m m m m m m m m
ing an infectious process. The definitive treatment would be a bronchoscopy in
m m m m m m m m m m m m
order to retrieve the suspected foreign body instead of diagnostic tests to locat
m m m m m m m m m m m m
e the foreign body itself.
m m m m
A child in cardiopulmonary arrest is receiving chest compressions and manual ve
m m m m m m m m m m m
ntilations with a bag- m m m
mask device. Once return of spontaneous circulation has been confirmed, which
m m m m m m m m m m m
of the following would be the priority intervention? - correct answer-
m m m m m m m m m m
establishing a secure airway m m m
Parents report their 3-year-m m m
old child has developed noisy breathing. On assessment, high-
m m m m m m m m
pitched wheezes are audible and auscultated on inspiration and expiration. Wha
m m m m m m m m m m
t medication would be appropriate to administer first? - correct answer-
m m m m m m m m m m
humidified oxygen (wrong) m m
Remediation feedback: m
,Wheezing is most often identified with asthma in the pediatric population. Initial
m m m m m m m m m m m
medication intervention includes an inhaled short-acting beta agonist.
m m m m m m m m
A 6-week-
m
old is brought to the emergency department by the caregivers for poor feeding
m m m m m m m m m m m m
, listlessness, and fever. Assessment reveals a crying infant, hr 160 beats/minut
m m m m m m m m m m m
e, rr 52 breaths/minute, rectal temperature of 96.0 f (35.5 c), and a bulging ant
m m m m m m m m m m m m m m
erior fontanel. Capillary refill is 4 seconds. Based on these findings what is the
m m m m m m m m m m m m m m
most likely diagnostic test the nurse should anticipate? - correct answer-
m m m m m m m m m m
lumbar puncture m
A 12-year-
m
old is being prepped for surgical intervention of acute appendicitis. Which of the
m m m m m m m m m m m m
mfollowing intravenous medication orders should the nurse question?
m m m m m m m
- correct answer-hydromorphone (wrong)
m m m
Remediation feedback: m
Ketorolac is an appropriate medication for moderate to severe pain, however, it
m m m m m m m m m m m
mshould not be used pre-m m m m
operatively due to its potential to increase the bleeding risk.
m m m m m m m m m
A 17-year-
m
old female arrives in the ed with her boyfriend who states she is pregnant and h
m m m m m m m m m m m m m m m
aving vaginal bleeding. The patient is unsure of the gestational age and has not
m m m m m m m m m m m m m m
had any prenatal treatment. The patient is quiet and lets her boyfriend answer
m m m m m m m m m m m m m
most of the questions. Which of the following is the most appropriate action for
m m m m m m m m m m m m m
mthe nurse to take at this point? - correct answer-
m m m m m m m m m
have the boyfriend leave the room during the pelvic exam.
m m m m m m m m m
, A 2-year-
m
old arrives at the ed in hypovolemic shock and needs fluids immediately. After s
m m m m m m m m m m m m m
everal attempts, your team has been unsuccessful at establishing vascular acces
m m m m m m m m m m
s. Of the following, which is the next best option for establishing access quickly?
m m m m m m m m m m m m m
- correct answer-intraosseous in the patient's medial tibia.
m m m m m m m m
A child with an electrical injury is seen 1 hour post event. Which of the followin
m m m m m m m m m m m m m m m
g types of specimen samples would provide visual information regarding a poten
m m m m m m m m m m m
tial complication of this injury? - correct answer-sputum (wrong)
m m m m m m m m
Remediation feedback: m
Electrical injuries, though they may appear to be small, can produce large amou
m m m m m m m m m m m m
nts of damage internally, including muscle damage. Myoglobin is excreted in the
m m m m m m m m m m m
murine and is evidenced by dark, red-tinged urine.
m m m m m m m
Parents with an infant requiring multiple laboratory tests, radiographic studies, a
m m m m m m m m m m
nd invasive procedures appear to be distressed and withdrawn. Which of the fol
m m m m m m m m m m m m
lowing interventions would best ensure a sense of comfort and control for these
m m m m m m m m m m m m
mparents? - correct answer-providing frequent updates and re-
m m m m m m m
educating them on the care that is being provided
m m m m m m m m
When taking vital signs on a stable infant, which of the following should be done
m m m m m m m m m m m m m m
first? - correct answer-respiratory rate
m m m m m
VERSIONS) EACH WITH 50 QUESTIONS AND m m m m m m
CORRECT SOLUTIONS| ALREADY GRADED A| m m m m m
ACE YOUR GRADES. m m
Enpc 6th edition course exam vesrion 1
m m m m m m
A 4-year-
m
old presents with vomiting, lethargy, frequent urination, weight loss, and dry mu
m m m m m m m m m m m
cous membranes. Vital signs reveal deep respirations at 44 breaths per minute,
m m m m m m m m m m m m
bp of 70/44 mm hg, and hr of 144 beats per minute. Which of the following lab
m m m m m m m m m m m m m m m m
oratory values would be most expected in this child? - correct answer-
m m m m m m m m m m m
hypoglycemia (wrong) m
Remediation feedback: m
Children can present with new onset diabetes in diabetic ketoacidosis. Manifest
m m m m m m m m m m
ations include signs of dehydration ( dry mucous membranes, hypotension, tach
m m m m m m m m m m
ycardia), incontinence (polyuria), vomiting, abdominal pain, kussmaul respiration
m m m m m m m
s (to counter the acidosis), polydipsia, anorexia, and weight loss. Expected labora
m m m m m m m m m m m
tory values would reveal an acidotic state with a ph level below 7.3, an elevated
m m m m m m m m m m m m m m
mserum bicarbonate level, and an elevated blood glucose level > 200 mg.dl.
m m m m m m m m m m m
An 18-month-
m
old is seen for fever, slight circumoral cyanosis, and wheezing noted on auscultat
m m m m m m m m m m m m
ion in the right upper lobe of the lung field after a choking event 4 days ago. Th
m m m m m m m m m m m m m m m m m
e white blood cell count is elevated and the patient noted to be tachypneic, tac
m m m m m m m m m m m m m m
hycardic, agitated, and has an increased respiratory effort. At the time of the ev
m m m m m m m m m m m m m
ent, the patient was started on antibiotics with subsequent
m m m m m m m m
,increasing manifestations instead of improvement. Which of the following woul
m m m m m m m m m
d be considered to be definitive treatment for the suspected diagnosis? -
m m m m m m m m m m m
mcorrect answer-computed tomography (wrong)
m m m
Remediation feedback: m
Manifestations of a lower airway foreign body include a choking incident with s
m m m m m m m m m m m m
ubsequent failure to improve on antibiotics. Wheezing or decreased lung sounds
m m m m m m m m m m
min one area of the pulmonary system is a high indicator for a foreign body alon
m m m m m m m m m m m m m m m
g with signs of hypoxia such as cyanosis, tachypnea, tachycardia, increased resp
m m m m m m m m m m m
iratory effort, agitation or lethargy, and elevated white blood cell counts indicat
m m m m m m m m m m m
ing an infectious process. The definitive treatment would be a bronchoscopy in
m m m m m m m m m m m m
order to retrieve the suspected foreign body instead of diagnostic tests to locat
m m m m m m m m m m m m
e the foreign body itself.
m m m m
A child in cardiopulmonary arrest is receiving chest compressions and manual ve
m m m m m m m m m m m
ntilations with a bag- m m m
mask device. Once return of spontaneous circulation has been confirmed, which
m m m m m m m m m m m
of the following would be the priority intervention? - correct answer-
m m m m m m m m m m
establishing a secure airway m m m
Parents report their 3-year-m m m
old child has developed noisy breathing. On assessment, high-
m m m m m m m m
pitched wheezes are audible and auscultated on inspiration and expiration. Wha
m m m m m m m m m m
t medication would be appropriate to administer first? - correct answer-
m m m m m m m m m m
humidified oxygen (wrong) m m
Remediation feedback: m
,Wheezing is most often identified with asthma in the pediatric population. Initial
m m m m m m m m m m m
medication intervention includes an inhaled short-acting beta agonist.
m m m m m m m m
A 6-week-
m
old is brought to the emergency department by the caregivers for poor feeding
m m m m m m m m m m m m
, listlessness, and fever. Assessment reveals a crying infant, hr 160 beats/minut
m m m m m m m m m m m
e, rr 52 breaths/minute, rectal temperature of 96.0 f (35.5 c), and a bulging ant
m m m m m m m m m m m m m m
erior fontanel. Capillary refill is 4 seconds. Based on these findings what is the
m m m m m m m m m m m m m m
most likely diagnostic test the nurse should anticipate? - correct answer-
m m m m m m m m m m
lumbar puncture m
A 12-year-
m
old is being prepped for surgical intervention of acute appendicitis. Which of the
m m m m m m m m m m m m
mfollowing intravenous medication orders should the nurse question?
m m m m m m m
- correct answer-hydromorphone (wrong)
m m m
Remediation feedback: m
Ketorolac is an appropriate medication for moderate to severe pain, however, it
m m m m m m m m m m m
mshould not be used pre-m m m m
operatively due to its potential to increase the bleeding risk.
m m m m m m m m m
A 17-year-
m
old female arrives in the ed with her boyfriend who states she is pregnant and h
m m m m m m m m m m m m m m m
aving vaginal bleeding. The patient is unsure of the gestational age and has not
m m m m m m m m m m m m m m
had any prenatal treatment. The patient is quiet and lets her boyfriend answer
m m m m m m m m m m m m m
most of the questions. Which of the following is the most appropriate action for
m m m m m m m m m m m m m
mthe nurse to take at this point? - correct answer-
m m m m m m m m m
have the boyfriend leave the room during the pelvic exam.
m m m m m m m m m
, A 2-year-
m
old arrives at the ed in hypovolemic shock and needs fluids immediately. After s
m m m m m m m m m m m m m
everal attempts, your team has been unsuccessful at establishing vascular acces
m m m m m m m m m m
s. Of the following, which is the next best option for establishing access quickly?
m m m m m m m m m m m m m
- correct answer-intraosseous in the patient's medial tibia.
m m m m m m m m
A child with an electrical injury is seen 1 hour post event. Which of the followin
m m m m m m m m m m m m m m m
g types of specimen samples would provide visual information regarding a poten
m m m m m m m m m m m
tial complication of this injury? - correct answer-sputum (wrong)
m m m m m m m m
Remediation feedback: m
Electrical injuries, though they may appear to be small, can produce large amou
m m m m m m m m m m m m
nts of damage internally, including muscle damage. Myoglobin is excreted in the
m m m m m m m m m m m
murine and is evidenced by dark, red-tinged urine.
m m m m m m m
Parents with an infant requiring multiple laboratory tests, radiographic studies, a
m m m m m m m m m m
nd invasive procedures appear to be distressed and withdrawn. Which of the fol
m m m m m m m m m m m m
lowing interventions would best ensure a sense of comfort and control for these
m m m m m m m m m m m m
mparents? - correct answer-providing frequent updates and re-
m m m m m m m
educating them on the care that is being provided
m m m m m m m m
When taking vital signs on a stable infant, which of the following should be done
m m m m m m m m m m m m m m
first? - correct answer-respiratory rate
m m m m m
