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Study Guide for Introduction to Medical-Surgical Nursing
Adrianne Dill Linton, Nancy K. Maebius
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ENPC EXAM 6TH UNIT QUESTIONS WITH CORRECT DETAILED ANSWERS
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ENPC EXAM 6TH UNIT QUESTIONS WITH CORRECT DETAILED ANSWERS
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ENPC 6th Edition Course Exam Questions & Answers 100% Correct(RATED A)
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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? - ANSWERHypoglycemia (wrong) 
 
Remediation feedback: 
Children can present with new onset diabetes in diabetic ketoacidosis. Manifestations include signs of dehydration ( dry mucous membranes, hypoten...
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ENPC FINAL EXAM LATEST 2023-2024 REAL EXAM 150+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)|100% SUCCESS RATE
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ENPC FINAL EXAM LATEST REAL EXAM 
150+ QUESTIONS AND CORRECT ANSWERS 
(VERIFIED ANSWERS)|100% SUCCESS RATE
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Exam (elaborations) ENPC
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CIAMPEDS C - Cheif Complaint 
I - Immunizations 
I - Isolation 
A - Allergies 
M - Medications 
P - Past Medical History 
P - Caregivers impression of the pediatric pts condition 
E - Events surrounding the illness/injury 
D - Diet 
D - Diapers 
S - Symptoms associated with the illness or injury 
MIVT M - Mechanism of injury, including the use of protective devices 
I - Injuries suspected 
V - Vital signs in prehospital 
T - Treatment by prehospital 
(Under E in CIAMPEDS) 
Secondary Assessment F...
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Exam (elaborations) ENPC
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An unresponsive 2-year-old child was found by his mother with a bottle labeled "Elavil 50 mg" 
by his side. Which piece of information is important to obtain from his mother? 
A. The size of the medication bottle. 
B. The expiration date of the medication. 
C. The number of pills left in the bottle. 
D. The person for whom the medication was prescribe. C. The number of pills left in the 
bottle. 
A nurse providing crisis intervention to the family of a seriously ill child can best keep the 
fa...
Too much month left at the end of the money?
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Exam (elaborations) ENPC
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Tachycardia = an _______ sign of shock Early 
What is a late sign of circulatory compromise in children? Hypotension 
Children can remain normotensive until about _____ percent of blood volume is lost 25% 
What are two intervention you should always be doing? Applying oxygen 
Checking bedside blood glucose 
How long should the car seat be rear facing? Until at least one year of age 
_____ model parents behavior with toys Toddlers 
Age 3 to 5: Preschoolers 
Magical and it logical thinkers 
Take t...
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Exam (elaborations) ENPC
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Which of the following would be an abnormal finding in a patient with 
glomerulonephritis? Clear urine There is a decrease in urine output for patient's with 
glomerulonephritis. Urine would be concentrated and dark brown/tea-colored. 
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would 
be concentrated and dark brown/tea-colored. Administration of nebulized epinephrine 
Moderate to severe croup is treated with dexamethasone and nebulized epinephr...
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Exam (elaborations) ENPC
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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? 
A. Administer intramuscular epinephrine 
B. Auscultate bilateral breath sounds 
C. Insert an intravenous catheter 
D. Administer inhaled albuterol A. Administer intramuscular epinephrine 
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the 
...
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Exam (elaborations) ENPC
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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? A.Increased diastolic blood pressure 
B.Bounding peripheral pulses 
C.Prolonged capillary refill 
D.Increased urine output 
You are discharging a patient home who has a history of depression. Discharge teaching should 
include which of the following? A.Discussing the importance of stopping al...
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Exam (elaborations) ENPC
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A caregiver presents to the emergency department with an 18-month-old and reports the child is 
not using their left arm after playing a game with an older sibling. The child is alert and curious, 
with regular, even respirations, and skin color is appropriate. Sick 
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...
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Exam (elaborations) ENPC
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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? Hypoglycemia (wrong) 
Remediation feedback: 
Children can present with new onset diabetes in diabetic ketoacidosis. Manifestations include 
signs of dehydration ( dry mucous membranes, hypotension, ...
-
Exam (elaborations) ENPC
- Exam (elaborations) • 8 pages • 2024
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A 5 year-old with no health problems presents to the Emergency Department with a sudden onset 
of chest pain and shortness of breath. Parents state that the family was involved in a bad car 
crash one week ago. A thorough assessment and workup has not revealed any abnormalities. 
Which of the following steps is the best next step to take? Ask about any new bed-wetting 
or sleep disturbances 
Pediatric patients with anxiety and PTSD may present with physical complaints. Assess for other 
behavior...
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