ENPC 6TH EDITION COURSEREAL EXAM 2024/2025 NEW VERSION
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES(VERIFIED ANSWERS) |ALREADY GRADED A+
GUARANTEED PASS
1. 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. Manifesta-
tions include signs of dehydration ( dry mucous membranes, hypotension, tachycar-
dia), 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.
2. 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?: Computed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident with subse-
quent 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.
3. 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
4. Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on inspiration
1/8
, ENPC 6TH EDITION COURSEREAL EXAM 2024/2025 NEW VERSION
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES(VERIFIED ANSWERS) |ALREADY GRADED A+
GUARANTEED PASS
and expiration. What medication would be appropriate to administer first?: -
Humidified oxygen (wrong)
2/8
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES(VERIFIED ANSWERS) |ALREADY GRADED A+
GUARANTEED PASS
1. 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. Manifesta-
tions include signs of dehydration ( dry mucous membranes, hypotension, tachycar-
dia), 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.
2. 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?: Computed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident with subse-
quent 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.
3. 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
4. Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on inspiration
1/8
, ENPC 6TH EDITION COURSEREAL EXAM 2024/2025 NEW VERSION
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES(VERIFIED ANSWERS) |ALREADY GRADED A+
GUARANTEED PASS
and expiration. What medication would be appropriate to administer first?: -
Humidified oxygen (wrong)
2/8
