ENPC 6TH EDITION LATEST WITH ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ 100% GUARANTEED
PASS!
A 4-day-old who is brought to the emergency
department with the parental complaint of "not acting
right" is found to be hypoglycemic. What is the
appropriate glucose concentration to administer to this
neonate?
A.Dextrose 5%
B.Dextrose 10%
C.Dextrose 25%
D.Dextrose 50% - .....ANSWER ...✔✔ B
Dextrose 10% is the preferred concentration for
neonates with hypoglycemia to protect their fragile
vasculature while providing needed glucose. Dextrose
5% is not used to treat hypoglycemia in children.
Dextrose 25% is used for children above the age of 5
years. Dextrose 50% is not recommended for use in
pediatrics unless it is diluted.
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Assessment of the fontanelle provides the most useful
information for which two components of the primary
survey?
A.Circulation and disability
B.Breathing and circulation
C.Disability and exposure
D.Circulation and exposure - .....ANSWER ...✔✔ A
A sunken fontanelle is a red flag for circulation
assessment in pediatric triage and may indicate
dehydration . A bulging fontanel is a red flag for
disability assessment in pediatric triage and can indicate
increased intracranial pressure.
Which of the following indicates the need for additional
caregiver education regarding a urinary tract infection?
A.I should encourage my child to drink extra fluids.
B.I need to make a follow-up appointment with child's
physician.
C.My child will grow out of their frequent urinary tract
infections.
D.My child should complete all of their antibiotic
medication. - .....ANSWER ...✔✔ C
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A nurse providing trauma informed care to the family of
a seriously ill child should be doing which of the
following?
A.Placing the family in a quiet, secluded room
B.Referring to their child as "the patient"
C.Making sure the family does not stay at the bedside.
D.Appointing one staff member to stay with the family -
.....ANSWER ...✔✔ D
Caregivers experiencing the crisis of a critically ill child
have low attentiveness and increased stress so would
benefit from having a member of the healthcare team to
stay with them as much as possible and communicate
updates on the plan of care. Caregivers should be
allowed to stay with their child as much as possible and
not placed in a secluded room away for them.
The caregiver of a 7-year old reports witnessing a
seizure at home, but no seizure history. 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
caregiver states the burns accidentally occurred three
days ago, but was afraid to bring the patient in due to
an ongoing child welfare investigation.Which of the
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following groups of interventions are the priority for this
patient?
A.Call police and child welfare authorities and have
security detain the caregiver
B.Administer intravenous analgesics and obtain a point
of care glucose
C.Draw a metabolic panel, point of care glucose, and
administer a fluid bolus
D.Administer lorazepam and a fluid bolus and place on
seizure precautions - .....ANSWER ...✔✔ C
Burn injuries result in fluid and electrolyte shifts leading
to hypovolemia and electrolyte imbalances. Early
identification and treatment of electrolyte imbalances
can help prevent further seizures. Contacting child
protective services and other authorities can wait. The
patient is post-ictal so does not require lorazepam
medication at this time. Pain medication can and should
be considered with significant burns, but is not a priority.
What is the priority intervention for symptomatic
bradycardia in a four-year-old child?
A.Administer intravenous atropine
B.Administer intravenous epinephrine
C.Initiate bag-mask ventilation