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2023 ENPC Prep Exam With 100% Correct Questions and Answers

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2023 ENPC Prep Exam With 100% Correct Questions and Answers The emergency nurse is caring for a patient with significant facial trauma and asuspected globe rupture. Which of the following medication orders would the nurse question? - Answer Succinylcholine Succinylcholine may increase intra...

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  • September 28, 2023
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  • 2023/2024
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2023 ENPC Prep Exam With 100% Correct Questions and Answers The emergency nurse is caring for a patient with significant facial trauma and a suspected globe rupture. Which of the following medication orders would the nurse question? - Answer Succinylcholine Succinylcholine may increase intraocular pressure and should be avoided. Which of the following would be an abnormal finding in a patient with glomerulonephritis? - Answer Clear urine There is a decrease in urine output for patient' s with glomerulonephritis. Urine would be concentrated and dark brown/tea -colored. Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be concentrated and dark brown/tea -colored. - Answer Administration of nebulized epinephrine Moderate to severe croup is treated with dexamethasone and nebulized epinephrine. The neurosurgeon has decided to perform an invasive procedure in the emergency department to monitor the intracranial pressure on a 5 -year -old patient. The family does not speak English and has identified their religion as Muslim. Which of the following interventions is most supportive of the family? - Answer Allow the extended to family members to serve as interpreters during the procedure. Which of the following patient presentations should increase suspicion of potential child maltreatment? - Answer Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non -exploratory location in children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are cause for suspicion of abuse Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory location in children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are cause for suspicion of abuse - Answer Commotio cordis Commotio cordis occurs when the chest is struck during the refractory period of th e cardiac conduction cycle, resulting in a ventricular dysrhythmia or asystole. This type of injury usually occurs in recreational sports such as baseball or ice hockey A 12-year -old who was recently started on anti -psychotic medication for schizophrenia is brought to the emergency department with severe muscle rigidity and hyperthermia. These symptoms are most likely caused by which of the following? - Answer Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant syndrome, which is a rare reaction to antipsychotic medications. Which of the following patients should be evaluated first - Answer An 18-month -old with bilious emesis Bilious emesis in an 18-month -old is always considered an emergent symptom indicative of a life-threatening bowel obstruction. 1. Which of the following tasks can the nurse do to decrease adverse medication events? - Answer Obtain the patient's weight in kilograms This is the preferred measurement for medication calculations for pediatric and adult patients Acute chest syndrome, stroke, and splenic sequestration are complications of which of the following diseases? - Answer Sickle cell anemia These are all complications of sickle cell anemia. During the assessment of a 16-year -old male patient, the ED nurse identifies him as a potential sex trafficking victim. The trauma informed approach to care emphasizes certain principles in caring for these types of patients. Which of the following care principles has the highest priority? - Answer Physical and psychological safety Create an environment where patients feel safe, both physically and psychologically. Increase awareness of the patient's interpersonal interactions with others to screen for risk of harm. Prioritize the patient being in a safe location A 6-month -old is brought to the emergency department for a recurrent respiratory infection. When gathering a history from the caregiver, the emergency nurse learns that, in addition to the respiratory symptoms, the infant has had fatty stools. The emergency nurse should be concerned about which of the following disease processes? - Answer Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results in the fatty stools seen with cystic fibrosis. A 7-year -old arrives via ambulance. The patient's mother reports witnessing a seizure at home. The patient has no seizure history. Upon examin ation, 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? - Answer Draw and send a metabolic panel, administer a fluid bo lus, and obtain a point of care glucose Significant burns can cause electrolyte imbalances. Electrolyte imbalances may be the

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