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Lenoir-Rhyne UniversityNURS MISC ENPC exam
questions and answers New Update 2022/
Rated A+
ENPC EXAM QUESTIONS AND
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2023-2024 VERSION/A+
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Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
Lenoir-Rhyne UniversityNURS MISC ENPC exam
questions and answers New Update 2022/
Rated A+
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would beconcentrated anddarkbrown/tea- colored. Decreasedenergy Hypertension Nausea,vomiting
- A3-year-oldisbroughttotheemergencydepartmentwitha2- dayhistoryofarunnynose,low- gradefever,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 2022/
Allowingcaregiverstoremainwiththepediatricpatientismoresupporti veinthissituation. Allowfamilymemberstoserveas interpretersduringtheprocedure Provideaccess tonondenominationalclergyinaquietarea
- 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(TEN- 4)arecauseforsuspicionofabuse. Closedgreenstickwristfractureina4yearoldwhofelloffhisbicycle Bruisesinvariousstagesofhealingtothelowerextremitiesofa2-year-old
Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
- A14-year- oldhighschoolstudentwhowaspitchingforhisbaseballteamwashitintheche 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 2022/
A12-year-oldwithleftshoulderpainafter ahandlebarinjury An18-month-oldwithbiliousemesisBiliousemesisinan18-month- oldisalwaysconsideredanemergent symptomindicativeofalife- threateningbowelobstruction. A3-month-oldwithperiodsofinconsolablecrying
- Whichofthefollowingtaskscanthenursedotodecreaseadversemedicationev ents?
Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
Obtain the patient's weight in kilograms This is the preferred measurement for medicationcalculations forpediatricandadult patients. Verifyingthepatientdoseduringshiftreportatnursingstation Dualconfirmationofahardtoreadorder Confirmingpatient'sattendingprovider
- Acutechestsyndrome,stroke,andsplenicsequestrationarecomplicatio nsofwhichofthefollowingdiseases? Mononucleosis Hemophilia Sicklecellanemia Theseareallcomplicationsofsicklecellanemia. Acuterheumaticfever
Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
Physical and psychological safety Create an environment where patients feel safe, bothphysicallyandpsychologically.Increaseawarenessofthepatient’si nterpersonalinteractionswithotherstoscreen forriskofharm.Prioritizethepatient beinginasafelocation. Peersupport Trustworthinessandtransparency
- A 6-month-old is brought to the emergency department for a recurrent respiratory infection.Whengatheringahistoryfromthecaregiver,theemergencynursele arnsthat,inadditiontotherespiratory symptoms, the infant has had fatty stools. The emergency nurse should beconcernedaboutwhich ofthe followingdiseaseprocesses? CysticFibrosisPancreaticinsufficiencyleadstofatmalabsorption,wh ichresultsinthefattystoolsseen withcysticfibrosis. BronchopulmonaryDysplasia Pneumonitis
Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
ReactiveAirwayDisease
- Theemergencynurseiscaringforapatientwithsignificantfacialtraumaand asuspectedgloberupture.Whichof thefollowingmedicationorderswould thenurse question? Ondansetron Midzaolam SuccinylcholineSuccinylcholinemayincreaseintraocularpressureand shouldbeavoided.
Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
Administerintravenousanalgesics,afluidbolus,andobtainapointofcar eglucose Callpoliceandchildwelfareauthoritiesandhavesecuritydetainparent
- Inwhichofthefollowingprimarysurveycomponentscanassessmentofthef ontanelprovidethemostusefulinformation? Circulation and disability A sunken fontanel may indicate dehydration; a bulging fontanel canindicate increasedintracranialpressure. Breathingandcirculation Disabilityandexposure Circulationandexposure
Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
- A 5-year-old patient presents to the emergency department with severe dehydration due to viralgastroenteritis.Hehassignsofshockduetohishypovolemia.Whichofthe followingphysiologicresponsestoshockhasthegreatestimpactonimproving cardiacoutputinthepediatricpatient? Decreasingpreload Decreasingcontractility Increasingafterload IncreasingheartrateInpediatricpatients,tachycardiaistheprimaryco mpensatorymechanismtoincrease cardiacoutput.
- Atoddlerhasachemicaleyeinjury.Whichofthefollowingisthepriorityinterve ntion? Consultwithophthalmologywithin24hours Copious eye irrigation with an isotonic solution Normal saline or Ringer's lactate solution arebothacceptableforirrigation.IrrigateuntilthepHoftheeyereturnstonor mal.ThepHofRinger'slactateisclosertothatofhumantearsandmaybemor ecomfortablethannormalsaline.
Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
Ask about any new bed-wetting or sleep disturbances Pediatric patients with anxiety andPTSD may present with physical complaints. Assess for other behavioral symptoms to facilitate appropriatecareandfollow-up. Consultcardiologyforappropriatefollow-up Repeatahead-to-toeexamtoidentifyanymissedtraumaticinjuries
- Whichofthefollowingisthemostappropriateinterventionforachildexperienc ingaseizure? Prepare to administer intranasal midazolam Midazolam has gained favor because of its ease ofuseandquickonsetofaction. Placethechildinaprone position Preparetoadministerrectaldiazepam Placethechildinasupineposition
Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
- Anambulancearriveswitha16-year- oldmaleinvolvedinadirtbikecrashwhowasintubatedprior toarrival. Whichofthefollowingisthepriorityassessmentor intervention? Repositiontheendotrachealtube Assess the endotracheal tube placement and patency If a patient arrives with an artificialairway (endotracheal tube or tracheostomy) in place, assess its placement, tube patency, and the oralairway(in thatorder)beforemoving tothenextstepoftheprimary survey. Insertanorogastrictube
Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
Appointingonestaffmembertocommunicatewiththem.Thiswillhelpcre ateasolidpatient-staff bondandfacilitatecommunication. Placingthefamilyinasecludedroom. Tellingthefamilyhowtheyshouldfeel.
- Youaredischargingapatienttohomewithahistoryofdepression.Discharg eteachingshouldincludewhich ofthe following?
Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
Handingthefamilyalistofpotentialbehavioralhealthfacilitiestocallforfol low-up. Emphasizingtothefamilytocomebacktothehospitalforanyescalatio ninbehaviorrather thancallingauthorities. Ensuring all firearms in the home are locked in a safe place with no access by thepatient. Promote injury prevention with caregivers of patients with a history of depression or suicidalideation by encouraging that all firearms and medications are under lock to prevent overdoses or suicideattempt. Discussionwiththefamilyontheimportanceofkeepingallmedications storedonthetopshelfofa closet.
- A 3-year-old is injured in a motor vehicle collision. Upon arrival at the emergency department,thechildhasadiminishedlevelofconsciousness,equalbilateral breathsounds,andcool, paleskin. Vital signs are HR 140 beats/minute, RR 36 breaths/minute, and BP 70/40 mm Hg. Thechildis mostlikelyin whichofthefollowing shockstates? HypovolemicshockThemechanismandpresentationleadtoasuspicio nofbloodloss.
Lenoir-Rhyne University NURS MISC ENPC exam
questions and answers New Update 2022/
