ENPC ENPC Respiratory Emergencies 2

Question 1

A 5-year-old presents with fever, severe sore throat, drooling, and tripod positioning. What is the PRIORITY nursing action?

Accepted Answer

Prepare for airway management in a controlled setting with ENT and anesthesia present

Answer

Epiglottitis with tripod positioning is a life-threatening emergency requiring immediate controlled airway management to prevent complete obstruction.

Question 2

Which assessment finding is MOST indicative of tension pneumothorax in a pediatric trauma patient?

Accepted Answer

Tracheal deviation away from the affected side with hypotension and absent breath sounds

Answer

Tension pneumothorax classically presents with tracheal deviation away from the affected side combined with hemodynamic compromise.

Question 3

A 6-month-old presents with rapid breathing, nasal flaring, and wheezing during RSV season. What is the most likely diagnosis?

Accepted Answer

Bronchiolitis

Answer

RSV bronchiolitis is the most common lower respiratory infection in infants, presenting with wheezing and respiratory distress during winter.

Question 4

Evidence-based management of bronchiolitis in an infant with moderate respiratory distress primarily includes:

Accepted Answer

Supportive care with supplemental oxygen, nasal suctioning, and hydration

Answer

Bronchiolitis management is primarily supportive, as bronchodilators and corticosteroids have not shown consistent clinical benefit.

Question 5

A child has SpO2 of 88% despite non-rebreather mask oxygen. Which intervention is MOST appropriate?

Accepted Answer

Initiate high-flow nasal cannula or prepare for non-invasive positive pressure ventilation

Answer

Persistent hypoxemia despite a non-rebreather mask indicates the need for escalation to high-flow nasal cannula or non-invasive ventilation.

ENPC - Emergency Nurse Practitioner Practice Test

ENPC - Emergency Nurse Practitioner Practice Test

ENPC ENPC Respiratory Emergencies 2