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2024 ENPC 5TH EDITION VERIFIED EXAM WITH CORRECT ANSWERS
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2024 ENPC 5TH EDITION VERIFIED EXAM WITH CORRECT ANSWERS
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2024 ENPC 5TH EDITION VERIFIEDEXAM WITH CORRECT ANSWERS
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-ANSWERSAsk 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-
ANSWERSEnsuring 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.
The emergency nurse is caring for a 14-year-old patient who sustained a
displaced fracture of the radius and ulna after falling from a bicycle. Which of
the following pain interventions is most likely to result in improvement in
symptoms? - CORRECT-ANSWERSApplication of a splint to the affected
extremity
Splinting is an effective non-pharmacologic intervention to reduce pain
associated with fractures.
According to the American Academy of Pediatrics guidelines, which of the
follwing describes how a neonate riding in a car should be positioned? -
CORRECT-ANSWERSRear facing in a convertible carseat until at least the age
of 2
The safest mode of transport for the neonate is rear facing until the age of 2
when the neck ligaments are stronger to support the head.
, Which of the following describes a neonates normal position? - CORRECT-
ANSWERSFlexion with extremities close to the body
A neonates normal position is flexion with extremities close to the body
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? - CORRECT-ANSWERSCystic
Fibrosis
In CF, the mucus can block pancreatic ducts, which does not allow full
absorption of fats/proteins, leading to greasy/fatty stools.
A 3-year-old is brought to the emergency department with a 2-day history of
a runny nose, low-grade fever, and a "barky" cough at night. The caregiver
tells the emergency department nurse the coughing is getting worse. The
child is awake and alert, with stridor. The nurse should anticipate which of
the following? - CORRECT-ANSWERSAdministration of nebulized epinephrine
Moderate to severe croup is treated with dexamethasone and nebulized
epinephrine
Which of the following statements about the assessment and management
of pediatric hypovolemia is accurate? - CORRECT-ANSWERSDelayed capillary
refill is one indication to administer a fluid bolus
Other indications include tachycardia, dry mucous membranes, altered
mental status, and cool skin.
Which of the following vital signs is most consistent with an adolescent in
neurogenic shock after a spinal cord injury? - CORRECT-ANSWERSPulse 50
beats/ minute, BP 80/30 mm Hg Neurogenic shock patients have bradycardia
and hypotension with a widened pulse pressure due to vasodilation.
Spinal shock results in which of the following transient conditions? -
CORRECT-ANSWERSpain at the site of injury and hyperesthesia above the
level of injury
(Symptoms of spinal cord shock)
A three-year-old is rescued after being submerged in a residential pool for
several minutes. On arrival at the Emergency Department he is responsive to
painful stimuli, has shallow respiration's with diminished breath sounds
throughout, and has an occasional cough. What is the initial management
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