Exam (elaborations)
ENPC 6th Edition Course Exam Question and ANSWERS.LATEST 2024 GRADED A PLUS
- Course
- Institution
ENPC 6th Edition Course Exam Question and ANSWERS.
[Show more]
Seller
Follow
superacademic
Reviews received
Content preview
ENPC 6th Edition Course ExamQuestion and ANSWERS
Parents report their 3-year-old child has developed noisy breathing. On assessment,
high-pitched wheezes are audible and auscultated on inspiration and expiration.
What medication would be appropriate to administer first? -
**Initial medication intervention includes an inhaled short-acting beta agonist.
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry
mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute,
BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following
laboratory values would be most expected in this child? -
**Expected laboratory values would reveal an acidotic state with a pH level below
7.3, an elevated serum bIcarbonate level, and an elevated blood glucose level > 200
mg.dL.
An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted
on auscultation in the right upper lobe of the lung field after a choking event 4 days
ago. The white blood cell count is elevated and the patient noted to be tachypneic,
tachycardic, agitated, and has an increased respiratory effort. At the time of the
event, the patient was started on antibiotics with subsequent increasing
manifestations instead of improvement. Which of the following would be considered
to be definitive treatment for the suspected diagnosis? -
**The definitive treatment would be a bronchoscopy in order to retrieve the
suspected foreign body instead of diagnostic tests to locate the foreign body itself.
A child in cardiopulmonary arrest is 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? -
**Establishing a secure airway
A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C), and a
bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings what
is the most likely diagnostic test the nurse should anticipate? -
**Lumbar puncture
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which
of the following intravenous medication orders should the nurse question? -
**Ketorolac is an appropriate medication for moderate to severe pain, however, it
should not be used pre-operatively due to its potential to increase the bleeding risk.
A 17-year-old female arrives in the ED with her boyfriend who states she is pregnant
and having vaginal bleeding. The patient is unsure of the gestational age and has
not had any prenatal treatment. The patient is quiet and lets her boyfriend answer
, most of the questions. Which of the following is the most appropriate action for the
nurse to take at this point? -
**Have the boyfriend leave the room during the pelvic exam.
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately.
After several attempts, your team has been unsuccessful at establishing vascular
access. Of the following, which is the next best option for establishing access
quickly? -
**Intraosseous in the patient's medial tibia.
A child with an electrical injury is seen 1 hour post event. Which of the following
types of specimen samples would provide visual information regarding a potential
complication of this injury? -
**Electrical injuries, though they may appear to be small, can produce large
amounts of damage internally, including muscle damage. Myoglobin is excreted in
the urine and is evidenced by dark, red-tinged urine.
Parents with an infant requiring multiple laboratory tests, radiographic studies, and
invasive procedures appear to be distressed and withdrawn. Which of the following
interventions would best ensure a sense of comfort and control for these parents? -
**Providing frequent updates and re-educating them on the care that is being
provided
When taking vital signs on a stable infant, which of the following should be done
first? -
**Respiratory rate
A laceration on a toddler's arm is prepared for suturing. Which of the following
preparations for topical anesthesia would be the best choice for this procedure? -
**LET (lidocaine/epinephrine/tetracaine)
Which of the following is appropriate administration of N-acetylcysteine (NAC) for an
acetaminophen overdose? -
**A bolus infusion of 150 mg/kg NAC should be administered.
A 10-year-old arrives at the ED post motor vehicle crash. The following assessment
is noted: hypotension, tachycardia, absent breath sounds from the left chest with an
increased respiratory rate, pain on palpation of the pelvis, tinge of blood noted at the
urinary meatus, moderate active bleeding from a laceration to left thigh, pulse
oximetry of 86% without supplemental oxygen, deformity to the left upper leg, and a
Glasgow Coma Score of 7. Which of the following orders will prompt the nurse to
have a discussion with the provider before initiating? -
**Urinary catheters are contraindicated for placement if pelvic injury is suspected or
blood is noted at the urinary meatus. Scrotal or perineal discolorations with edema to
the areas is also a contraindication for this adjunct.
A 2-year-old is seen with a 3-day history of irritability, vomiting, and the presence of
foul-smelling urine. The child is hypotensive and tachycardic. Which of the following
methods for obtaining a urine sample is most appropriate in this circumstance? -
**Urinary catherization
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller superacademic. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now