BEST ANSWERS ENPC 6th Edition Pre Exam 100 Percent VERIFIED ANSWERS 2024, 2026

QUESTIONS AND ANSWERS 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 splint to the affected extremity Rationale 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. Assessment of the fontanelle provides the most useful information for which two components of the primary survey? Circulation and disability Rationale A sunken fontanelle is a red flag for circulation assessment in pediatric triage and may indicate dehydration . A bulging fontanel is a red flag for disability assessment in pediatric triage and can indicate increased intracranial pressure. 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 Rationale 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 4-day-old who is brought to the emergency department with the parental complaint of "not acting right" is found to be hypoglycemic. What is the appropriate glucose concentration to administer to this neonate? Dextrose 10% Rationale Dextrose 10% is the preferred concentration for neonates with hypoglycemia to protect their fragile vasculature while providing needed glucose. Dextrose 5% is not used to treat hypoglycemia in children. Dextrose 25% is used for children above the age of 5 years. Dextrose 50% is not recommended for use in pediatrics unless it is diluted. Which of the following indicates the need for additional caregiver education regarding a urinary tract infection? My child will grow out of their frequent urinary tract infections. Rationale Urinary tract infections are not a normal occurrence in children and are not something children will "grow out of." Additional investigation and follow-up are needed when a child has frequent urinary tract infections. Drinking extra fluids sh