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Exam (elaborations)

ENPC 6th Edition – Accurate Solutions For Every Question

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ENPC 6th Edition – Accurate Solutions For Every Question

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A 4-day-old who is brought to the B
emergency department with the
parental complaint of "not acting Dextrose 10% is the preferred concentration for
right" is found to be hypoglycemic. neonates with hypoglycemia to protect their fragile
What is the appropriate glucose vasculature while providing needed glucose.
concentration to administer to this Dextrose 5% is not used to treat hypoglycemia in
neonate? children. Dextrose 25% is used for children above the
A.Dextrose 5% age of 5 years. Dextrose 50% is not recommended
B.Dextrose 10% for use in pediatrics unless it is diluted.
C.Dextrose 25%
D.Dextrose 50%


Assessment of the fontanelle provides A
the most useful information for which
two components of the primary A sunken fontanelle is a red flag for circulation
survey? assessment in pediatric triage and may indicate
A.Circulation and disability dehydration . A bulging fontanel is a red flag for
B.Breathing and circulation disability assessment in pediatric triage and can
C.Disability and exposure indicate increased intracranial pressure.
D.Circulation and exposure

,Which of the following indicates the C
need for additional caregiver
education regarding a urinary tract
infection?
A.I should encourage my child to
drink extra fluids.
B.I need to make a follow-up
appointment with child's physician.
C.My child will grow out of their
frequent urinary tract infections.
D.My child should complete all of their
antibiotic medication.


A nurse providing trauma informed D
care to the family of a seriously ill
child should be doing which of the Caregivers experiencing the crisis of a critically ill
following? child have low attentiveness and increased stress so
A.Placing the family in a quiet, would benefit from having a member of the
secluded room healthcare team to stay with them as much as
B.Referring to their child as "the possible and communicate updates on the plan of
patient" care. Caregivers should be allowed to stay with their
C.Making sure the family does not stay child as much as possible and not placed in a
at the bedside. secluded room away for them.
D.Appointing one staff member to
stay with the family

, The caregiver of a 7-year old reports C
witnessing a seizure at home, but no
seizure history. The patient is post-ictal Burn injuries result in fluid and electrolyte shifts
with a heart rate of 142 beats per leading to hypovolemia and electrolyte imbalances.
minute, respiratory rate of 36 breaths Early identification and treatment of electrolyte
per minute, and blood pressure of imbalances can help prevent further seizures.
86/72 mm Hg. Significant burns are Contacting child protective services and other
noted to the patient's back and lower authorities can wait. The patient is post-ictal so does
extremities. The caregiver states the not require lorazepam medication at this time. Pain
burns accidentally occurred three medication can and should be considered with
days ago, but was afraid to bring the significant burns, but is not a priority.
patient in due to an ongoing child
welfare investigation.Which of the
following groups of interventions are
the priority for this patient?
A.Call police and child welfare
authorities and have security detain
the caregiver
B.Administer intravenous analgesics
and obtain a point of care glucose
C.Draw a metabolic panel, point of
care glucose, and administer a fluid
bolus
D.Administer lorazepam and a fluid
bolus and place on seizure
precautions


What is the priority intervention for C
symptomatic bradycardia in a four- \
year-old child? Identifying and treating other causes, chest
A.Administer intravenous atropine compressions, and epinephrine are interventions for
B.Administer intravenous epinephrine pediatric bradycardia with signs of poor perfusion
C.Initiate bag-mask ventilation that are not improved by adequate oxygenation and
D.Initiate transcutaneous pacing ventilation. Atropine and pacing may be considered
if there is no response to the other interventions.

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