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ENPC 5th Edition Course Exam 2024 Questions with Detailed Correct Answers with Rationale
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ENPC 5th Edition Course Exam 2024 Questions with Detailed Correct Answers with Rationale
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ENPC 5th Edition Course Exam 2024Questions with Detailed Correct
Answers with Rationale
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? Correct 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? Correct 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?
Correct 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? Correct
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? Correct 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? Correct 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
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