ENPC Exam 6th ed Questions & Answers.

ENPC Exam 6th ed Questions & Answers. 1. A 5-year-old child presents with hives, swelling of the A. Administer intramuscu- lips and face, and stridor that developed about an hour lar epinephrine after eating lunch. The child has no known allergies. Which of the following is the priority intervention? A. Administer intramuscular epinephrine B. Auscultate bilateral breath sounds C. Insert an intravenous catheter D. Administer inhaled albuterol 2. An adolescent is awaiting ICU admission for pneumo- A. SpO2 of 94 % on room nia. During reassessment, which of the following find- air ings would be most indicative that respiratory failure is developing? A. SpO2 of 94 % on room air B. Widened pulse pressure C. Extreme lethargy D. Flash capillary refill 3. A 3-year-old has a two-day history of runny nose, B. Administration of nebu- low-grade fever, and a "barky" cough at night. The child lized epinephrine is awake and alert with noted stridor. Pulse oximetry is 96% on room air. Which of the following interventions would be the most appropriated for this child? A. Delivery of humidified oxygen by nasal cannula B. Administration of nebulized epinephrine C. Suctioning secretions from the oropharynx D. Administration of albuterol with a spacer 4. A 14-year-old patient had a reduction of a temporo- mandibular joint dislocation in the ED. Which of the following should be included in the discharge instruc- tions? D. Use a nonsteroidal anti-inflammatory for pain control A. Practice yawning three to four times a day B. Resume eating a regular diet later today C. Apply hot packs to the joint area for pain control D. Use a nonsteroidal anti-inflammatory for pain con- trol 5. Which of the following parameters would indicate that A. Pulse oximetry reading appropriate post resuscitation interventions were suc- of 96% cessfully carried out in the pediatric patient? A. Pulse oximetry reading of 96% B. Temperature of 99.8°F (37.6°C) C. Capillary refill of 1 second D. Capnography reading of 60 mm Hg 6. An anxious 12-year-old child presents to the emer- gency department with a sudden onset of nausea, diarrhea, abdominal cramping, flushing, and hypoten- sion. Symptoms started about 60 minutes after lunch. Which of the following conditions is the most likely cause of these symptoms? A. Anaphylaxis B. Renal colic C. Crohn's Disease D. Menarche 7. An 8-year-old trauma patient suddenly develops in- creased respiratory distress with a rise in heart rate from 112 beats/minute to 142 beats/minute associat- ed with an abrupt hypotensive event. Distention of the jugular veins is noted. Which of the following emer- gent interventions should be anticipated first? A. High flow oxygen A. Anaphylaxis D. Needle decompression B. Drug assisted intubation C. Chest tube insertion D. Needle decompression 8. A 4-week-old infant born prematurely is brought to the emergency department due to the rapid onset of abdominal distention, vomiting, bloody stools, and ex- hibiting signs of shock. Based on these findings, what condition should the nurse suspect? A. Necrotizing enterocolitis B. Pyloric stenosis C. Megacolon D. Congenital diaphragmatic hernia A. Necrotizing enterocolitis