ENPC > EXAM > ENPC FINAL EXAM LATEST 2024/2025 REAL EXAM 150 STUDY QUESTIONS AND CORRECT ANSWERS GUARANTEED PASS | (All)
ENPC FINAL EXAM LATEST 2024/2025 REAL EXAM 150 STUDY QUESTIONS AND CORRECT ANSWERS GUARANTEED PASS | RATED A+
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ENPC FINAL EXAM LATEST 2024/2025 REAL EXAM 150 STUDY QUESTIONS AND CORRECT ANSWERS GUARANTEED PASS | RATED A+ Red flag assessment signs for pt with history of vomiting - Answer>>> Bilious vomiting,... hematemesis or bloody stools, projectile, evidence of shock or dehydration, neuro changes, distention or pain, no bowel sounds, weight loss What do you think this child has? Hypotension, vomiting, abdominal cramping, diarrhea - Answer>>> Anaphylaxis A three-year-old is rescued after being submerged in a pool for several minutes. On arrival the patient is responsive to painful stimuli with shallow respirations, diminished breath sounds, and an occasional cough. Which of the following interventions is the initial management priority? A.Initiation of abdominal thrusts to remove fluid from the lungs B.Insertion of orogastric to remove of water and debris from stomach C.Endotracheal intubation to provide positive pressure ventilation D.Removal of wet clothing to prevent hypothermia - Answer>>> C The primary survey assessment and treatment of deficits are the priority. Airway control and positive pressure ventilation while preparing for intubation of a child who meets intubation criteria (GCS < 8) should be performed while also maintaining cervical spine stabilization. The child is responsive only to painful stimuli, has shallow respirations, and diminished breath sounds. All of these are breathing problems and must be addressed immediately. Removing wet clothing is necessary, but is not the main priority initially. With intubation an orogastric tube will be placed and abdominal thrusts are not necessary to remove fluid from the abdomen. A 3-month-old is brought to the emergency department with new onset of fever. You note the child to be pale, tachypneic, and tachycardic, with weak distal pulses. Which intervention is the priority for this patient? A.Administer an appropriate dose of an antipyretic B.Infuse a rapid 10-20 mL/kg bolus of an isotonic crystalloid C.Prepare a broad spectrum antibiotic infusion D.Administer a vasoactive medication - Answer>>> B This patient most likely has septic shock. An immediate goal is to reverse shock and restore tissue perfusion with fluids. An antipyretic may be needed based on the temperature and patient symptoms. An antibiotic should be started within an hour, and vasoactive medications may not be needed if fluid resuscitation is successfu A 6-month-old is seen for a recurrent respiratory infection. During the assessment, the mother adds that the patient's stools seem to be fatty or "greasy". Which of the following disease processes would be a primary concern for this child? A.Cystic fibrosis B.Bronchopulmonary dysplasia C.Pneumonitis D.Down syndrome - Answer>>> A In patients with cystic fibrosis, thick mucus inhibits the release of pancreatic enzymes necessary for digestion. This results in impaired absorption and the inability to utilize ingested fats. These fats are excreted in the stools and can present as "fatty" or "greasy". Combined with the recurrent upper respiratory infections for an infant, cystic fibrosis should be ruled out. The other three disease processes frequently present with respiratory issues but fatty stools would not normally be seen. [Show More]
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