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Ultimate Enpc (100%* *Corrections Made Post Remediation Feedback) 120+ Questions & Verified Solutions / 2025.

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ULTIMATE ENPC (100%* *CORRECTIONS MADE POST REMEDIATION FEEDBACK) 120+ QUESTIONS & VERIFIED SOLUTIONS / 2025. 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. 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 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? 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? 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? initial medication intervention includes an inhaled short-acting beta agonist.

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ULTIMATE ENPC (100%* *CORRECTIONS MADE
POST REMEDIATION FEEDBACK) 120+ QUESTIONS
& VERIFIED SOLUTIONS / 2025.


Terms in this set (123)

A 4-year-old presents with Hypoglycemia (wrong)
vomiting, lethargy, frequent
urination, weight loss, and
Remediation feedback:
dry mucous membranes. Vital
signs reveal deep respirations Children can present with new onset diabetes in diabetic
at 44 breaths per minute, BP ketoacidosis. Manifestations include signs of dehydration
of 70/44 mm Hg, and HR of ( dry mucous membranes, hypotension, tachycardia),
144 beats per minute. Which incontinence (polyuria), vomiting, abdominal pain, Kussmaul
of the following laboratory respirations (to counter the acidosis), polydipsia, anorexia,
values would be most and weight loss. Expected laboratory values would reveal an
expected in this child? 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 The definitive treatment would be a bronchoscopy in order
fever, slight circumoral to retrieve the suspected foreign body instead of diagnostic
cyanosis, and wheezing tests to locate the foreign body itself.
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?




Establishing a secure airway


A child in cardiopulmonary
arrest is receiving chest
compressions and manual
ventilations with a bagmask
device. Once return of
spontaneous circulation has
been confirmed, which of the
following would be the
priority intervention?

,Parents report their 3year- initial medication intervention includes an inhaled short-acting beta
old child has developed agonist.
noisy breathing. On
assessment, high-pitched
wheezes are audible and
auscultated on inspiration
and expiration. What
medication would be
appropriate to administer
first?




A 6-week-old is brought to Lumbar puncture
the emergency department
by the caregivers for poor
feeding, listlessness, and
fever. Assessment reveals a
crying infant, HR 160
beats/minute, RR 52
breaths/minute, rectal
temperature of 96.0 F (35.5
C), and a bulging anterior
fontanel. Capillary refill is 4
seconds. Based on these
findings what is the most
likely diagnostic test the
nurse should anticipate?




A 12-year-old is being Ketorolac
prepped for surgical
intervention of acute
appendicitis. Which of the Remediation feedback:
following intravenous Ketorolac is an appropriate medication for moderate to
medication orders should the severe pain, however, it should not be used preoperatively
nurse question? due to its potential to increase the bleeding risk.

, A 17-year-old female arrives Have the boyfriend leave the room during the pelvic exam.
in the ED with her boyfriend
who states she is pregnant
and having vaginal bleeding.
The patient is unsure of the
gestational age and has not
had any prenatal treatment.
The patient is quiet and lets
her boyfriend answer most
of the questions. Which of
the following is the most
appropriate action for the
nurse to take at this point?




A 2-year-old arrives at the Intraosseous in the patient's medial tibia.
ED in hypovolemic shock and
needs fluids immediately.
After several attempts, your
team has been unsuccessful
at establishing vascular
access. Of the following,
which is the next best option
for establishing access
quickly?




Myoglobin is excreted in the urine and is evidenced by dark,
red-tinged urine.
A child with an electrical
injury is seen 1 hour post
event. Which of the
following types of specimen
samples would provide
visual information regarding
a potential complication of
this injury?

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