ENPC 5th edition Exam Test Questions And Answers Verified 100% Correct

ENPC 5th edition Exam Test Questions And Answers Verified 100% Correct Copious eye irrigation with an isotonic solution Normal saline or Ringer's lactate solution are both acceptable for irrigation. Irrigate until the pH of the eye returns to normal. The pH of Ringer's lactate is closer to that of human tears and may be more comfortable than normal saline. - ANSWERA toddler has a chemical eye injury. Which of the following is the priority intervention? (Do not pick acetaminophen) - ANSWERWhich of the following medications is appropriate for treating the fever of a four-year-old with scleral jaundice and elevated aspartate transaminase (AST)? Food allergy These findings are typical of a food allergy. Because allergic reactions are so variable and do not always include classic manifestations, anticipate that any foodinduced allergic reaction may unexpectedly progress to life-threatening anaphylaxis. - ANSWERThe parents of a 5-year-old child arrive at the emergency department. The child's lips and face are swollen with hives on the face. The parents report the child ate peanut butter crackers in the last hour. The child has no known allergies. The nurse recognizes the findings are associated with: Appointing one staff member to communicate with them. This will help create a solid patient-staff bond and facilitate communication - ANSWERA nurse providing crisis intervention to the family of a seriously ill child can best keep the family informed of the child's condition by doing which of the following? An 18-month-old with bilious emesis Bilious emesis in an 18-month-old is always considered an emergent symptom indicative of a life-threatening bowel obstruction. - ANSWERWhich of the following patients should be evaluated first? Clear urine Normal finding: There is a decrease in urine output for patient's with glomerulonephritis. Urine would be concentrated and dark brown/tea-colored - ANSWERWhich of the following would be an abnormal finding in a patient with glomerulonephritis? My child will grow out of their frequent urinary tract infections UTIs are not a normal occurrence in children and may require additional investigation and follow up - ANSWERWhich of the following indicates the need for additional parent/guardian education regarding a UTI? Intravenous antibiotics This patient population is at risk for life-threatening sepsis, and treatment with intravenous antibiotics is indicated. - ANSWERWhich of the following interventions would the nurse anticipate for a pediatric patient with a fever and a history of a hematologic or oncologic condition? Sickle cell anemia These are all typical complications of sickle cell anemia - ANSWERAcute chest syndrome, stroke, and splenic sequestration are complications of which of the following diseases? Sex Trafficking Red Flags for sex trafficking may include multiple bruises, unwanted or unintended pregnancy, being withdrawn and guarded. - ANSWERA 14-year-old patient presents to the emergency department with her aunt after being assaulted. The patient has multiple bruises inconsistent with the assault history and seems guarded with her ANSWERs. A urine test is positive for pregnancy although the patient denies being sexually active. The aunt repeatedly asks when they will be discharged. The ED nurse recognizes these finding as red flags for which of the following? Physical and psychological safety Create an environment where patients feel safe, both physically and psychologically. Increase awareness of the patients interpersonal interactions with others to screen for risk of harm. Prioritize the patient being in a safe location. - ANSWERDuring the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential sex trafficking victim. The trauma informed approach to care emphasizes certain principles in caring for these types of patients. Which of the following care principles has the highest priority? Primary survey, vital signs, pain management, and effectiveness of therapeutic interventions The additional three components of the reevaluation in the Tertiary Survey includes primary survey, vital signs and pain management, effectiveness of therapeutic interventions. (p 38) - ANSWERDuring the tertiary survey, the emergency nurse should continue to conduct reevaluations of the Pediatric Assessment Triangle (PAT), abnormal findings, and which of the following other assessment components? Assess the endotracheal tube placement and patency If a patient arrives with an artificial airway (endotracheal tube or tracheostomy) in place, assess its placement, tube patency and then the oral airway (in that order) before moving to the next step of the primary survey. (p 4) - ANSWERAn ambulance arrives with a 16-year-old male involved in a dirt bike crash who was intubated prior to arrival. Which of the following is the priority assessment or intervention? Circulation and disability A sunken fontanel may indicate dehydration; a bulging fontanel can indicate increased intracranial pressure. - ANSWERIn which of the following primary survey components can assessment of the fontanel provide the most useful information? Preparing medications in a distraction-free area To decrease errors, the nurse should be focused and systematic in verifying patient identification, medication order, route, time, and dose. - ANSWERWhich of the following actions by the nurse promotes pediatric patient safety? Obtain the patient's weight in kilograms This is the preferred measurement for medication calculations for pediatric and adult patients. - ANSWERWhich of the following tasks can the nurse do to decrease adverse medication events? Insulin infusion A continuous infusion of insulin at 0.050.1 unit/kg/hr should be used to decrease blood glucose. - ANSWERWhich of the following is the priority intervention for a pediatric patient with diabetic ketoacidosis? D10 D10 is the preferred concentration for neonates to protect their fragile vasculature. - ANSWERA 4-day-old who is brought to the emergency department with the parental complaint of "not acting right" is found to be hypoglycemic. The appropriate glucose concentration to administer to this neonate is which of the following? Bony crepitus and instability with gentle anteroposterior compression