ENPC 6th Edition Course Exam
Hypoglycemia (wrong)
A 4-year-old presents with vomiting,
lethargy, frequent urination, weight
Remediation feedback:
loss, and dry mucous membranes.
Children can present with new onset diabetes in diabetic ketoacidosis.
Vital signs reveal deep respirations
Manifestations include signs of dehydration ( dry mucous membranes,
at 44 breaths per minute, BP of
hypotension, tachycardia), incontinence (polyuria), vomiting, abdominal
70/44 mm Hg, and HR of 144 beats
pain, Kussmaul respirations (to counter the acidosis), polydipsia,
per minute. Which of the following
anorexia, and weight loss. Expected laboratory values would reveal an
laboratory values would be most
acidotic state with a pH level below 7.3, an elevated serum bIcarbonate
expected in this child?
level, and an elevated blood glucose level > 200 mg.dL.
, ENPC 6th Edition Course Exam
An 18-month-old is seen for fever, Computed tomography (wrong)
slight circumoral cyanosis, and
wheezing noted on auscultation in Remediation feedback:
the right upper lobe of the lung field Manifestations of a lower airway foreign body include a choking incident
after a choking event 4 days ago. with subsequent failure to improve on antibiotics. Wheezing or
The white blood cell count is decreased lung sounds in one area of the pulmonary system is a high
elevated and the patient noted to indicator for a foreign body along with signs of hypoxia such as
be tachypneic, tachycardic, agitated, cyanosis, tachypnea, tachycardia, increased respiratory effort, agitation
and has an increased respiratory or lethargy, and elevated white blood cell counts indicating an
effort. At the time of the event, the infectious process. The definitive treatment would be a bronchoscopy in
patient was started on antibiotics order to retrieve the suspected foreign body instead of diagnostic tests
with subsequent increasing to locate the foreign body itself.
manifestations instead of
improvement. Which of the following
would be considered to be
definitive treatment for the
suspected diagnosis?
, ENPC 6th Edition Course Exam
A child in cardiopulmonary arrest is Establishing a secure airway
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?
Parents report their 3-year-old child Humidified oxygen (wrong)
has developed noisy breathing. On
assessment, high-pitched wheezes Remediation feedback:
are audible and auscultated on Wheezing is most often identified with asthma in the pediatric
inspiration and expiration. What population. Initial medication intervention includes an inhaled short-
medication would be appropriate to acting beta agonist.
administer first?
Hypoglycemia (wrong)
A 4-year-old presents with vomiting,
lethargy, frequent urination, weight
Remediation feedback:
loss, and dry mucous membranes.
Children can present with new onset diabetes in diabetic ketoacidosis.
Vital signs reveal deep respirations
Manifestations include signs of dehydration ( dry mucous membranes,
at 44 breaths per minute, BP of
hypotension, tachycardia), incontinence (polyuria), vomiting, abdominal
70/44 mm Hg, and HR of 144 beats
pain, Kussmaul respirations (to counter the acidosis), polydipsia,
per minute. Which of the following
anorexia, and weight loss. Expected laboratory values would reveal an
laboratory values would be most
acidotic state with a pH level below 7.3, an elevated serum bIcarbonate
expected in this child?
level, and an elevated blood glucose level > 200 mg.dL.
, ENPC 6th Edition Course Exam
An 18-month-old is seen for fever, Computed tomography (wrong)
slight circumoral cyanosis, and
wheezing noted on auscultation in Remediation feedback:
the right upper lobe of the lung field Manifestations of a lower airway foreign body include a choking incident
after a choking event 4 days ago. with subsequent failure to improve on antibiotics. Wheezing or
The white blood cell count is decreased lung sounds in one area of the pulmonary system is a high
elevated and the patient noted to indicator for a foreign body along with signs of hypoxia such as
be tachypneic, tachycardic, agitated, cyanosis, tachypnea, tachycardia, increased respiratory effort, agitation
and has an increased respiratory or lethargy, and elevated white blood cell counts indicating an
effort. At the time of the event, the infectious process. The definitive treatment would be a bronchoscopy in
patient was started on antibiotics order to retrieve the suspected foreign body instead of diagnostic tests
with subsequent increasing to locate the foreign body itself.
manifestations instead of
improvement. Which of the following
would be considered to be
definitive treatment for the
suspected diagnosis?
, ENPC 6th Edition Course Exam
A child in cardiopulmonary arrest is Establishing a secure airway
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?
Parents report their 3-year-old child Humidified oxygen (wrong)
has developed noisy breathing. On
assessment, high-pitched wheezes Remediation feedback:
are audible and auscultated on Wheezing is most often identified with asthma in the pediatric
inspiration and expiration. What population. Initial medication intervention includes an inhaled short-
medication would be appropriate to acting beta agonist.
administer first?
