ENPC 6th Edition Pre Exam Questions and Correct Answers (100% Pass) With complete solution Newest

ENPC 6th Edition Pre Exam Questions and
Correct Answers (100% Pass) With complete
solution Newest
A 14-year-old patient sustained a displaced fracture of the radius and ulna after falling from a
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bicycle. Which of the following pain control interventions is most likely to result in improvement
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in symptoms related to pain? - Correct Answers Applying a splint to the affected extremity
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Rationale

Splinting is an effective non-pharmacologic intervention to reduce pain associated with fractures.
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This will also help to minimize complications. Topical creams and elevation of the extremity will
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not help with pain control. The application of ice in an appropriate manner can help, but not
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warmth which would be contraindicated in the early stages of the injury.
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II! Assessment of the fontanelle provides the most useful information for which two components of
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II! the primary survey? - Correct Answers Circulation and disability
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Rationale

A sunken fontanelle is a red flag for circulation assessment in pediatric triage and may indicate
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dehydration . A bulging fontanel is a red flag for disability assessment in pediatric triage and can
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indicate increased intracranial pressure.
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II! A 6-month-old is seen for a recurrent respiratory infection. During the assessment, the mother
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II! adds that the patient's stools seem to be fatty or "greasy". Which of the following disease
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II! processes would be a primary concern for this child? - Correct Answers Cystic fibrosis
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Rationale

In patients with cystic fibrosis, thick mucus inhibits the release of pancreatic enzymes necessary
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for digestion. This results in impaired absorption and the inability to utilize ingested fats. These
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, II! fats are excreted in the stools and can present as "fatty" or "greasy". Combined with the recurrent
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II! upper respiratory infections for an infant, cystic fibrosis should be ruled out. The other three
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II! disease processes frequently present with respiratory issues but fatty stools would not normally
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II! be seen.
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II! A 4-day-old who is brought to the emergency department with the parental complaint of "not
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II! acting right" is found to be hypoglycemic. What is the appropriate glucose concentration to
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II! administer to this neonate? - Correct Answers Dextrose 10% II! II! II! II! II! II! II! II! II! II! II! II!




Rationale

Dextrose 10% is the preferred concentration for neonates with hypoglycemia to protect their
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fragile vasculature while providing needed glucose. Dextrose 5% is not used to treat
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hypoglycemia in children. Dextrose 25% is used for children above the age of 5 years. Dextrose
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50% is not recommended for use in pediatrics unless it is diluted.
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II! Which of the following indicates the need for additional caregiver education regarding a urinary
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II! tract infection? - Correct Answers My child will grow out of their frequent urinary tract
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Rationale

Urinary tract infections are not a normal occurrence in children and are not something children
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will "grow out of." Additional investigation and follow-up are needed when a child has frequent
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urinary tract infections. Drinking extra fluids should be encouraged. Patients should always finish
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the complete course of antibiotics to eliminate the infection. And follow-up should be done to
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make sure the infection has been eliminated.
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II! You need to draw blood from a 2-year-old. Which of the following is the best approach for this
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II! patient? - Correct Answers Have them watch a cartoon on an I-pad or cell phone
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Rationale