ENPC EXAM 2022
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.
ANS - 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
family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them.
ANS - D. Appointing one staff member to communicate with them.
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash. The
chest x-ray reveals multiple rib fractures. These findings suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
ANS - B. Significant underlying injury.
Which piece of information is most important to know prior to transferring a patient to
another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
ANS - C. Confirmation of acceptance from the receiving hospital.
, A 10-year-old child who was struck by a car has a distended, tense abdomen. The child's
heart rate is 144 beats/minute, respirations 24 breaths/minute, and blood pressure 120/80 mm
Hg. Capillary refill is more than 3 seconds, and skin is pale and cool. The patient's signs and
symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock.
ANS - C. Hypovolemic shock.
A school-aged child is about to receive stitches. To evaluate his understanding of the
procedure, you tell him:
A. "Young people your age have questions about getting stitches. What are your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions before we restrain
you?"
D. "Does your cut hurt? Would you like your mommy to hold you?"
ANS - A. "Young people your age have questions about getting stitches. What are your
questions?"
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia
ANS - D. Anteromedial tibia
An important consideration in the assessment of pain for an adolescent patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong.
ANS - A. May deny or minimize their pain when friends visit for fear of losing control.
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.
ANS - 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
family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them.
ANS - D. Appointing one staff member to communicate with them.
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash. The
chest x-ray reveals multiple rib fractures. These findings suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
ANS - B. Significant underlying injury.
Which piece of information is most important to know prior to transferring a patient to
another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
ANS - C. Confirmation of acceptance from the receiving hospital.
, A 10-year-old child who was struck by a car has a distended, tense abdomen. The child's
heart rate is 144 beats/minute, respirations 24 breaths/minute, and blood pressure 120/80 mm
Hg. Capillary refill is more than 3 seconds, and skin is pale and cool. The patient's signs and
symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock.
ANS - C. Hypovolemic shock.
A school-aged child is about to receive stitches. To evaluate his understanding of the
procedure, you tell him:
A. "Young people your age have questions about getting stitches. What are your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions before we restrain
you?"
D. "Does your cut hurt? Would you like your mommy to hold you?"
ANS - A. "Young people your age have questions about getting stitches. What are your
questions?"
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia
ANS - D. Anteromedial tibia
An important consideration in the assessment of pain for an adolescent patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong.
ANS - A. May deny or minimize their pain when friends visit for fear of losing control.
