ENPC EXAM 6TH UNIT - A 5-year-old child presents with hives, swellin...

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ENPC EXAM 6TH UNIT

ACTUAL EXAM WITH CORRECT SOLUTIONS.

A 5-year-old child presents with hives, swelling of the lips and face, and stridor that developed about an hour after eating lunch. The child has no known allergies. Which of the following is the priority intervention?

• Administer intramuscular epinephrine
• Auscultate bilateral breath sounds
• Insert an intravenous catheter
• Administer inhaled albuterol - correct answer- A. Administer

intramuscular epinephrine

An adolescent is awaiting ICU admission for pneumonia.During reassessment, which of the following findings would be most indicative that respiratory failure is developing?

• SpO2 of 94 % on room air
• Widened pulse pressure
• Extreme lethargy
• Flash capillary refill - correct answer- A. SpO2 of 94 % on

room air

A 3-year-old has a two-day history of runny nose, low-grade fever, and a "barky" cough at night. The child is awake and alert 1 / 3

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with noted stridor. Pulse oximetry is 96% on room air. Which of the following interventions would be the most appropriated for this child?

• Delivery of humidified oxygen by nasal cannula
• Administration of nebulized epinephrine
• Suctioning secretions from the oropharynx
• Administration of albuterol with a spacer - correct answer- B.

Administration of nebulized epinephrine

A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of the following should be included in the discharge instructions?

• Practice yawning three to four times a day
• Resume eating a regular diet later today
• Apply hot packs to the joint area for pain control
• Use a nonsteroidal anti-inflammatory for pain control -

correct answer- D. Use a nonsteroidal anti-inflammatory for pain control

Which of the following parameters would indicate that appropriate post resuscitation interventions were successfully carried out in the pediatric patient?

• Pulse oximetry reading of 96%
• Temperature of 99.8°F (37.6°C)
• Capillary refill of < 1 second 2 / 3

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• Capnography reading of 60 mm Hg - correct answer- A.

Pulse oximetry reading of 96%

An anxious 12-year-old child presents to the emergency department with a sudden onset of nausea, diarrhea, abdominal cramping, flushing, and hypotension. Symptoms started about 60 minutes after lunch. Which of the following conditions is the most likely cause of these symptoms?

• Anaphylaxis
• Renal colic
• Crohn's Disease
• Menarche - correct answer- A. Anaphylaxis

An 8-year-old trauma patient suddenly develops increased respiratory distress with a rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of the jugular veins is noted.Which of the following emergent interventions should be anticipated first?

• High flow oxygen
• Drug assisted intubation
• Chest tube insertion
• Needle decompression - correct answer- D. Needle

decompression

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