ULTIMATE ENPC 100%* *corrections made post remediation feedback ALL questions and answers are 100% verified latest

ULTIMATE ENPC 100%* *corrections made
post remediation feedback ALL questions and
answers are 100% verified latest
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous
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membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg,
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and HR of 144 beats per minute. Which of the following laboratory values would be most
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expected in this child? - Correct Answers Hypoglycemia (wrong)
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Remediation feedback: II!




Children can present with new onset diabetes in diabetic ketoacidosis. Manifestations include
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signs of dehydration ( dry mucous membranes, hypotension, tachycardia), incontinence
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(polyuria), vomiting, abdominal pain, Kussmaul respirations (to counter the acidosis), polydipsia,
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anorexia, and weight loss. Expected laboratory values would reveal an acidotic state with a pH
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level below 7.3, an elevated serum bIcarbonate level, and an elevated blood glucose level > 200
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mg.dL.
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II! An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on
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II! auscultation in the right upper lobe of the lung field after a choking event 4 days ago. The white II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! blood cell count is elevated and the patient noted to be tachypneic, tachycardic, agitated, and has
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II! an increased respiratory effort. At the time of the event, the patient was started on antibiotics
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II! with subsequent increasing manifestations instead of improvement. Which of the following
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II! would be considered to be definitive treatment for the suspected diagnosis? - Correct Answers
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II! The definitive treatment would be a bronchoscopy in order to retrieve the suspected foreign
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II! body instead of diagnostic tests to locate the foreign body itself.
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II! A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with a
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II! bag-mask device. Once return of spontaneous circulation has been confirmed, which of the
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II! following would be the priority intervention? - Correct Answers Establishing a secure airway
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,II! Parents report their 3-year-old child has developed noisy breathing. On assessment, high-pitched
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II! wheezes are audible and auscultated on inspiration and expiration. What medication would be
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II! appropriate to administer first? - Correct Answers initial medication intervention includes an
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II! inhaled short-acting beta agonist. II! II! II!




II! A 6-week-old is brought to the emergency department by the caregivers for poor feeding,
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II! listlessness, and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52II! II! II! II! II! II! II! II! II! II! II! II!




II! breaths/minute, rectal temperature of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary II! II! II! II! II! II! II! II! II! II! II! II! II!




II! refill is 4 seconds. Based on these findings what is the most likely diagnostic test the nurse should
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II! anticipate? - Correct Answers Lumbar puncture II! II! II! II! II! II! II! II! II!




II! A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the
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II! following intravenous medication orders should the nurse question? - Correct Answers
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II! Ketorolac



Remediation feedback: II!




Ketorolac is an appropriate medication for moderate to severe pain, however, it should not be
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used pre-operatively due to its potential to increase the bleeding risk.
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II! A 17-year-old female arrives in the ED with her boyfriend who states she is pregnant and having
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II! vaginal bleeding. The patient is unsure of the gestational age and has not had any prenatal
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II! treatment. The patient is quiet and lets her boyfriend answer most of the questions. Which of the
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II! following is the most appropriate action for the nurse to take at this point? - Correct Answers
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II! Have the boyfriend leave the room during the pelvic exam.
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II! A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. After several
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II! attempts, your team has been unsuccessful at establishing vascular access. Of the following,
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II! which is the next best option for establishing access quickly? - Correct Answers Intraosseous in
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II! the patient's medial tibia.
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II! A child with an electrical injury is seen 1 hour post event. Which of the following types of
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II! specimen samples would provide visual information regarding a potential complication of this
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, injury? - Correct Answers Myoglobin is excreted in the urine and is evidenced by dark, red-
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tinged urine. II!




II! Parents with an infant requiring multiple laboratory tests, radiographic studies, and invasive
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II! procedures appear to be distressed and withdrawn. Which of the following interventions would II! II! II! II! II! II! II! II! II! II! II! II!




II! best ensure a sense of comfort and control for these parents? - Correct Answers Providing
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II! frequent updates and re-educating them on the care that is being provided
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II! When taking vital signs on a stable infant, which of the following should be done first? - Correct
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II! Answers Respiratory rate II! II! II! II! II!




II! A laceration on a toddler's arm is prepared for suturing. Which of the following preparations for
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II! topical anesthesia would be the best choice for this procedure? - Correct Answers LET
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II! (lidocaine/epinephrine/tetracaine)



II! Which of the following is appropriate administration of N-acetylcysteine (NAC) for an
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II! acetaminophen overdose? - Correct Answers A bolus infusion of 150 mg/kg NAC should be II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




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II! A 2-year-old is seen with a 3-day history of irritability, vomiting, and the presence of foul-smelling
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II! urine. The child is hypotensive and tachycardic. Which of the following methods for obtaining a
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II! urine sample is most appropriate in this circumstance? - Correct Answers Urinary catherization
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II! You are discharging a patient home who has a history of depression. Discharge teaching should
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II! include which of the following? - Correct Answers Ensuring all firearms in the home are locked
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II! up with no access available by the patient.
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II! A 2-year-old arrives with a 2-day history of vomiting and diarrhea. The patient has a fever of
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II! 38.4oC (101.2°F), resting HR of 152 beats/minute, RR of 34 breaths/minute, and blood pressure
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II! of 94/ 56 mm Hg. Assessment reveals a capillary refill time of > 5 seconds. Which of the following
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