ENPC FINAL EXAM LATEST REAL EXAM 150

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ENPC FINAL EXAM LATEST REAL EXAM 150

QUESTIONS AND CORRECT ANSWER S

(VERIFIED ANSWERS)|AGRADE

A 4-day-old who is brought to the emergency department with the parental complaint of "not acting right" is found to be hypoglycemic. What is the appropriate glucose concentration to administer to this neonate?

• Dextrose 5%
• Dextrose 10%
• Dextrose 25%
• Dextrose 50%

Correct answer: B. Dextrose 10%

Explanation: Dextrose 10% is the preferred concentration for

neonates with hypoglycemia to protect their fragile vasculature while providing needed glucose. Dextrose 5% is not used 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.

Assessment of the fontanelle provides the most useful information for which two components of the primary survey?

• Circulation and disability

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• Breathing and circulation
• Disability and exposure
• Circulation and exposure

Correct answer: A. Circulation and disability

Explanation: A sunken fontanelle is a red flag for circulation

assessment in pediatric triage and may indicate dehydration. A bulging fontanelle is a red flag for disability assessment in pediatric triage and can indicate increased intracranial pressure.

Which of the following indicates the need for additional caregiver education regarding a urinary tract infection?

• I should encourage my child to drink extra fluids.
• I need to make a follow-up appointment with child's

physician.

• My child will grow out of their frequent urinary tract

infections.

• My child should complete all of their antibiotic medication.

Correct answer: C

Explanation: The belief that a child will "grow out" of frequent

urinary tract infections indicates a misunderstanding, as recurrent UTIs may require medical evaluation and intervention rather than being a normal phase to outgrow.

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A nurse providing trauma-informed care to the family of a seriously ill child should be doing which of the following?

• Placing the family in a quiet, secluded room
• Referring to their child as "the patient"
• Making sure the family does not stay at the bedside
• Appointing one staff member to stay with the family

Correct answer: D

Explanation: Caregivers experiencing the crisis of a critically ill

child have low attentiveness and increased stress, so they would benefit from having a member of the healthcare team stay with them as much as possible and communicate updates on the plan of care. Caregivers should be allowed to stay with their child as much as possible and not placed in a secluded room away from them.

The caregiver of a 7-year-old reports witnessing a seizure at home, but no seizure history. 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 caregiver states the burns accidentally occurred three days ago,

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but was afraid to bring the patient in due to an ongoing child welfare investigation. Which of the following groups of interventions are the priority for this patient?

• Call police and child welfare authorities and have security

detain the caregiver

• Administer intravenous analgesics and obtain a point of care

glucose

• Draw a metabolic panel, point of care glucose, and administer

a fluid bolus

• Administer lorazepam and a fluid bolus and place on seizure

precautions

Correct answer: C

Explanation: Burn injuries result in fluid and electrolyte shifts

leading to hypovolemia and electrolyte imbalances. Early identification and treatment of electrolyte imbalances can help prevent further seizures. Contacting child protective services and other authorities can wait. The patient is post-ictal so does not require lorazepam medication at this time. Pain medication can and should be considered with significant burns, but is not a priority.