ENPC 6th Edition Pre Exam Questions and Correct Answers (100% Pas
Study online at https://quizlet.com/_g3xoyf
1. A 14-year-old patient sus- Applying a splint to the affected extremity
tained a displaced fracture
of the radius and ulna after Rationale
falling from a bicycle. Which Splinting is an effective non-pharmacologic
of the following pain control intervention to reduce pain associated with
interventions is most likely fractures. This will also help to minimize com-
to result in improvement in plications. Topical creams and elevation of
symptoms related to pain? the extremity will not help with pain control.
The application of ice in an appropriate man-
ner can help, but not warmth which would
be contraindicated in the early stages of the
injury.
2. Assessment of the fontanelle Circulation and disability
provides the most useful in-
formation for which two com- Rationale
ponents of the primary sur- A sunken fontanelle is a red flag for circula-
vey? tion assessment in pediatric triage and may
indicate dehydration . A bulging fontanel is a
red flag for disability assessment in pediatric
triage and can indicate increased intracranial
pressure.
3. A 6-month-old is seen for a re- Cystic fibrosis
current respiratory infection.
During the assessment, the Rationale
mother adds that the patient's In patients with cystic fibrosis, thick mucus
stools seem to be fatty or inhibits the release of pancreatic enzymes
"greasy". Which of the follow- necessary for digestion. This results in im-
ing disease processes would paired absorption and the inability to utilize
be a primary concern for this ingested fats. These fats are excreted in the
child? stools and can present as "fatty" or "greasy".
Combined with the recurrent upper respira-
tory infections for an infant, cystic fibrosis
should be ruled out. The other three disease
processes frequently present with respirato-
ry issues but fatty stools would not normally
be seen.
1/8
, ENPC 6th Edition Pre Exam Questions and Correct Answers (100% Pas
Study online at https://quizlet.com/_g3xoyf
4. A 4-day-old who is brought Dextrose 10%
to the emergency department
with the parental complaint of Rationale
"not acting right" is found to Dextrose 10% is the preferred concentra-
be hypoglycemic. What is the tion for neonates with hypoglycemia to pro-
appropriate glucose concen- tect their fragile vasculature while providing
tration to administer to this needed glucose. Dextrose 5% is not used
neonate? to treat hypoglycemia in children. Dextrose
25% is used for children above the age of 5
years. Dextrose 50% is not recommended for
use in pediatrics unless it is diluted.
5. Which of the following indi- My child will grow out of their frequent urinary
cates the need for addition- tract infections.
al caregiver education regard-
ing a urinary tract infection? Rationale
Urinary tract infections are not a normal oc-
currence in children and are not something
children will "grow out of." Additional inves-
tigation and follow-up are needed when a
child has frequent urinary tract infections.
Drinking extra fluids should be encouraged.
Patients should always finish the complete
course of antibiotics to eliminate the infec-
tion. And follow-up should be done to make
sure the infection has been eliminated.
6. You need to draw blood from Have them watch a cartoon on an I-pad or
a 2-year-old. Which of the fol- cell phone
lowing is the best approach
for this patient? Rationale
The best approach to a toddler who requires
interventions is to provide distractions when-
ever possible. They are in the cognitive de-
velopment phase of "sensorimotor/preoper-
ational" so having the caregiver present is
helpful. You should move from the least in-
vasive to most invasive tasks, and don't let
2/8
Study online at https://quizlet.com/_g3xoyf
1. A 14-year-old patient sus- Applying a splint to the affected extremity
tained a displaced fracture
of the radius and ulna after Rationale
falling from a bicycle. Which Splinting is an effective non-pharmacologic
of the following pain control intervention to reduce pain associated with
interventions is most likely fractures. This will also help to minimize com-
to result in improvement in plications. Topical creams and elevation of
symptoms related to pain? the extremity will not help with pain control.
The application of ice in an appropriate man-
ner can help, but not warmth which would
be contraindicated in the early stages of the
injury.
2. Assessment of the fontanelle Circulation and disability
provides the most useful in-
formation for which two com- Rationale
ponents of the primary sur- A sunken fontanelle is a red flag for circula-
vey? tion assessment in pediatric triage and may
indicate dehydration . A bulging fontanel is a
red flag for disability assessment in pediatric
triage and can indicate increased intracranial
pressure.
3. A 6-month-old is seen for a re- Cystic fibrosis
current respiratory infection.
During the assessment, the Rationale
mother adds that the patient's In patients with cystic fibrosis, thick mucus
stools seem to be fatty or inhibits the release of pancreatic enzymes
"greasy". Which of the follow- necessary for digestion. This results in im-
ing disease processes would paired absorption and the inability to utilize
be a primary concern for this ingested fats. These fats are excreted in the
child? stools and can present as "fatty" or "greasy".
Combined with the recurrent upper respira-
tory infections for an infant, cystic fibrosis
should be ruled out. The other three disease
processes frequently present with respirato-
ry issues but fatty stools would not normally
be seen.
1/8
, ENPC 6th Edition Pre Exam Questions and Correct Answers (100% Pas
Study online at https://quizlet.com/_g3xoyf
4. A 4-day-old who is brought Dextrose 10%
to the emergency department
with the parental complaint of Rationale
"not acting right" is found to Dextrose 10% is the preferred concentra-
be hypoglycemic. What is the tion for neonates with hypoglycemia to pro-
appropriate glucose concen- tect their fragile vasculature while providing
tration to administer to this needed glucose. Dextrose 5% is not used
neonate? to treat hypoglycemia in children. Dextrose
25% is used for children above the age of 5
years. Dextrose 50% is not recommended for
use in pediatrics unless it is diluted.
5. Which of the following indi- My child will grow out of their frequent urinary
cates the need for addition- tract infections.
al caregiver education regard-
ing a urinary tract infection? Rationale
Urinary tract infections are not a normal oc-
currence in children and are not something
children will "grow out of." Additional inves-
tigation and follow-up are needed when a
child has frequent urinary tract infections.
Drinking extra fluids should be encouraged.
Patients should always finish the complete
course of antibiotics to eliminate the infec-
tion. And follow-up should be done to make
sure the infection has been eliminated.
6. You need to draw blood from Have them watch a cartoon on an I-pad or
a 2-year-old. Which of the fol- cell phone
lowing is the best approach
for this patient? Rationale
The best approach to a toddler who requires
interventions is to provide distractions when-
ever possible. They are in the cognitive de-
velopment phase of "sensorimotor/preoper-
ational" so having the caregiver present is
helpful. You should move from the least in-
vasive to most invasive tasks, and don't let
2/8
