ENPC 6th Edition questions answer, Exams of Advanced Education
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? - ANSWERA.Increased
diastolic blood pressure
B.Bounding peripheral pulses
C.Prolonged capillary refill
D.Increased urine output
You are discharging a patient home who has a history of depression.
Discharge teaching should include which of the following? -
ANSWERA.Discussing the importance of stopping all current psychiatric
medications.
B.Providing the family a list of behavioral health facilities to call for follow-up.
C.Explaining that the family should not call authorities for escalations in the
patient's behavior.
D.Ensuring all firearms in the home are locked up with no access available by
the patient.
,A child with an electrical injury is seen 1 hour post event. Which of the
following specimen samples would provide visual information regarding a
potential complication of this injury? - ANSWERA.Serum
B.Urine
C.Stool
D.Sputum
A 4-year-old patient is being assessed for a foreign body in the nose. The child
is awake and alert and watching a video on the caregivers phone. Vitals
include HR of 110 beats/minute, RR of 26 breaths per minute, BP of 138/90
mm Hg, and T of 37.3oC (99.3oF) orally. Which of the following interventions
should the nurse perform next? - ANSWERA.Check the size of the blood
pressure cuff
B.Recheck the temperature rectally
C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
A 10-year-old playing baseball is hit in the chest with a ball. He immediately
demonstrates loss of consciousness with no pulses. Which of the following is
the priority intervention? - ANSWERA.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
The triage nurse is assessing a 14 year old male who was brought in by
ambulance. The patient reports he was playing his video games at home
when he had a sudden onset of groin pain that was so severe he became
nauseated and vomited. Further assessment reveals a swollen scrotum. What
, is the priority intervention for this patient? - ANSWERA.Obtaining a sterile
urine sample
B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
A caregiver reports their one-month-old has had a yellowish color to their
eyes and skin over the last two weeks. If left untreated, which body system
can this affect? - ANSWERA.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
An infant presents to the emergency department with difficulty breathing.
The patient is pale and respirations appear rapid and shallow. Which location
on the torso is the most effective site for assessing bilateral breath sounds? -
ANSWERA.Bilateral posterior back
B.Over the epigastrium
C.Bilateral midaxillary
D.Bilateral anterior chest
A 5-year-old presents with sudden onset nausea, vomiting, abdominal
cramping, hives, and hypotension after eating lunch. Which of the following is
the priority intervention? - ANSWERA.Intramuscular epinephrine
B.Inhaled albuterol
C.Oral diphenhydramine
D.Intravenous ondansetron
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? - ANSWERA.Increased
diastolic blood pressure
B.Bounding peripheral pulses
C.Prolonged capillary refill
D.Increased urine output
You are discharging a patient home who has a history of depression.
Discharge teaching should include which of the following? -
ANSWERA.Discussing the importance of stopping all current psychiatric
medications.
B.Providing the family a list of behavioral health facilities to call for follow-up.
C.Explaining that the family should not call authorities for escalations in the
patient's behavior.
D.Ensuring all firearms in the home are locked up with no access available by
the patient.
,A child with an electrical injury is seen 1 hour post event. Which of the
following specimen samples would provide visual information regarding a
potential complication of this injury? - ANSWERA.Serum
B.Urine
C.Stool
D.Sputum
A 4-year-old patient is being assessed for a foreign body in the nose. The child
is awake and alert and watching a video on the caregivers phone. Vitals
include HR of 110 beats/minute, RR of 26 breaths per minute, BP of 138/90
mm Hg, and T of 37.3oC (99.3oF) orally. Which of the following interventions
should the nurse perform next? - ANSWERA.Check the size of the blood
pressure cuff
B.Recheck the temperature rectally
C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
A 10-year-old playing baseball is hit in the chest with a ball. He immediately
demonstrates loss of consciousness with no pulses. Which of the following is
the priority intervention? - ANSWERA.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
The triage nurse is assessing a 14 year old male who was brought in by
ambulance. The patient reports he was playing his video games at home
when he had a sudden onset of groin pain that was so severe he became
nauseated and vomited. Further assessment reveals a swollen scrotum. What
, is the priority intervention for this patient? - ANSWERA.Obtaining a sterile
urine sample
B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
A caregiver reports their one-month-old has had a yellowish color to their
eyes and skin over the last two weeks. If left untreated, which body system
can this affect? - ANSWERA.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
An infant presents to the emergency department with difficulty breathing.
The patient is pale and respirations appear rapid and shallow. Which location
on the torso is the most effective site for assessing bilateral breath sounds? -
ANSWERA.Bilateral posterior back
B.Over the epigastrium
C.Bilateral midaxillary
D.Bilateral anterior chest
A 5-year-old presents with sudden onset nausea, vomiting, abdominal
cramping, hives, and hypotension after eating lunch. Which of the following is
the priority intervention? - ANSWERA.Intramuscular epinephrine
B.Inhaled albuterol
C.Oral diphenhydramine
D.Intravenous ondansetron
