ENPC 6th Edition Course Exam Questions & Answers.
1. A 4-year-old presents with vomiting, lethargy, frequent
Hypoglycemia (wrong)
urination, weight loss, and dry mucous membranes.
Vital signs reveal deep respirations at 44 effort. At
breaths per minute, BP of 70/44 mm Hg, and the
HR of 144 beats per minute. Which of the
following laboratory values would be most
expected in this child?
2. 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,
agi- tated, and has an increased respiratory
, ENPC 6th Edition Course Exam Questions & Answers.
Remediation feedback: Children can present with new onset diabetes in di-
abetic ketoacidosis. Mani- festations include signs of dehydration ( dry Computed tomography
mucous membranes, hypotension, tachycardia), incontinence (polyuria), (wrong)
vomiting, ab- dominal pain, Kussmaul respirations (to counter the
Remediation
acidosis), polydipsia, anorexia, and weight loss. Expected laboratory values
feedback:
would reveal an acidotic state with a pH level below 7.3, an elevated serum bI-
Manifestations of a
carbonate level, and an el- evated blood glucose level
low- er airway foreign
> 200 mg.dL.
body in-
time of the event, the patient was started on antibiotics clude a
choking incident
with subsequent increasing manifestations with subsequent
instead of improvement. Which of the failure to improve on
following would be con- antibiotics.
, ENPC 6th Edition Course Exam Questions & Answers.
sidered to be definitive treatment for the Wheezing or
suspected diagnosis? 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 ef- fort,
agitation or lethargy,
and elevated white
blood cell counts
indicating an infectious
process. The de- finitive
treatment would be a
bronchoscopy in order
to retrieve the
3. A child in cardiopulmonary arrest is receiving suspected for- eign
chest compressions and manual ventilations body instead of di-
with a bag-mask device. Once return of agnostic tests to locate
spontaneous circula- tion has been confirmed, the foreign body
which of the following would be the priority itself.
intervention?
Establishing a secure
4. Parents report their 3-year-old child has air- way
devel- oped noisy breathing. On assessment,
high-pitched wheezes are audible and
auscultated on inspiration
Humidified oxygen
1. A 4-year-old presents with vomiting, lethargy, frequent
Hypoglycemia (wrong)
urination, weight loss, and dry mucous membranes.
Vital signs reveal deep respirations at 44 effort. At
breaths per minute, BP of 70/44 mm Hg, and the
HR of 144 beats per minute. Which of the
following laboratory values would be most
expected in this child?
2. 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,
agi- tated, and has an increased respiratory
, ENPC 6th Edition Course Exam Questions & Answers.
Remediation feedback: Children can present with new onset diabetes in di-
abetic ketoacidosis. Mani- festations include signs of dehydration ( dry Computed tomography
mucous membranes, hypotension, tachycardia), incontinence (polyuria), (wrong)
vomiting, ab- dominal pain, Kussmaul respirations (to counter the
Remediation
acidosis), polydipsia, anorexia, and weight loss. Expected laboratory values
feedback:
would reveal an acidotic state with a pH level below 7.3, an elevated serum bI-
Manifestations of a
carbonate level, and an el- evated blood glucose level
low- er airway foreign
> 200 mg.dL.
body in-
time of the event, the patient was started on antibiotics clude a
choking incident
with subsequent increasing manifestations with subsequent
instead of improvement. Which of the failure to improve on
following would be con- antibiotics.
, ENPC 6th Edition Course Exam Questions & Answers.
sidered to be definitive treatment for the Wheezing or
suspected diagnosis? 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 ef- fort,
agitation or lethargy,
and elevated white
blood cell counts
indicating an infectious
process. The de- finitive
treatment would be a
bronchoscopy in order
to retrieve the
3. A child in cardiopulmonary arrest is receiving suspected for- eign
chest compressions and manual ventilations body instead of di-
with a bag-mask device. Once return of agnostic tests to locate
spontaneous circula- tion has been confirmed, the foreign body
which of the following would be the priority itself.
intervention?
Establishing a secure
4. Parents report their 3-year-old child has air- way
devel- oped noisy breathing. On assessment,
high-pitched wheezes are audible and
auscultated on inspiration
Humidified oxygen
