ENPC 5th edition solved 100% correct!!
Ask about any new bed-wetting or sleep disturbances
Pediatric patients with anxiety and PTSD may present with physical complaints.
Assess for other behavioral symptoms to facilitate appropriate care and follow-up. -
Answer A 5 year-old with no health problems presents to the Emergency Department
with a sudden onset of chest pain and shortness of breath. Parents state that the
family was involved in a bad car crash one week ago. A thorough assessment and
workup has not revealed any abnormalities. Which of the following steps is the best
next step to take?
Ensuring all firearms in the home are locked in a safe place with no access by the
patient.
Promoting injury prevention with caregivers of patients with a history of depression or
suicidal ideation by encouraging that all firearms and medications are under lock to
prevent overdoses or suicide attempt. - Answer You are discharging a patient to
home with a history of depression. Discharge teaching should include which of the
following?
Obtain vascular access for rapid fluid administration
Rapid vascular access and fluid administration are the priority interventions. -
Answer A 2-year old has uniformly demarcated burns to bilateral lower extremities,
approximately 30% of the childs total body surface area. The father states he 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?
Draw and send a metabolic panel and venous blood gas, administer a fluid bolus,
and obtain a point of care glucose
Electrolyte imbalances need to be identified and treated to prevent another seizure. -
Answer A 7-year-old arrives via ambulance. The patient's mother reports witnessing
a seizure at home. The patient has no seizure history. Upon examination, the patient
is post-ictal with a heart rate of 142 beats per minute, respiratory rate of 36 breaths
per minute, and blood pressure of 86/72 mm Hg. Significant 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
welfare investigation. Which of the following are the MOST appropriate immediate
interventions?
ventilation to address hypoxia is the priority intervention. - Answer What is the
priority intervention for symptomatic bradycardia in a four-year-old child?
Commotio cordis
Comotio Cordis "occurs when chest is struck during the refractory period of the
cardiac conduction cycle. This type of injury usually occurs in recreational sports
such as baseball or ice hockey." - Answer 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 sudden
cardiac arrest. Of the following, which is the most likely cause of the cardiac arrest?
, ENPC 5th edition solved 100% correct!!
Focused Assessment: Vital Signs: "As the patient compensates for altered tissue
perfusion, the pulse pressure narrows and the heart rate increases" - (need to
rewrite either the question or the answers)
Widening Pulse pressure - not correct (suppose to be narrow pulse pressure)
Bradycardia - not correct
Decreasing diastolic blood pressure - late sign
Weak peripheral pulses - late sign - Answer A 5-year-old child presents to the
emergency department after being hit by a car. She 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?
Increasing heart rate
Pathophysiology: Cardiac Output. In pediatric patients, cardiac out is primarily
regulate by increasing heart rate - Answer A 5-year-old patient presents to the
emergency department with severe dehydration due to viral gastroenteritis. He has
signs of shock due to his hypovolemia. Which of the following physiologic responses
to shock has the greatest impact on improving cardiac output in the pediatric patient?
Bruising to the left ear of a newborn from sleeping on his side
Pg 10- Any bruises in a non exploratory location (especially torso ears, neck) in
children younger than 4
Pg 11Any bruising in a child younger than 4 months. - Answer Which of the following
patient presentations should increase suspicion of potential child maltreatment?
Fifth Disease at 6 months
There is an animal vaccine, but not a human vaccine for Fifth Disease. - Answer All
of the vaccine administrations listed are appropriate EXCEPT for which of the
following?
My child can go to daycare since they have been off of Tylenol and fever free for 24
hours.
Yes, the patient needs to be afebrile WITHOUT the use of antipyretics to be able to
go back to daycare or school. - Answer Which of the following statements indicates
the caregiver understands your discharge teaching on influenza?
Dedicate a healthcare team member with a qualified interpreter to be with the family
during the procedure.
Providing the option for family presence with an assigned team member to facilitate
communication is most supportive of the family in this situation. - Answer The
neurosurgeon has decided to perform an invasive procedure in the emergency
department to monitor the intracranial pressure on a 5-year-old patient. The family
Ask about any new bed-wetting or sleep disturbances
Pediatric patients with anxiety and PTSD may present with physical complaints.
Assess for other behavioral symptoms to facilitate appropriate care and follow-up. -
Answer A 5 year-old with no health problems presents to the Emergency Department
with a sudden onset of chest pain and shortness of breath. Parents state that the
family was involved in a bad car crash one week ago. A thorough assessment and
workup has not revealed any abnormalities. Which of the following steps is the best
next step to take?
Ensuring all firearms in the home are locked in a safe place with no access by the
patient.
Promoting injury prevention with caregivers of patients with a history of depression or
suicidal ideation by encouraging that all firearms and medications are under lock to
prevent overdoses or suicide attempt. - Answer You are discharging a patient to
home with a history of depression. Discharge teaching should include which of the
following?
Obtain vascular access for rapid fluid administration
Rapid vascular access and fluid administration are the priority interventions. -
Answer A 2-year old has uniformly demarcated burns to bilateral lower extremities,
approximately 30% of the childs total body surface area. The father states he 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?
Draw and send a metabolic panel and venous blood gas, administer a fluid bolus,
and obtain a point of care glucose
Electrolyte imbalances need to be identified and treated to prevent another seizure. -
Answer A 7-year-old arrives via ambulance. The patient's mother reports witnessing
a seizure at home. The patient has no seizure history. Upon examination, the patient
is post-ictal with a heart rate of 142 beats per minute, respiratory rate of 36 breaths
per minute, and blood pressure of 86/72 mm Hg. Significant 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
welfare investigation. Which of the following are the MOST appropriate immediate
interventions?
ventilation to address hypoxia is the priority intervention. - Answer What is the
priority intervention for symptomatic bradycardia in a four-year-old child?
Commotio cordis
Comotio Cordis "occurs when chest is struck during the refractory period of the
cardiac conduction cycle. This type of injury usually occurs in recreational sports
such as baseball or ice hockey." - Answer 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 sudden
cardiac arrest. Of the following, which is the most likely cause of the cardiac arrest?
, ENPC 5th edition solved 100% correct!!
Focused Assessment: Vital Signs: "As the patient compensates for altered tissue
perfusion, the pulse pressure narrows and the heart rate increases" - (need to
rewrite either the question or the answers)
Widening Pulse pressure - not correct (suppose to be narrow pulse pressure)
Bradycardia - not correct
Decreasing diastolic blood pressure - late sign
Weak peripheral pulses - late sign - Answer A 5-year-old child presents to the
emergency department after being hit by a car. She 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?
Increasing heart rate
Pathophysiology: Cardiac Output. In pediatric patients, cardiac out is primarily
regulate by increasing heart rate - Answer A 5-year-old patient presents to the
emergency department with severe dehydration due to viral gastroenteritis. He has
signs of shock due to his hypovolemia. Which of the following physiologic responses
to shock has the greatest impact on improving cardiac output in the pediatric patient?
Bruising to the left ear of a newborn from sleeping on his side
Pg 10- Any bruises in a non exploratory location (especially torso ears, neck) in
children younger than 4
Pg 11Any bruising in a child younger than 4 months. - Answer Which of the following
patient presentations should increase suspicion of potential child maltreatment?
Fifth Disease at 6 months
There is an animal vaccine, but not a human vaccine for Fifth Disease. - Answer All
of the vaccine administrations listed are appropriate EXCEPT for which of the
following?
My child can go to daycare since they have been off of Tylenol and fever free for 24
hours.
Yes, the patient needs to be afebrile WITHOUT the use of antipyretics to be able to
go back to daycare or school. - Answer Which of the following statements indicates
the caregiver understands your discharge teaching on influenza?
Dedicate a healthcare team member with a qualified interpreter to be with the family
during the procedure.
Providing the option for family presence with an assigned team member to facilitate
communication is most supportive of the family in this situation. - Answer The
neurosurgeon has decided to perform an invasive procedure in the emergency
department to monitor the intracranial pressure on a 5-year-old patient. The family
