ENPC 6th Edition Course Exam
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. 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 following would be considered to
ENPC 6th Edition Course Exam
, be definitive treatment for the suspected diagnosis? -
Computed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking
incident with subsequent 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.
A child in cardiopulmonary arrest is receiving chest
compressions and manual ventilations with a bagmask device.
Once return of spontaneous circulation has been confirmed,
which of the following would be the priority intervention? -
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? - Humidified oxygen
(wrong)
Remediation feedback:
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. 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 following would be considered to
ENPC 6th Edition Course Exam
, be definitive treatment for the suspected diagnosis? -
Computed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking
incident with subsequent 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.
A child in cardiopulmonary arrest is receiving chest
compressions and manual ventilations with a bagmask device.
Once return of spontaneous circulation has been confirmed,
which of the following would be the priority intervention? -
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? - Humidified oxygen
(wrong)
Remediation feedback:
