ENPC 5TH EDITION QUESTIONS WITH ACTUAL
ANSWERS.
A,5,year-
old,with,no,health,problems,presents,to,the,Emergency,Department,with,a,sudden,onset,of,chest,pain,an
d,shortness,of,breath.,Parents,state,that,the,family,was,involved,in,a,bad,car,crash,one,week,ago.,A,thoro
ugh,assessment,and,workup,has,not,revealed,any,abnormalities.,Which,of,the,following,steps,is,the,best,n
ext,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,behavior
al,symptoms,to,facilitate,appropriate,care,and,follow-up.
You,are,discharging,a,patient,to,home,with,a,history,of,depression.,Discharge,teaching,should,include,whi
ch,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.
A,2-
year,old,has,uniformly,demarcated,burns,to,bilateral,lower,extremities,,approximately,30%,of,the,childs,t
otal,body,surface,area.,The,father,states,he,briefly,left,the,room,while,the,child,was,in,the,bath,and,the,chi
ld,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,s
eizure,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,press
ure,of,86/72,mm,Hg.,Significant,burns,are,noted,to,the,patient's,back,and,lower,extremities.,The,mother,s
tates,the,burns,accidentally,occurred,3,days,ago,,but,she,was,afraid,to,bring,patient,in,due,to,an,ongoing,c
hild,welfare,investigation.,Which,of,the,following,are,the,MOST,appropriate,immediate,interventions?,,,A
NS,-
, Draw,and,send,a,metabolic,panel,and,venous,blood,gas,,administer,a,fluid,bolus,,and,obtain,a,point,of,car
e,glucose,
Electrolyte,imbalances,need,to,be,identified,and,treated,to,prevent,another,seizure.
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,su
dden,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,quadr
ant,pain,and,the,focused,assessment,with,sonography,for,trauma,(FAST),exam,shows,fluid,around,her,spl
een.,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,press
ure,narrows,and,the,heart,rate,increases",-,(need,to,rewrite,either,the,question,or,the,answers)
Widening,Pulse,pressure,-,not,correct,(suppose,to,be,narrow,pulse,pressure)
Bradycardia,-,not,correct
Decreasing,diastolic,blood,pressure,-,late,sign
Weak,peripheral,pulses,-,late,sign
A,5-year-
old,patient,presents,to,the,emergency,department,with,severe,dehydration,due,to,viral,gastroenteritis.,H
e,has,signs,of,shock,due,to,his,hypovolemia.,Which,of,the,following,physiologic,responses,to,shock,has,the
,greatest,impact,on,improving,cardiac,output,in,the,pediatric,patient?,,,ANS,-Increasing,heart,rate,
ANSWERS.
A,5,year-
old,with,no,health,problems,presents,to,the,Emergency,Department,with,a,sudden,onset,of,chest,pain,an
d,shortness,of,breath.,Parents,state,that,the,family,was,involved,in,a,bad,car,crash,one,week,ago.,A,thoro
ugh,assessment,and,workup,has,not,revealed,any,abnormalities.,Which,of,the,following,steps,is,the,best,n
ext,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,behavior
al,symptoms,to,facilitate,appropriate,care,and,follow-up.
You,are,discharging,a,patient,to,home,with,a,history,of,depression.,Discharge,teaching,should,include,whi
ch,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.
A,2-
year,old,has,uniformly,demarcated,burns,to,bilateral,lower,extremities,,approximately,30%,of,the,childs,t
otal,body,surface,area.,The,father,states,he,briefly,left,the,room,while,the,child,was,in,the,bath,and,the,chi
ld,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,s
eizure,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,press
ure,of,86/72,mm,Hg.,Significant,burns,are,noted,to,the,patient's,back,and,lower,extremities.,The,mother,s
tates,the,burns,accidentally,occurred,3,days,ago,,but,she,was,afraid,to,bring,patient,in,due,to,an,ongoing,c
hild,welfare,investigation.,Which,of,the,following,are,the,MOST,appropriate,immediate,interventions?,,,A
NS,-
, Draw,and,send,a,metabolic,panel,and,venous,blood,gas,,administer,a,fluid,bolus,,and,obtain,a,point,of,car
e,glucose,
Electrolyte,imbalances,need,to,be,identified,and,treated,to,prevent,another,seizure.
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,su
dden,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,quadr
ant,pain,and,the,focused,assessment,with,sonography,for,trauma,(FAST),exam,shows,fluid,around,her,spl
een.,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,press
ure,narrows,and,the,heart,rate,increases",-,(need,to,rewrite,either,the,question,or,the,answers)
Widening,Pulse,pressure,-,not,correct,(suppose,to,be,narrow,pulse,pressure)
Bradycardia,-,not,correct
Decreasing,diastolic,blood,pressure,-,late,sign
Weak,peripheral,pulses,-,late,sign
A,5-year-
old,patient,presents,to,the,emergency,department,with,severe,dehydration,due,to,viral,gastroenteritis.,H
e,has,signs,of,shock,due,to,his,hypovolemia.,Which,of,the,following,physiologic,responses,to,shock,has,the
,greatest,impact,on,improving,cardiac,output,in,the,pediatric,patient?,,,ANS,-Increasing,heart,rate,
