ENPC 6TH EDITION COURSE EXAM QUESTIONS WITH
CORRECT ANSWERS (2024/2025)
1.A 4-year-old presents with vomiting, lethargy, frequent
urination, weight loss, and dry mucous membranes. Vital signs
reveal deep respirations at 44 breaths per minute, BP of 70/44
mm Hg, and HR of 144 beats per minute. Which of the
following laboratory values would be most expected in this
child?: Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifesta- tions include signs of dehydration ( dry mucous membranes,
hypotension, tachycar- dia), incontinence (polyuria), vomiting,
1/
30
,abdominal pain, Kussmaul respirations (to counter the acidosis),
polydipsia, anorexia, and weight loss. Expected laboratory values would
reveal an acidotic state with a pH level below 7.3, an elevated serum
bIcarbonate level, and an elevated blood glucose level > 200 mg.dL.
2.An 18-month-old is seen for fever, slight circumoral cyanosis,
and wheezing noted on auscultation in the right upper lobe of
the lung field after a choking event 4 days ago. The white blood
cell count is elevated and the patient noted to be tachypneic,
tachycardic, agitated, and has an increased respiratory effort.
At the time of the event, the patient was started on antibiotics
with subsequent increasing manifestations instead of
improvement. Which of the following would be considered to be
definitive treatment for the suspected diagnosis?: Computed
2/
30
, tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident
with subse- quent failure to improve on antibiotics. Wheezing or
decreased lung sounds in one area of the pulmonary system is a high
indicator for a foreign body along with signs of hypoxia such as cyanosis
tachypnea, tachycardia, increased respiratory effort, agitation or
lethargy, and elevated white blood cell counts indicating an infectious
process. The definitive treatment would be a bronchoscopy in order to
retrieve the suspected foreign body instead of diagnostic tests to locate
the foreign body itself.
3.A child in cardiopulmonary arrest is receiving chest
compressions and manual ventilations with a bag-mask device.
3/
30
CORRECT ANSWERS (2024/2025)
1.A 4-year-old presents with vomiting, lethargy, frequent
urination, weight loss, and dry mucous membranes. Vital signs
reveal deep respirations at 44 breaths per minute, BP of 70/44
mm Hg, and HR of 144 beats per minute. Which of the
following laboratory values would be most expected in this
child?: Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifesta- tions include signs of dehydration ( dry mucous membranes,
hypotension, tachycar- dia), incontinence (polyuria), vomiting,
1/
30
,abdominal pain, Kussmaul respirations (to counter the acidosis),
polydipsia, anorexia, and weight loss. Expected laboratory values would
reveal an acidotic state with a pH level below 7.3, an elevated serum
bIcarbonate level, and an elevated blood glucose level > 200 mg.dL.
2.An 18-month-old is seen for fever, slight circumoral cyanosis,
and wheezing noted on auscultation in the right upper lobe of
the lung field after a choking event 4 days ago. The white blood
cell count is elevated and the patient noted to be tachypneic,
tachycardic, agitated, and has an increased respiratory effort.
At the time of the event, the patient was started on antibiotics
with subsequent increasing manifestations instead of
improvement. Which of the following would be considered to be
definitive treatment for the suspected diagnosis?: Computed
2/
30
, tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident
with subse- quent failure to improve on antibiotics. Wheezing or
decreased lung sounds in one area of the pulmonary system is a high
indicator for a foreign body along with signs of hypoxia such as cyanosis
tachypnea, tachycardia, increased respiratory effort, agitation or
lethargy, and elevated white blood cell counts indicating an infectious
process. The definitive treatment would be a bronchoscopy in order to
retrieve the suspected foreign body instead of diagnostic tests to locate
the foreign body itself.
3.A child in cardiopulmonary arrest is receiving chest
compressions and manual ventilations with a bag-mask device.
3/
30
