ENPC EXAM 6TH EDITION QUESTIONS
Study online at https://quizlet.com/_irm2rl
1. when taking vital signs on a stable infant, which of the respiratory rate
following should be done first?
2. A term infant is delivered in the emergency depart- central cyanosis
ment. which assessment finding is most concerning?
3. A 10-year-old arrives at the ED post motor vehicle insert urinary catheter
crash. The following assessment is noted: hypoten-
sion, tachycardia, absent breath sounds from the left
chest with an increased respiratory rate, pain on pal-
pation of the pelvis, tinge of blood noted at the urinary
meatus, moderate active bleeding from a laceration to
left thigh, pulse oximetry of 86% without supplemental
oxygen, deformity to the left upper leg, and a Glas-
gow Coma Score of 7. Which of the following orders
will prompt the nurse to have a discussion with the
provider before initiating?
4. a teenager presents to the ED for evaluation of pain "have you ever had a
with deep inspiration. the pain was a sudden onset af- pneumothorax"
ter running track at school. while obtaining the history,
the patient states that they have Marfan Syndrome.
what would be a priority triage question based on this
information?
5. An 8-year-old arrives following a bicycle crash with oropharyngeal airway
swelling and bleeding from the right side of his face, (OPA)
deformities to the jawline, nasal swelling, and epis-
taxis. He is unresponsive with snoring respirations and
an absent gag reflex. Which of the following airway
adjuncts would be most appropriate for this patient?
6.
, ENPC EXAM 6TH EDITION QUESTIONS
Study online at https://quizlet.com/_irm2rl
a child presents with a history of poor oral intake. the initiate an intravenous flu-
patient is pale, lethargic, and has shallow, rapid respi- id bolus
rations. central pulses are weak and capillary refill time
is four seconds. which of the following interventions
has the highest priority?
7. a 5-year-old presents with decreased level of con- heart rate between 120 to
sciousness and a wide complex and rapid rate on the 200 beats/minute
electrocardiogram. which of the following characteris-
tics would indicate ventricular tachycardia as opposed
to other tachydysrhythmias?
8. an 8-year-old male presents to the emergency depart- ensure the safety of the
ment with incoherent speech, hallucinations, and vi- patient and staff
olent behavior. what is the priority in caring for this
patient?
9. an 8th-month-old arrives with a 12-hour history of in- enema with air
termittent abdominal pain, non-bilious vomiting, and
a low grade fever. on assessment the child is intermit-
tent inconsolable followed by periods of normal activi-
ty. a sausage-shaped mass is noted during palpitation
of the abdomen. the nurse should prepare for which
of the following?
10. a 6-week-old is brought to the emergency depart- lumbar puncture
ment by the caregivers for poor feeding, listlessness,
and fever. assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/min, rectal temperature
of 96.0 F (35.5 C), and a bulging anterior fontanel.
capillary refill is 4 seconds. based on these findings
what is the most likely diagnostic test the nurse should
anticipate?
, ENPC EXAM 6TH EDITION QUESTIONS
Study online at https://quizlet.com/_irm2rl
11. an 8-year-old is seen after a fall from 10 feet and land- vasopressors
ing on their head. vitals include HR of 54 beats/minute
and BP of 74/40 mmHG. their face is diaphoretic with
warm, dry extremities and trunk and no obvious exter-
nal bleeding noted. which treatment would be antici-
pated as a priority?
12. During a diaper change on a 4-month-old infant, the 22 ml
nurse measures the infant's urinary output. After sub-
tracting the weight of a dry diaper, the wet diaper
weighs 22 grams. What is the infant's estimated uri-
nary output?
13. The neurosurgeon has decided to perform an invasive dedicating a healthcare
procedure in the emergency department to monitor team member with a qual-
the intracranial pressure on a 5-year-old patient. The ified interpreter to be with
family does not speak the local language. Which of the family
the following interventions is most supportive of the
family during the procedure?
14. A 6-year-old involved in a boating crash is awaiting ad- constant left shoulder pain
mission for surgical repair of a fractured ankle. Which
of the following manifestations during reassessments
would cause the greatest concern for possible in-
tra-abdominal trauma?
15. which of the following is a family-centered care con- cultural backgrounds are
cept? assessed and incorporat-
ed into the plan of care
16. a 15-year-old presents with cardiac tamponade follow- normal heart sounds
ing blunt chest trauma. recovery of vital signs and
Study online at https://quizlet.com/_irm2rl
1. when taking vital signs on a stable infant, which of the respiratory rate
following should be done first?
2. A term infant is delivered in the emergency depart- central cyanosis
ment. which assessment finding is most concerning?
3. A 10-year-old arrives at the ED post motor vehicle insert urinary catheter
crash. The following assessment is noted: hypoten-
sion, tachycardia, absent breath sounds from the left
chest with an increased respiratory rate, pain on pal-
pation of the pelvis, tinge of blood noted at the urinary
meatus, moderate active bleeding from a laceration to
left thigh, pulse oximetry of 86% without supplemental
oxygen, deformity to the left upper leg, and a Glas-
gow Coma Score of 7. Which of the following orders
will prompt the nurse to have a discussion with the
provider before initiating?
4. a teenager presents to the ED for evaluation of pain "have you ever had a
with deep inspiration. the pain was a sudden onset af- pneumothorax"
ter running track at school. while obtaining the history,
the patient states that they have Marfan Syndrome.
what would be a priority triage question based on this
information?
5. An 8-year-old arrives following a bicycle crash with oropharyngeal airway
swelling and bleeding from the right side of his face, (OPA)
deformities to the jawline, nasal swelling, and epis-
taxis. He is unresponsive with snoring respirations and
an absent gag reflex. Which of the following airway
adjuncts would be most appropriate for this patient?
6.
, ENPC EXAM 6TH EDITION QUESTIONS
Study online at https://quizlet.com/_irm2rl
a child presents with a history of poor oral intake. the initiate an intravenous flu-
patient is pale, lethargic, and has shallow, rapid respi- id bolus
rations. central pulses are weak and capillary refill time
is four seconds. which of the following interventions
has the highest priority?
7. a 5-year-old presents with decreased level of con- heart rate between 120 to
sciousness and a wide complex and rapid rate on the 200 beats/minute
electrocardiogram. which of the following characteris-
tics would indicate ventricular tachycardia as opposed
to other tachydysrhythmias?
8. an 8-year-old male presents to the emergency depart- ensure the safety of the
ment with incoherent speech, hallucinations, and vi- patient and staff
olent behavior. what is the priority in caring for this
patient?
9. an 8th-month-old arrives with a 12-hour history of in- enema with air
termittent abdominal pain, non-bilious vomiting, and
a low grade fever. on assessment the child is intermit-
tent inconsolable followed by periods of normal activi-
ty. a sausage-shaped mass is noted during palpitation
of the abdomen. the nurse should prepare for which
of the following?
10. a 6-week-old is brought to the emergency depart- lumbar puncture
ment by the caregivers for poor feeding, listlessness,
and fever. assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/min, rectal temperature
of 96.0 F (35.5 C), and a bulging anterior fontanel.
capillary refill is 4 seconds. based on these findings
what is the most likely diagnostic test the nurse should
anticipate?
, ENPC EXAM 6TH EDITION QUESTIONS
Study online at https://quizlet.com/_irm2rl
11. an 8-year-old is seen after a fall from 10 feet and land- vasopressors
ing on their head. vitals include HR of 54 beats/minute
and BP of 74/40 mmHG. their face is diaphoretic with
warm, dry extremities and trunk and no obvious exter-
nal bleeding noted. which treatment would be antici-
pated as a priority?
12. During a diaper change on a 4-month-old infant, the 22 ml
nurse measures the infant's urinary output. After sub-
tracting the weight of a dry diaper, the wet diaper
weighs 22 grams. What is the infant's estimated uri-
nary output?
13. The neurosurgeon has decided to perform an invasive dedicating a healthcare
procedure in the emergency department to monitor team member with a qual-
the intracranial pressure on a 5-year-old patient. The ified interpreter to be with
family does not speak the local language. Which of the family
the following interventions is most supportive of the
family during the procedure?
14. A 6-year-old involved in a boating crash is awaiting ad- constant left shoulder pain
mission for surgical repair of a fractured ankle. Which
of the following manifestations during reassessments
would cause the greatest concern for possible in-
tra-abdominal trauma?
15. which of the following is a family-centered care con- cultural backgrounds are
cept? assessed and incorporat-
ed into the plan of care
16. a 15-year-old presents with cardiac tamponade follow- normal heart sounds
ing blunt chest trauma. recovery of vital signs and
