ENPC
ENPC 6TH EDITION COURSE EXAM QUESTIONS AND ANSWERS
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? - correct answer 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
,ENPC
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? - correct answer 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,
, ENPC
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? - correct answer Establishing a secure airway
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? - correct answer 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.
ENPC 6TH EDITION COURSE EXAM QUESTIONS AND ANSWERS
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? - correct answer 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
,ENPC
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? - correct answer 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,
, ENPC
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? - correct answer Establishing a secure airway
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? - correct answer 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.
