100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
ENPC 6th Edition Course Exam Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed $11.49   Add to cart

Exam (elaborations)

ENPC 6th Edition Course Exam Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed

 4 views  0 purchase
  • Course
  • Institution

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 c...

[Show more]

Preview 3 out of 17  pages

  • September 4, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
avatar-seller
2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!



ENPC 6th Edition Course Exam Questions &
100% Correct Answers- Latest Test | Graded
A+ | Passed
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?


✓ -:- Hypoglycemia (wrong)




Remediation feedback:


Children can present with new onset diabetes in diabetic ketoacidosis. Manifestations

include signs of dehydration ( dry mucous membranes, hypotension, tachycardia),

incontinence (polyuria), vomiting, abdominal pain, Kussmaul respirations (to counter the

acidosis), polydipsia, anorexia, and weight loss. 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



1|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

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?


✓ -:- Computed tomography (wrong)




Remediation feedback:


Manifestations of a lower airway foreign body include a choking incident with subsequent

failure to improve on antibiotics. Wheezing or decreased lung sounds in one area of the

pulmonary system is a high indicator for a foreign body along with signs of hypoxia such as

cyanosis, tachypnea, tachycardia, increased respiratory effort, agitation or lethargy, and

elevated white blood cell counts indicating an infectious process. 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




2|Page | Grade A+| 2024/2025

, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

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?


✓ -:- Humidified oxygen (wrong)




Remediation feedback:


Wheezing is most often identified with asthma in the pediatric population. Initial

medication intervention includes an inhaled short-acting beta agonist.




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?


✓ -:- Hydromorphone (wrong)




Remediation feedback:

3|Page | Grade A+| 2024/2025

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 TestTrackers. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67866 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$11.49
  • (0)
  Add to cart