ENPC 6th Edition Pre Exam NEW 2025/
2026 Update) Questions & Answers |
Grade A| 100% Correct (Verified
Solutions)
A 14-year-old patient sustained a displaced fracture of the radius and
ulna after falling from a bicycle. Which of the following pain control
interventions is most likely to result in improvement in symptoms related
to pain? - ,,,answer,,,,..Applying a splint to the affected extremity
Rationale
Splinting is an effective non-pharmacologic intervention to reduce pain
associated with fractures. This will also help to minimize complications.
Topical creams and elevation of the extremity will not help with pain
control. The application of ice in an appropriate manner can help, but not
warmth which would be contraindicated in the early stages of the injury.
Assessment of the fontanelle provides the most useful information for
which two components of the primary survey? - ,,,answer,,,,..Circulation
and disability
Rationale
A sunken fontanelle is a red flag for circulation assessment in pediatric
triage and may indicate dehydration . A bulging fontanel is a red flag for
disability assessment in pediatric triage and can indicate increased
intracranial pressure.
, A three-year-old is rescued after being submerged in a pool for several
minutes. On arrival the patient is responsive to painful stimuli with
shallow respirations, diminished breath sounds, and an occasional
cough. Which of the following interventions is the initial management
priority? - ,,,answer,,,,..Endotracheal intubation to provide positive
pressure ventilation
Rationale
The primary survey assessment and treatment of deficits are the priority.
Airway control and positive pressure ventilation while preparing for
intubation of a child who meets intubation criteria (GCS < 8) should be
performed while also maintaining cervical spine stabilization. The child is
responsive only to painful stimuli, has shallow respirations, and
diminished breath sounds. All of these are breathing problems and must
be addressed immediately. Removing wet clothing is necessary, but is not
the main priority initially. With intubation an orogastric tube will be placed
and abdominal thrusts are not necessary to remove fluid from the
abdomen.
A 5-year-old child presents to the emergency department after being hit
by a car. The patient complains of left upper quadrant pain, and the
focused assessment with sonography for trauma (FAST) exam shows fluid
around her spleen. Which of the following findings would be an early
indication of ongoing blood loss? - ,,,answer,,,,..Weak peripheral pulses
Rationale
Early signs of hypovolemic shock include tachycardia and delayed
capillary refill. The nurse may note a strong central pulse but weaker
peripheral pulses, indicating the child is compensating by shunting blood
to their core.
Which of the following is a known cause of pediatric seizures? -
,,,answer,,,,..Overdiluted formula
2026 Update) Questions & Answers |
Grade A| 100% Correct (Verified
Solutions)
A 14-year-old patient sustained a displaced fracture of the radius and
ulna after falling from a bicycle. Which of the following pain control
interventions is most likely to result in improvement in symptoms related
to pain? - ,,,answer,,,,..Applying a splint to the affected extremity
Rationale
Splinting is an effective non-pharmacologic intervention to reduce pain
associated with fractures. This will also help to minimize complications.
Topical creams and elevation of the extremity will not help with pain
control. The application of ice in an appropriate manner can help, but not
warmth which would be contraindicated in the early stages of the injury.
Assessment of the fontanelle provides the most useful information for
which two components of the primary survey? - ,,,answer,,,,..Circulation
and disability
Rationale
A sunken fontanelle is a red flag for circulation assessment in pediatric
triage and may indicate dehydration . A bulging fontanel is a red flag for
disability assessment in pediatric triage and can indicate increased
intracranial pressure.
, A three-year-old is rescued after being submerged in a pool for several
minutes. On arrival the patient is responsive to painful stimuli with
shallow respirations, diminished breath sounds, and an occasional
cough. Which of the following interventions is the initial management
priority? - ,,,answer,,,,..Endotracheal intubation to provide positive
pressure ventilation
Rationale
The primary survey assessment and treatment of deficits are the priority.
Airway control and positive pressure ventilation while preparing for
intubation of a child who meets intubation criteria (GCS < 8) should be
performed while also maintaining cervical spine stabilization. The child is
responsive only to painful stimuli, has shallow respirations, and
diminished breath sounds. All of these are breathing problems and must
be addressed immediately. Removing wet clothing is necessary, but is not
the main priority initially. With intubation an orogastric tube will be placed
and abdominal thrusts are not necessary to remove fluid from the
abdomen.
A 5-year-old child presents to the emergency department after being hit
by a car. The patient complains of left upper quadrant pain, and the
focused assessment with sonography for trauma (FAST) exam shows fluid
around her spleen. Which of the following findings would be an early
indication of ongoing blood loss? - ,,,answer,,,,..Weak peripheral pulses
Rationale
Early signs of hypovolemic shock include tachycardia and delayed
capillary refill. The nurse may note a strong central pulse but weaker
peripheral pulses, indicating the child is compensating by shunting blood
to their core.
Which of the following is a known cause of pediatric seizures? -
,,,answer,,,,..Overdiluted formula
