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ENPC 6TH EDITION MAK E-UP
EXAM | QUESTIONS AND
CORRECT ANSWER S | LATEST
UPDATE | 100% PASS
Question :A 4-year-old presents with vomiting, lethargy,
frequent urination, weight loss, and dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory values would be most expected in this child?
CORRECT ANSWER :Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis. Manifestations include signs of dehydration
- dry mucous membranes, hypotension, tachycardia),
incontinence (polyuria), vomiting, abdominal pain, Kussmaul respirations (to counter the acidosis), polydipsia, 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 mg.dL.
Question :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, agitated, and has an increased respiratory effort. At the time of the event, the patient was started on antibiotics with subsequent increasing manifestations instead of improvement. Which of the following would be considered to be definitive treatment for the suspected diagnosis?
CORRECT ANSWER :Computed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident with subsequent failure to improve on antibiotics. Wheezing or 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
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cyanosis, tachypnea, tachycardia, increased respiratory effort, agitation or lethargy, and elevated white blood cell counts indicating an infectious process. The definitive treatment would be a bronchoscopy in order to retrieve the suspected foreign body instead of diagnostic tests to locate the foreign body itself.
Question :A child in cardiopulmonary arrest is receiving
chest compressions and manual ventilations with a bag- mask device. Once return of spontaneous circulation has been confirmed, which of the following would be the priority intervention?
CORRECT ANSWER :Establishing a secure airway
Question :Parents report their 3-year-old child has
developed noisy breathing. On assessment, high-pitched wheezes are audible and auscultated on inspiration and expiration. What medication would be appropriate to administer first?
CORRECT ANSWER :Humidified oxygen (wrong)
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Remediation feedback:
Wheezing is most often identified with asthma in the pediatric population. Initial medication intervention includes an inhaled short-acting beta agonist.
Question :A 6-week-old is brought to the emergency
department by the caregivers for poor feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings what is the most likely diagnostic test the nurse should anticipate?
CORRECT ANSWER :Lumbar puncture
Question :A 12-year-old is being prepped for surgical
intervention of acute appendicitis. Which of the following intravenous medication orders should the nurse question?