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ENPC 5th edition Questions and Correct
Answers/ Latest Update / Already Graded
A 5 year-old with no health problems presents to the Emergency
Department with a sudden onset of chest pain and shortness of breath.
Parents state that the family was involved in a bad car crash one week
ago. A thorough assessment and workup has not revealed any
abnormalities. Which of the following steps is the best next step to
take?
Ans: Ask about any new bed-wetting or sleep disturbances
Pediatric patients with anxiety and PTSD may present with
physical complaints. Assess for other behavioral sy mptoms to
facilitate appropriate care and follow-up.
You are discharging a patient to home with a history of depression.
Discharge teaching should include which of the following?
Ans: Ensuring all firearms in the home are locked in a safe
place with no access by the patient.
Promoting injury prevention with caregivers of patients with a
history of depression or suicidal ideation by encouraging that
all firearms and medications are under lock to prevent
overdoses or suicide attempt.
All rights reserved © 2025/ 2026 |
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A 2-year old has uniformly demarcated burns to bilateral lower
extremities, approximately 30% of the childs total body surface area.
The father states he briefly left the room while the child was in the
bath and the child apparently played with the faucet. Which of the
following interventions has the highest priority?
Ans: Obtain vascular access for rapid fluid administration
Rapid vascular access and fluid administration are the priority
interventions.
A 7-year-old arrives via ambulance. The patient's mother reports
witnessing a seizure at home. The patient has no seizure history. Upon
examination, the patient is post-ictal with a heart rate of 142 beats per
minute, respiratory rate of 36 breaths per minute, and blood pressure
of 86/72 mm Hg. Significant burns are noted to the patient's back and
lower extremities. The mother states the burns accidentally occurred 3
days ago, but she was afraid to bring patient in due to an ongoing child
welfare investigation. Which of the following are the MOST
appropriate immediate interventions?
Ans: Draw and send a metabolic panel and venous blood gas,
administer a fluid bolus, and obtain a point of care glucose
Electrolyte imbalances need to be identified and treated to
prevent another seizure.
All rights reserved © 2025/ 2026 |
, Page |3
What is the priority intervention for symptomatic bradycardia in a four-
year-old child?
Ans: ventilation to address hypoxia is the priority intervention.
A 14-year-old high school student who was pitching for his baseball
team was hit in the chest by the ball and had a sudden cardiac arrest.
Of the following, which is the most likely cause of the cardiac arrest?
Ans: Commotio cordis
Comotio Cordis "occurs when chest is struck during the
refractory period of the cardiac conduction cycle. This type of
injury usually occurs in recreational sports such as baseball or
ice hockey."
A 5-year-old child presents to the emergency department after being
hit by a car. She complains of left upper quadrant pain and the focused
assessment with sonography for trauma (FAST) exam shows fluid
around her spleen. Which of the following findings would be an early
indication of ongoing blood loss?
Ans: Focused Assessment: Vital Signs: "As the patient
compensates for altered tissue perfusion, the pulse pressure
narrows and the heart rate increases" - (need to rewrite either
the question or the answers)
All rights reserved © 2025/ 2026 |
ENPC 5th edition Questions and Correct
Answers/ Latest Update / Already Graded
A 5 year-old with no health problems presents to the Emergency
Department with a sudden onset of chest pain and shortness of breath.
Parents state that the family was involved in a bad car crash one week
ago. A thorough assessment and workup has not revealed any
abnormalities. Which of the following steps is the best next step to
take?
Ans: Ask about any new bed-wetting or sleep disturbances
Pediatric patients with anxiety and PTSD may present with
physical complaints. Assess for other behavioral sy mptoms to
facilitate appropriate care and follow-up.
You are discharging a patient to home with a history of depression.
Discharge teaching should include which of the following?
Ans: Ensuring all firearms in the home are locked in a safe
place with no access by the patient.
Promoting injury prevention with caregivers of patients with a
history of depression or suicidal ideation by encouraging that
all firearms and medications are under lock to prevent
overdoses or suicide attempt.
All rights reserved © 2025/ 2026 |
, Page |2
A 2-year old has uniformly demarcated burns to bilateral lower
extremities, approximately 30% of the childs total body surface area.
The father states he briefly left the room while the child was in the
bath and the child apparently played with the faucet. Which of the
following interventions has the highest priority?
Ans: Obtain vascular access for rapid fluid administration
Rapid vascular access and fluid administration are the priority
interventions.
A 7-year-old arrives via ambulance. The patient's mother reports
witnessing a seizure at home. The patient has no seizure history. Upon
examination, the patient is post-ictal with a heart rate of 142 beats per
minute, respiratory rate of 36 breaths per minute, and blood pressure
of 86/72 mm Hg. Significant burns are noted to the patient's back and
lower extremities. The mother states the burns accidentally occurred 3
days ago, but she was afraid to bring patient in due to an ongoing child
welfare investigation. Which of the following are the MOST
appropriate immediate interventions?
Ans: Draw and send a metabolic panel and venous blood gas,
administer a fluid bolus, and obtain a point of care glucose
Electrolyte imbalances need to be identified and treated to
prevent another seizure.
All rights reserved © 2025/ 2026 |
, Page |3
What is the priority intervention for symptomatic bradycardia in a four-
year-old child?
Ans: ventilation to address hypoxia is the priority intervention.
A 14-year-old high school student who was pitching for his baseball
team was hit in the chest by the ball and had a sudden cardiac arrest.
Of the following, which is the most likely cause of the cardiac arrest?
Ans: Commotio cordis
Comotio Cordis "occurs when chest is struck during the
refractory period of the cardiac conduction cycle. This type of
injury usually occurs in recreational sports such as baseball or
ice hockey."
A 5-year-old child presents to the emergency department after being
hit by a car. She complains of left upper quadrant pain and the focused
assessment with sonography for trauma (FAST) exam shows fluid
around her spleen. Which of the following findings would be an early
indication of ongoing blood loss?
Ans: Focused Assessment: Vital Signs: "As the patient
compensates for altered tissue perfusion, the pulse pressure
narrows and the heart rate increases" - (need to rewrite either
the question or the answers)
All rights reserved © 2025/ 2026 |
