ENPC – 6TH Edition Exam 1 Questions
and Answers Already Graded A+ Latest
2025
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 3-month-old is brought to the emergency department with new onset of fever.
You note the child to be pale, tachypneic, and tachycardic, with weak distal pulses.
Which intervention is the priority for this patient?
A.Administer an appropriate dose of an antipyretic
B.Infuse a rapid 10-20 mL/kg bolus of an isotonic crystalloid
C.Prepare a broad spectrum antibiotic infusion
D.Administer a vasoactive medication -Correct Answer>B
,This patient most likely has septic shock. An immediate goal is to reverse shock
and restore tissue perfusion with fluids. An antipyretic may be needed based on
the temperature and patient symptoms. An antibiotic should be started within an
hour, and vasoactive medications may not be needed if fluid resuscitation is
successfu
A 6-month-old is seen for a recurrent respiratory infection. During the assessment,
the mother adds that the patient's stools seem to be fatty or "greasy". Which of
the following disease processes would be a primary concern for this child?
A.Cystic fibrosis
B.Bronchopulmonary dysplasia
C.Pneumonitis
D.Down syndrome -Correct Answer>A
In patients with cystic fibrosis, thick mucus inhibits the release of pancreatic
enzymes necessary for digestion. This results in impaired absorption and the
inability to utilize ingested fats. These fats are excreted in the stools and can
present as "fatty" or "greasy". Combined with the recurrent upper respiratory
infections for an infant, cystic fibrosis should be ruled out. The other three disease
processes frequently present with respiratory issues but fatty stools would not
normally be seen.
Which of the following is a known cause of pediatric seizures?
A.Benzodiazepine overdose
B.Supraventricular tachycardia
C.Overdiluted formula
, D.Congenital heart disease - Correct Answer>C
Water overload is a well-documented etiology of hyponatremia in infants, which
can be caused by excess dilution of formula. Hyponatremia is a known cause of
seizures. Benzodiazepine overdose is more likely to result is respiratory depression
and coma. CHD and SVT are not readily known to cause seizures.
For the infant, what duration of time is consider apneic?
A.10 seconds
B.20 seconds
C.5 seconds
D.15 seconds -Correct Answer>B
The respiratory rate, depth, and regularity all continue to change the first year of
life, making respiratory assessments different than those of older children. Infants
breathe faster and less regularly, with apnea not considered as such until 20
seconds without a breath or associated with other physiologic effects such as
bradycardia.
An ambulance arrives with a 16-year-old male involved in a dirt bike crash who
was intubated prior to arrival. Which of the following is the priority assessment or
intervention?
A.Assess the oropharynx
B.Assess endotracheal tube placement
C.Insert an orogastric tube
D.Insert a second intravenous access -Correct Answer>B
and Answers Already Graded A+ Latest
2025
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 3-month-old is brought to the emergency department with new onset of fever.
You note the child to be pale, tachypneic, and tachycardic, with weak distal pulses.
Which intervention is the priority for this patient?
A.Administer an appropriate dose of an antipyretic
B.Infuse a rapid 10-20 mL/kg bolus of an isotonic crystalloid
C.Prepare a broad spectrum antibiotic infusion
D.Administer a vasoactive medication -Correct Answer>B
,This patient most likely has septic shock. An immediate goal is to reverse shock
and restore tissue perfusion with fluids. An antipyretic may be needed based on
the temperature and patient symptoms. An antibiotic should be started within an
hour, and vasoactive medications may not be needed if fluid resuscitation is
successfu
A 6-month-old is seen for a recurrent respiratory infection. During the assessment,
the mother adds that the patient's stools seem to be fatty or "greasy". Which of
the following disease processes would be a primary concern for this child?
A.Cystic fibrosis
B.Bronchopulmonary dysplasia
C.Pneumonitis
D.Down syndrome -Correct Answer>A
In patients with cystic fibrosis, thick mucus inhibits the release of pancreatic
enzymes necessary for digestion. This results in impaired absorption and the
inability to utilize ingested fats. These fats are excreted in the stools and can
present as "fatty" or "greasy". Combined with the recurrent upper respiratory
infections for an infant, cystic fibrosis should be ruled out. The other three disease
processes frequently present with respiratory issues but fatty stools would not
normally be seen.
Which of the following is a known cause of pediatric seizures?
A.Benzodiazepine overdose
B.Supraventricular tachycardia
C.Overdiluted formula
, D.Congenital heart disease - Correct Answer>C
Water overload is a well-documented etiology of hyponatremia in infants, which
can be caused by excess dilution of formula. Hyponatremia is a known cause of
seizures. Benzodiazepine overdose is more likely to result is respiratory depression
and coma. CHD and SVT are not readily known to cause seizures.
For the infant, what duration of time is consider apneic?
A.10 seconds
B.20 seconds
C.5 seconds
D.15 seconds -Correct Answer>B
The respiratory rate, depth, and regularity all continue to change the first year of
life, making respiratory assessments different than those of older children. Infants
breathe faster and less regularly, with apnea not considered as such until 20
seconds without a breath or associated with other physiologic effects such as
bradycardia.
An ambulance arrives with a 16-year-old male involved in a dirt bike crash who
was intubated prior to arrival. Which of the following is the priority assessment or
intervention?
A.Assess the oropharynx
B.Assess endotracheal tube placement
C.Insert an orogastric tube
D.Insert a second intravenous access -Correct Answer>B
