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ENPC FINAL EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| ENPC EXAM REVIEW|| NEW!!
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?
- Administer an appropriate dose of an antipyretic
- Infuse a rapid 10-20 mL/kg bolus of an isotonic crystalloid
- Prepare a broad spectrum antibiotic infusion
- Administer a vasoactive medication - Correct 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?
- Cystic fibrosis
- Bronchopulmonary dysplasia
- Pneumonitis
- Down syndrome - Correct Answer - A 1 / 3
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pg. 2 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.
A 14-year-old patient sustained a displaced fracture of the radius and ulna after falling from a bicycle. Which of the following pain control interventions is most likely to result in improvement in symptoms related to pain?
- Applying a topical lidocaine-based cream
- Elevating the extremity to the level of the heart
- Placing warm compresses on the affected extremity
- Applying a splint to the affected extremity - Correct Answer - D
Splinting is an effective non-pharmacologic intervention to reduce pain associated with fractures. This will also help to minimize complications.Topical creams and elevation of the extremity will not help with pain control. The application of ice in an appropriate manner can help, but not warmth which would be contraindicated in the early stages of the injury.
Which of the following is a known cause of pediatric seizures?
- Benzodiazepine overdose
- Supraventricular tachycardia
- Overdiluted formula 2 / 3
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- Congenital heart disease - Correct Answer - C
Water overload is a well-documented etiology of hyponatremia in infants, which can be caused by excess dilution of formula.Hyponatremia is a known cause of seizures. Benzodiazepine overdose is more likely to result is respiratory depression and coma. CHD and SVT are not readily known to cause seizures.
For the infant, what duration of time is consider apneic?A.10 seconds B.20 seconds C.5 seconds D.15 seconds - Correct Answer - B The respiratory rate, depth, and regularity all continue to change the first year of life, making respiratory assessments different than those of older children. Infants breathe faster and less regularly, with apnea not considered as such until 20 seconds without a breath or associated with other physiologic effects such as bradycardia.
An ambulance arrives with a 16-year-old male involved in a dirt bike crash who was intubated prior to arrival. Which of the following is the priority assessment or intervention?
- Assess the oropharynx
- Assess endotracheal tube placement
- Insert an orogastric tube
- Insert a second intravenous access - Correct Answer - B
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