ENPC 6th Edition EXAM 2024-2025 UPDATE ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSW, Exams of Public Health

Download ENPC 6th Edition EXAM 2024-2025 UPDATE ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSW and more Exams Public Health in PDF only on Docsity! ENPC 6th Edition EXAM 2024-2025 UPDATE ACTUAL EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) 100% PASS SOLUTION /AL READY GRADED A+ Which of the following pathologic processes would most likely be attributed to a primary diagnosis of cystic fibrosis? - ANSWER>>Hypernatremia *Constipation Obesity Epiglottitis A nurse begins making multiple errors in clinical decisions regarding the care of patients in the pediatric emergency department. The nurse has worked many consecutive shifts caring for severely ill and injured children and mentioned to a co-worker that they are not sleeping and feel anxious about coming to work. What condition may this nurse be experiencing? - ANSWER>>Nurse traumatization Pediatric Traumatization Direct Traumatization *Vicarious Traumatization A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted to the left, decreased sensation to the extremities, and urinary incontinence. The patient has no history of trauma. Which of the following diagnostics is the priority for this patient? - ANSWER>>Lumbar Spine MRI Complete Neurologic Exam Urinalysis by Straight Catheter *Cervical Spine Radiograph The caregivers of a 6-year-old report the child developed a cough with nasal congestion and "pink-eye" that started two days ago. Today they noticed a raised, red rash on the face, and grey papules in the mouth. Which of the following is the priority intervention for this patient? - ANSWER>>Obtain a nasopharyngeal swab *Airborne Isolation Contact Isolation Fingerstick Glucose A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the following intravenous medication orders should the nurse question? - ANSWER>>Morphine Acetaminophen Hydromorphone *Ketorolac A child with an injury to the lower cervical spine with spinal cord involvment would most likely demonstrate which of the following findings during assessment? - ANSWER>>Increased rectal tone Initiating intravenous access *Preparing the patient for ultrasound Scanning the patient's bladder A 15-year-old presents alone requesting care. Which of the following chief complaints would most likely be considered legal or appropriate to treat without parental consent? - ANSWER>>Lower back pain Itching rash to arms *Possible Pregnancy Dental Pain A 12-year-old restrained, back -seat passenger involved in a motor vehicle crash is noted to have hypotension, tachycardia, and contusions and discoloration across the lap area. On exam a splenic rupture is suspected. Which of the following diagnoses should be suspected as a companion injury with these findings and associated mechanism of injury? - ANSWER>>Lumbar Fracture Pneumothorax Subdural Hematoma Cardiac Tamponade A 12-year-old female patient arrives awake and alert with an acute onset of abdominal pain on the right side, nausea, vomiting, and vaginal spotting. On palpation, the pain is localized to the right side and there is tenderness to the breasts. Which of the following laboratory tests is the priority for this patient? - ANSWER>>*Human chorionic gonadotropin CBC Vaginal Cultures Bedside Glucose An alteration in a child's interaction with their environment (appearance) can indicate a significant underlying problem. Which of the following mnemonics is most helpful in assessing the appearance of a child when applying the PAT? - ANSWER>>TICLS A neonate presents to the emergency department with irritability, weak cry, and hypotonia. Which of the following is a priority intervention? - ANSWER>>Serum blood glucose Head compterized tomography scan Prostaglandin infusion Toxin Screening A 10-year-old playing baseball is hit in the chest with a ball. He immediately demonstrates loss of consciousness with no pulses. Which of the following is the priority intervention? - ANSWER>>Utilize AED/Defib Prepare for needle decompression Administer intravenous Intubate with endotracheal tube 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? - ANSWER>>IM Epinephrine What is the first step in the care of the newly born infant? - ANSWER>>APGAR A 5-year-old arrives in the ED with a 4 day history of vomiting. Vital signs: HR 136 beats/minute, RR 36 breaths/minute, BP 92/56 mm Hg, T 38oC (100.4oF), and pulse oximetry 93% on room air. The child is pale with warm, dry skin and a capillary refill of 3 seconds. A fluid bolus is completed. Which of the following reassessment findings indicate that a second fluid bolus is necessary? - ANSWER>>*BP 92/78 HR of 114 Cap Refill 2 sec Respiratory Rate of 26 BPM Which of the following is the highest priority intervention for a well-appearing 2-month- old with a fever? - ANSWER>>Lumbar Puncture Urine Culture 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? - ANSWER>>Anaphylaxis A school-aged child arrives in the emergency department with a 2-day history of vomiting. The child is cool and pale, with weak pulses, elevated heart rate, and capillary refill of 4 to 5 seconds. Which of the following is the priority intervention for the child? - ANSWER>>Fluids A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with a bag-mask device. Once return of spontaneous circulation has been confirmed, which of the following would be the priority intervention? - ANSWER>>Establishing Airway An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the windshield. On arrival to the ED. the patient is minimally responsive with active bleeding from the nose and mouth. The patient is vomiting. Which of the following interventions would most likely be considered? - ANSWER>>Intubation Which of the following parameters would indicate that appropriate post resuscitation interventions were successfully carried out in the pediatric patient? - ANSWER>>Pulse Ox 96% A 12-year-old involved in a house fire has full thickness, circumferential burns to bilateral lower extremities. Fluid resuscitation is in progress on arrival at the ED. On assessment the left pedal and posterior tibialis pulses are absent, with delayed capillary refill. Which of the following is the priority intervention? - ANSWER>>Elevate A 5-year-old presents with sudden onset nausea, vomiting, abdominal cramping, hives, and hypotension after eating lunch. Which of the following is the priority intervention? - ANSWER>>IM Epi An 8-year-old male presents to the emergency department with incoherent speech, hallucinations, and violent behavior. What is the priority in caring for this patient? - ANSWER>>Ensure safety 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 with noted stridor. Pulse oximetry is 96% on room air. Which of the following interventions would be the most appropriated for this child? - ANSWER>>Neb Epi A child with an electrical injury is seen 1 hour post event. Which of the following specimen samples would provide visual information regarding a potential complication of this injury? - ANSWER>>Urine Which of the following is appropriate administration of N-acetylcysteine (NAC) for an acetaminophen overdose? - ANSWER>>Bolus 150mg/kg When caring for a potential crime victim, what evidence collection principle is imperative? - ANSWER>>Clothing should not be placed on the floor 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? - ANSWER>>High Flow O2 A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory values would be most expected in this child? - ANSWER>>Low pH Level A caregiver reports their one-month-old has had a yellowish color to their eyes and skin over the last two weeks. If left untreated, which body system can this affect? - ANSWER>>Neurologial The neurosurgeon has decided to perform an invasive procedure in the emergency department to monitor the intracranial pressure on a 5-year-old patient. The family does not speak the local language. Which of the following interventions is most supportive of the family during the procedure? - ANSWER>>Dedicating a healthcare team member with a qualified interpreter to be with the family A 5-year-old presents with decreased level of consciousness and a wide complex and rapid rate on the electrocardiogram. Which of the following characteristics would indicate ventricular tachycardia as opposed to other tachydysrhythmias? - ANSWER>>HR greater than 220 A 3 year-old patient presents following frequent emesis and diarrhea over the past 12 hours. Which of the following assessment findings indicate that the patient' body is compensating for the fluid loss? - ANSWER>>Increased diastolic blood pressure