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ENPC Questions and Correct Answers/ Latest Update / Already Graded

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A 3 year-old patient presents following frequent emesis and diarrhea over the past 12 hours. Which of the following assessment findings indicate that the patient' body is compensating for the fluid loss? Ans: Increased diastolic blood pressure A 5-year-old arrives in the ED with a 4 day history of vomiting. Vital signs: HR 136 beats/minute, RR 36 breaths/minute, BP 92/56 mm Hg, T 38oC (100.4oF), and pulse oximetry 93% on room air. The child is pale with warm, dry skin and a capillary refill of 3 seconds. A fluid bolus is completed. Which of the following reassessment findings indicate that a second fluid bolus is necessary? Ans: Blood pressure of 92/78 A 14-year-old patient presents to the emergency department with her aunt after being assaulted. The patient has multiple bruises 2 | Page inconsistent with the assault history and seems guarded with her answers. A urine test is positive for pregnancy, although the patient denies being sexually active. The aunt repeatedly asks when they will be discharged. The ED nurse recognizes these finding as red flags for which of the following? Ans: Sex trafficking A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. After several attempts, your team has been unsuccessful at establishing vascular access. Of the following, which is the next best option for establishing access quickly? Ans: Intraosseous in the patient's medial tibia A neonate presents to the emergency department with irritability, weak cry, and hypotonia. Which of the following is a priority intervention? Ans: Serum blood glucose 3 | Page A term infant is delivered in the emergency department. Which assessment finding is most con

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ENPC Questions and Correct Answers/
Latest Update / Already Graded
A 3 year-old patient presents following frequent emesis and diarrhea

over the past 12 hours. Which of the following assessment findings

indicate that the patient' body is compensating for the fluid loss?


Ans: Increased diastolic blood pressure




A 5-year-old arrives in the ED with a 4 day history of vomiting. Vital

signs: HR 136 beats/minute, RR 36 breaths/minute, BP 92/56 mm Hg, T

38oC (100.4oF), and pulse oximetry 93% on room air. The child is pale

with warm, dry skin and a capillary refill of 3 seconds. A fluid bolus is

completed. Which of the following reassessment findings indicate

that a second fluid bolus is necessary?


Ans: Blood pressure of 92/78




A 14-year-old patient presents to the emergency department with

her aunt after being assaulted. The patient has multiple bruises

,2 | Page

inconsistent with the assault history and seems guarded with her

answers. A urine test is positive for pregnancy, although the patient

denies being sexually active. The aunt repeatedly asks when they will

be discharged. The ED nurse recognizes these finding as red flags for

which of the following?


Ans: Sex trafficking




A 2-year-old arrives at the ED in hypovolemic shock and needs fluids

immediately. After several attempts, your team has been

unsuccessful at establishing vascular access. Of the following, which

is the next best option for establishing access quickly?


Ans: Intraosseous in the patient's medial tibia




A neonate presents to the emergency department with irritability,

weak cry, and hypotonia. Which of the following is a priority

intervention?


Ans: Serum blood glucose

, 3 | Page

A term infant is delivered in the emergency department. Which

assessment finding is most concerning?


Ans: Central cyanosis




A caregiver presents to the emergency department with an 18-

month-old and reports the child is not using their left arm after

playing a game with an older sibling. The child is alert and curious,

with regular, even respirations, and skin color is appropriate.Using the

Pediatric Assessment Triangle (PAT), how would you categorize this

patient?


Ans: Sick




A six-week-old infant presents to the emergency department with

seizures. The infant is afebrile with a normal glucose level ,and

caregivers report no signs of illness other than formula intolerance,

which they treated by adding extra water to the formula. The nurse

would expect to find which of the following laboratory

abnormalities?

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