ENPC 6th Edition Course Exam Questions & Answers
Hypoglycemia (wrong)
A 4-year-old presents with
vomiting,
lethargy, frequent Remediation feedback:
urination, weight loss, and Children can present with new onset diabetes in
dry mucous membranes. diabetic ketoacidosis. Manifestations include signs of
Vital signs dehydration ( dry mucous membranes, hypotension,
reveal deep respirations at tachycardia), incontinence (polyuria), vomiting,
44 breaths per minute, BP of abdominal pain, Kussmaul
70/44 mm Hg, and HR of 144 respirations (to counter the acidosis), polydipsia,
beats per minute. Which anorexia, and weight loss. Expected laboratory values
of the following would reveal an acidotic state with a pH level below
laboratory values would be 7.3, an
elevated serum bIcarbonate level, and an elevated blood glucose
most expected in this level > 200 mg.dL.
child?
An 18-month-old is seen for Computed tomography (wrong)
fever, slight circumoral
cyanosis, and wheezing Remediation feedback:
noted on auscultation in the Manifestations of a lower airway foreign body include a choking
incident with
right upper lobe of
subsequent failure to improve on antibiotics. Wheezing
the lung field after a
or decreased lung sounds in one area of the
choking event 4 days ago.
pulmonary system is a high indicator for a foreign
The white blood cell count is
body along with signs of hypoxia such as cyanosis,
elevated and the patient
tachypnea, tachycardia, increased respiratory effort,
noted to be tachypneic,
agitation or lethargy, and elevated white blood cell
tachycardic, agitated, and
counts indicating an infectious process. The definitive
has an increased respiratory
treatment would be a bronchoscopy in order to
effort. At the time of the
retrieve the suspected foreign body instead of
event, the patient was
diagnostic tests to locate the foreign body itself.
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?
, A child in cardiopulmonary Establishing a secure airway
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?
Parents report their 3- Humidified oxygen (wrong)
year-old child has
developed noisy breathing. Remediation feedback:
On assessment, high- Wheezing is most often identified with asthma in the
pitched wheezes are pediatric population. Initial medication intervention
audible and includes an inhaled short-acting beta agonist.
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?
Hypoglycemia (wrong)
A 4-year-old presents with
vomiting,
lethargy, frequent Remediation feedback:
urination, weight loss, and Children can present with new onset diabetes in
dry mucous membranes. diabetic ketoacidosis. Manifestations include signs of
Vital signs dehydration ( dry mucous membranes, hypotension,
reveal deep respirations at tachycardia), incontinence (polyuria), vomiting,
44 breaths per minute, BP of abdominal pain, Kussmaul
70/44 mm Hg, and HR of 144 respirations (to counter the acidosis), polydipsia,
beats per minute. Which anorexia, and weight loss. Expected laboratory values
of the following would reveal an acidotic state with a pH level below
laboratory values would be 7.3, an
elevated serum bIcarbonate level, and an elevated blood glucose
most expected in this level > 200 mg.dL.
child?
An 18-month-old is seen for Computed tomography (wrong)
fever, slight circumoral
cyanosis, and wheezing Remediation feedback:
noted on auscultation in the Manifestations of a lower airway foreign body include a choking
incident with
right upper lobe of
subsequent failure to improve on antibiotics. Wheezing
the lung field after a
or decreased lung sounds in one area of the
choking event 4 days ago.
pulmonary system is a high indicator for a foreign
The white blood cell count is
body along with signs of hypoxia such as cyanosis,
elevated and the patient
tachypnea, tachycardia, increased respiratory effort,
noted to be tachypneic,
agitation or lethargy, and elevated white blood cell
tachycardic, agitated, and
counts indicating an infectious process. The definitive
has an increased respiratory
treatment would be a bronchoscopy in order to
effort. At the time of the
retrieve the suspected foreign body instead of
event, the patient was
diagnostic tests to locate the foreign body itself.
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?
, A child in cardiopulmonary Establishing a secure airway
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?
Parents report their 3- Humidified oxygen (wrong)
year-old child has
developed noisy breathing. Remediation feedback:
On assessment, high- Wheezing is most often identified with asthma in the
pitched wheezes are pediatric population. Initial medication intervention
audible and includes an inhaled short-acting beta agonist.
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?
