ENPC 5th Edition Questions & Answers.
1. Ask about any new bed-wetting or
A 5 year-old with no health
sleep dis- turbances
problems presents to the
Pediatric patients with anxiety and Emergency Depart- ment with a
PTSD may present with physical sudden onset of chest pain and
shortness of breath. Parents state
complaints. Assess for
that the family was involved in a
bad
other behavioral symptoms to facilitate appro- car crash one week ago. A
thorough as-
priate care and follow- sessment and workup has not
up.
revealed any abnormalities. Which
of the follow- ing steps is the best
next step to take?
2. Ensuring all firearms in the home are locked in You are discharging a
patient to home
a safe place with no access by the patient. with a history of depression.
Discharge
teaching should include which of
the
Promoting injury prevention with caregivers of following?
patients with a history of depression or
suici- dal ideation by encouraging that
all firearms and medications are under
lock to prevent overdoses or suicide
attempt.
3. Obtain vascular access for rapid fluid adminis- A 2-year old has uniformly
demarcat-
tration ed burns to bilateral lower extremities,
approximately 30% of the childs
total
Rapid vascular access and fluid administration body surface area. The father
, ENPC 5th Edition Questions & Answers.
states he
are the priority interventions. briefly left the room while the child
was in the bath and the child
apparently played with the faucet.
Which of the following
interventions has the highest
priority?
4. Draw and send a metabolic panel and
venous A 7-year-old arrives via ambulance.
The
blood gas, administer a fluid bolus, and obtain patient's mother reports
witnessing a
a point of care glucose seizure at home. The patient has
no
, ENPC 5th Edition Questions & Answers.
Electrolyte imbalances need to be seizure history. Upon examination,
identified and treated to prevent the patient is post-ictal with a
another seizure. heart rate of 142 beats per
minute, respiratory rate of 36
breaths per minute, and blood
pressure of 86/72 mm Hg. Sig-
nificant burns are noted to the
patient's back and lower
extremities. The mother states the
burns accidentally occurred 3
days ago, but she was afraid to
bring patient in due to an ongoing
child wel- fare investigation. Which
of the follow- ing are the MOST
appropriate imme- diate
5. ventilation to address hypoxia is the interventions?
priority intervention.
What is the priority
intervention for symptomatic
6. Commotio cordis bradycardia in a four-year-
old child?
Comotio Cordis "occurs when chest is
struck A 14-year-old high school student
who was pitching for his baseball
team was hit in the chest by the
ball and had a
during the refractory period of the cardiac con- sudden cardiac arrest. Of
the following,
duction cycle. This type of injury usually occurs which is the most likely
cause of the
in recreational sports such as baseball 7. Focused
or ice hockey." Assessment: Vital
1. Ask about any new bed-wetting or
A 5 year-old with no health
sleep dis- turbances
problems presents to the
Pediatric patients with anxiety and Emergency Depart- ment with a
PTSD may present with physical sudden onset of chest pain and
shortness of breath. Parents state
complaints. Assess for
that the family was involved in a
bad
other behavioral symptoms to facilitate appro- car crash one week ago. A
thorough as-
priate care and follow- sessment and workup has not
up.
revealed any abnormalities. Which
of the follow- ing steps is the best
next step to take?
2. Ensuring all firearms in the home are locked in You are discharging a
patient to home
a safe place with no access by the patient. with a history of depression.
Discharge
teaching should include which of
the
Promoting injury prevention with caregivers of following?
patients with a history of depression or
suici- dal ideation by encouraging that
all firearms and medications are under
lock to prevent overdoses or suicide
attempt.
3. Obtain vascular access for rapid fluid adminis- A 2-year old has uniformly
demarcat-
tration ed burns to bilateral lower extremities,
approximately 30% of the childs
total
Rapid vascular access and fluid administration body surface area. The father
, ENPC 5th Edition Questions & Answers.
states he
are the priority interventions. briefly left the room while the child
was in the bath and the child
apparently played with the faucet.
Which of the following
interventions has the highest
priority?
4. Draw and send a metabolic panel and
venous A 7-year-old arrives via ambulance.
The
blood gas, administer a fluid bolus, and obtain patient's mother reports
witnessing a
a point of care glucose seizure at home. The patient has
no
, ENPC 5th Edition Questions & Answers.
Electrolyte imbalances need to be seizure history. Upon examination,
identified and treated to prevent the patient is post-ictal with a
another seizure. heart rate of 142 beats per
minute, respiratory rate of 36
breaths per minute, and blood
pressure of 86/72 mm Hg. Sig-
nificant burns are noted to the
patient's back and lower
extremities. The mother states the
burns accidentally occurred 3
days ago, but she was afraid to
bring patient in due to an ongoing
child wel- fare investigation. Which
of the follow- ing are the MOST
appropriate imme- diate
5. ventilation to address hypoxia is the interventions?
priority intervention.
What is the priority
intervention for symptomatic
6. Commotio cordis bradycardia in a four-year-
old child?
Comotio Cordis "occurs when chest is
struck A 14-year-old high school student
who was pitching for his baseball
team was hit in the chest by the
ball and had a
during the refractory period of the cardiac con- sudden cardiac arrest. Of
the following,
duction cycle. This type of injury usually occurs which is the most likely
cause of the
in recreational sports such as baseball 7. Focused
or ice hockey." Assessment: Vital
