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ULTIMATE ENPC Questions and Correct
Answers/ Latest Update / Already
Graded
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?
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Ans: Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifestations include signs of dehydration ( dry mucous membranes,
hypotension, tachycardia), incontinence (polyuria), vomiting, 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.
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
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following would be considered to be definitive treatment for the
suspected diagnosis?
Ans: 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.
A child in cardiopulmonary arrest is receiving chest compressions
and manual ventilations with a bag-mask device. Once return of
spontaneous circulation has been confirmed, which of the following
would be the priority intervention?
Ans: Establishing a secure airway
Parents report their 3-year-old child has developed noisy breathing.
On assessment, high-pitched wheezes are audible and auscultated
on inspiration and expiration. What medication would be
appropriate to administer first?
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Ans: initial medication intervention includes an inhaled short-acting beta
agonist.
A 6-week-old is brought to the emergency department by the
caregivers for poor feeding, listlessness, and fever. Assessment
reveals a crying infant, HR 160 beats/minute, RR 52 breaths/minute,
rectal temperature of 96.0 F (35.5 C), and a bulging anterior
fontanel. Capillary refill is 4 seconds. Based on these findings what is
the most likely diagnostic test the nurse should anticipate?
Ans: Lumbar puncture
A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders
should the nurse question?
ULTIMATE ENPC Questions and Correct
Answers/ Latest Update / Already
Graded
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?
,2 | Page
Ans: Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifestations include signs of dehydration ( dry mucous membranes,
hypotension, tachycardia), incontinence (polyuria), vomiting, 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.
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
,3 | Page
following would be considered to be definitive treatment for the
suspected diagnosis?
Ans: 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.
A child in cardiopulmonary arrest is receiving chest compressions
and manual ventilations with a bag-mask device. Once return of
spontaneous circulation has been confirmed, which of the following
would be the priority intervention?
Ans: Establishing a secure airway
Parents report their 3-year-old child has developed noisy breathing.
On assessment, high-pitched wheezes are audible and auscultated
on inspiration and expiration. What medication would be
appropriate to administer first?
, 4 | Page
Ans: initial medication intervention includes an inhaled short-acting beta
agonist.
A 6-week-old is brought to the emergency department by the
caregivers for poor feeding, listlessness, and fever. Assessment
reveals a crying infant, HR 160 beats/minute, RR 52 breaths/minute,
rectal temperature of 96.0 F (35.5 C), and a bulging anterior
fontanel. Capillary refill is 4 seconds. Based on these findings what is
the most likely diagnostic test the nurse should anticipate?
Ans: Lumbar puncture
A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders
should the nurse question?
