ENPC 6TH EDITION EXAM PREP 2024-2025 | COMPLETE PRACTICE QUESTIONS WITH DETAILED CORRECT ANSWERS | EMERGENCY NURSING STUDY GUIDE Q1: 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 ANSWER>>>: A. Administer intramuscular epinephrine RATIONALE>: This child is presenting with anaphylaxis (hives, facial swelling, stridor). Stridor indicates upper airway obstruction, which is life-threatening. IM epinephrine is the first-line, life-saving treatment for anaphylaxis and should not be delayed. Q2: An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the following findings would be most indicative that respiratory failure is developing? A. SpO2 of 94% on room air B. Widened pulse pressure C. Extreme lethargy D. Flash capillary refill ANSWER>>>: C. Extreme lethargy RATIONALE>: Extreme lethargy or decreased level of consciousness indicates that the brain is not receiving adequate oxygenation (impending respiratory failure).SpO2 of 94% is low but not diagnostic of failure. Widened pulse pressure and flash cap refill are signs of shock, not