{"id":113436,"date":"2023-08-16T01:07:34","date_gmt":"2023-08-16T01:07:34","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113436"},"modified":"2023-08-16T01:07:36","modified_gmt":"2023-08-16T01:07:36","slug":"enpc-final-exam-latest-2023-2024-real-exam-150-questions-and-correct-answers-verified-answersagrade","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/16\/enpc-final-exam-latest-2023-2024-real-exam-150-questions-and-correct-answers-verified-answersagrade\/","title":{"rendered":"ENPC FINAL EXAM LATEST 2023-2024 REAL EXAM 150 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)|AGRADE"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">ENPC FINAL EXAM LATEST 2023-2024 REAL EXAM<br>150 QUESTIONS AND CORRECT ANSWERS<br>(VERIFIED ANSWERS)|AGRADE<br>When a poison has been ingested by a child, the parents should be instructed to do<br>which of the following first?<br>a) Induce vomiting.<br>b) Call the local poison control center.<br>c) Administer an emetic.<br>d) Get to an emergency facility. &#8211; ANSWER- Call the local poison control center.<br>Correct<br>RATIONALE:<br>Not all poisons should be vomited. Strong acids, for example, could cause as much<br>destruction of tissue being vomited as being swallowed. The poison control center<br>will provide the most accurate information on the next steps for the patient.<br>Assessment of a child reveals a tension pneumothorax. The nurse would prepare<br>the child for which of the following?<br>a) Needle thoracotomy<br>b) Suctioning<br>c) Intubation<br>d) Defibrillation &#8211; ANSWER- Needle thoracotomy<br>Correct<br>RATIONALE:<br>A needle thoracotomy is indicated for tension pneumothorax to relieve the air<br>collected in the space. Intubation is indicated for apnea and in situations in which<br>the airway cannot be maintained. Suctioning would be indicated for excessive<br>airway secretions that influence airway patency. Defibrillation is used to stimulate<br>or alter the heart&#8217;s electrical rhythm.<br>A 6-year-old girl who is being treated for shock is pulseless with an irregular heart<br>rate of 32 BPM. Choose the priority intervention:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">a) Administer doses defibrillator shocks in a row<br>b) Initiate cardiac compressions<br>c) Give three doses of epinephrine<br>d) Defibrillate once followed by three cycles of cardiopulmonary resuscitation<br>(CPR) &#8211; ANSWER- Initiate cardiac compressions<br>Correct<br>RATIONALE:<br>The American Heart Association (AHA) emphasizes the importance of cardiac<br>compressions in pulseless clients with arrhythmias, making this the priority<br>intervention in this situation. Current AHA recommendations are for defibrillation<br>to be administered once followed by five cycles of CPR. The AHA now<br>recommends against using multiple doses of epinephrine because they have not<br>been shown to be helpful and may actually cause harm to the child.<br>A 3-year-old girl had a near-drowning incident when she fell into a wading pool.<br>Which intervention would be of the highest priority?<br>a) Inserting a nasogastric tube to decompress stomach<br>b) Assuring the child stays still during an X-ray<br>c) Suctioning the upper airway to ensure airway patency<br>d) Covering the child with warming blankets &#8211; ANSWER- Suctioning the upper<br>airway to ensure airway patency<br>Correct<br>RATIONALE:<br>Due to the potentially devastating effects of drowning-related hypoxia on a child&#8217;s<br>brain, airway interventions must be initiated immediately. The child&#8217;s airway<br>should be suctioned to ensure patency. Other interventions such as covering the<br>child with blankets, inserting a nasogastric tube, and assuring that the child<br>remains still during X-ray are interventions that are appropriate once airway<br>patency is achieved and maintained.<br>The nurse is preparing an in-service program on pediatric cardiopulmonary<br>resuscitation. The nurse would include a discussion that cardiopulmonary arrest in<br>infants and children is most likely the result of which of the following?<br>a) Underlying heart disease<br>b) Respiratory failure<br>c) Neurologic trauma<br>d) Lethal arrhythmia &#8211; ANSWER- Respiratory failure<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Correct<br>RATIONALE:<br>Cardiopulmonary arrest in infants and children typically results from disorders that<br>lead to respiratory failure and shock. In adults, the most common causes of<br>cardiopulmonary arrest are lethal arrhythmias secondary to heart disease. Although<br>neurologic trauma can lead to respiratory failure, it alone is not the most likely<br>factor.<br>A 13-year-old girl suffered a serious fall while hiking with friends and injured her<br>head. She is now being evaluated by a nurse in the emergency room. The nurse<br>notices clear fluid flowing from the girl&#8217;s nose. The girl&#8217;s friend said that she had<br>been suffering from pollen allergy recently. Which of the following interventions<br>should the nurse implement to determine whether the fluid is cerebrospinal fluid<br>(CSF) or rhinitis from an allergy?<br>a) Evaluate the client&#8217;s level of consciousness<br>b) Assess the client&#8217;s blood pressure<br>c) Perform a skull x-ray<br>d) Test the fluid with a glucose reagent strip &#8211; ANSWER- Test the fluid with a<br>glucose reagent strip<br>Correct<br>RATIONALE:<br>Rhinorrhea or otorrhea (clear fluid draining from the nose or ear, respectively) may<br>be noticeable. The fluid is cerebrospinal fluid (CSF) and is a serious finding<br>because it means that the child&#8217;s central nervous system is open to infection. If it&#8217;s<br>not clear if the fluid is CSF or rhinitis from an allergy, test the fluid with a glucose<br>reagent strip. CSF will test positive for glucose, whereas the clear, watery drainage<br>from an upper respiratory tract infection or allergy will not. The other interventions<br>would not help determine whether the fluid was CSF or rhinitis.<br>Which medication is used for symptomatic bradycardia unresponsive to ventilation<br>and oxygenation?<br>a) Atropine<br>b) Naloxone<br>c) Sodium bicarbonate<br>d) Calcium carbonate &#8211; ANSWER- Atropine<br>Correct<br>RATIONALE:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Atropine is used for symptomatic bradycardia unresponsive to ventilation and<br>oxygenation. Sodium bicarbonate is used for metabolic acidosis. Naloxone<br>reverses the effect of opioids. Calcium carbonate is used for documented or<br>suspected hypocalcemia, hyperkalemia, hypermagnesemia, and calcium channel<br>blocker overdose.<br>The nurse must calculate the adolescent&#8217;s cardiac output. The child&#8217;s heart rate is<br>76 beats per minute and the stroke volume is 75 mL. Calculate the child&#8217;s cardiac<br>output. &#8211; ANSWER- 5700<br>RATIONALE:<br>Cardiac output (CO) is equal to heart rate (HR) times ventricular stroke volume<br>(SV). That is, CO = HR x SV 76 beats per minute x 75 mL = 5,700<br>A 4-year-old girl has been admitted to the emergency department after accidently<br>ingesting a cleaning product. Which of the following treatments is most likely<br>appropriate in the immediate treatment of the girl&#8217;s poisoning?<br>a) Intravenous rehydration<br>b) Administration of activated charcoal<br>c) Gastric lavage<br>d) Inducing vomiting &#8211; ANSWER- Administration of activated charcoal<br>RATIONALE:<br>Explanation:<br>Activated charcoal is the most common treatment for many poisonings and is more<br>effective and safe than induced vomiting or gastric lavage. Rehydration is likely<br>necessary, but this does not actively treat the girl&#8217;s poisoning.<br>The child&#8217;s ability to perfuse well is poor due to inadequate circulation. The<br>physician writes an order for the child to receive 20 mL of normal saline for each<br>kilogram of body weight. The child will receive the normal saline as a bolus<br>through a central intravenous line. The child weighs 78 pounds. Calculate<br>the amount of normal saline the nurse should administer as a bolus. Round to the<br>nearest whole number.<br><strong>_<\/strong> mL &#8211; ANSWER- 709<br>RATIONALE:<br>78 pounds x 1 kg\/2.2 pounds = 35.455 kg x 20 mL\/kg = 709.1 mL. When rounded<br>to the nearest whole number = 709 mL<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>ENPC FINAL EXAM LATEST 2023-2024 REAL EXAM150 QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|AGRADEWhen a poison has been ingested by a child, the parents should be instructed to dowhich of the following first?a) Induce vomiting.b) Call the local poison control center.c) Administer an emetic.d) Get to an emergency facility. &#8211; ANSWER- Call the local poison control center.CorrectRATIONALE:Not [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113436","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113436"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113436\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113436"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113436"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}