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Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would beconcentrated anddarkbrown/teacolored. Decreasedenergy Hypertension Nausea,vomiting 1. A3-year-oldisbroughttotheemergencydepartmentwitha2- dayhistoryofarunnynose,lowgradefever,anda"barky"coughatnight.Thecaregivertellstheemergencyd epartmentnursethe coughing is getting worse. The child is awake and alert, with stridor. The nurse shouldanticipatewhich ofthe following? Lenoir-Rhyne University NURS MISC ENPC exam questions and answers New Update 2026/2027 Rated A+ Lenoir-Rhyne UniversityNURS MISC ENPC exam questions and answers New Update 2026/2027 Rated A+ Administration of nebulized epinephrine Moderate to severe croup is treated withdexamethasoneandnebulized epinephrine. Deliveryofhumidifiedoxygen Bag-valve-maskventilations Suctioningsecretionsfromtheoropharynx 2. Theneurosurgeonhasdecidedtoperformaninvasiveprocedureintheemerg encydepartmentto monitor the intracranial pressure on a 5-year-old patient. The family does not speak Englishand has identified their religion as Muslim. Which of the following interventions is mostsupportiveofthe family? Allowtheextendedtofamilymemberstoserveasinterpretersduringthep rocedure. Dedicateahealthcareteammembertobewiththefamily duringtheprocedure. Lenoir-Rhyne University NURS MISC ENPC exam questions and answers New Update 2026/2027 Rated A+ Allowingcaregiverstoremainwiththepediatricpatientismoresupporti veinthissituation. Allowfamilymemberstoserveas interpretersduringtheprocedure Provideaccess tonondenominationalclergyinaquietarea 3. Whichofthefollowingpatientpresentationsshouldincreasesuspicion ofpotentialchildmaltreatment? Rightradialspiralfractureina10-year-oldpracticingmartialarts Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory location in children younger than 4 years and any bruising in a child younger than 4 months(TEN4)arecauseforsuspicionofabuse. Closedgreenstickwristfractureina4yearoldwhofelloffhisbicycle Bruisesinvariousstagesofhealingtothelowerextremitiesofa2-year-old Lenoir-Rhyne University NURS MISC ENPC exam questions and answers New Update 2026/2027 Rated A+ 4. A14-yearoldhighschoolstudentwhowaspitchingforhisbaseballteamwashitintheche stbythe ball and had a sudden cardiac arrest. Of the following, which is the most likely cause of thecardiacarrest? AorticDissection Commotio cordis Commotio cordis occurs when the chest is struck during the refractory period ofthe cardiac conduction cycle, resulting in a ventricular dysrhythmia or asystole. This type of injury usuallyoccursinrecreationalsportssuchasbaseball oricehockey. PericardialTamponade Lenoir-Rhyne University NURS MISC ENPC exam questions and answers New Update 2026/2027 Rated A+ BluntAorticInjury 5. A12-year-oldwhowasrecentlystartedonantipsychoticmedicationforschizophreniaisbroughtto the emergency department with severe muscle rigidity and hyperthermia. These symptomsaremostlikelycausedbywhichofthe following? Ecstasyoverdose Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant syndrome,whichisararereactiontoantipsychoticmedications. Serotoninsyndrome Nicotineoverdose 6. Whichofthefollowingpatientsshouldbeevaluatedfirst? A3-year-oldwithadislodgedgastrostomytube
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