ENPC ACTUAL EXAM 2024 LATEST UPDATE WITH
DETAILED QUESTION AND CORRECT ANSWERS
100% PASS MARK.
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 behavioral symptoms
to facilitate appropriate care and follow-up.
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.
A 12-year-old who was recently started on anti-psychotic medication for
schizophrenia is brought to the emergency department with severe muscle
rigidity and hyperthermia. These symptoms are most likely caused by which of
the following?
Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant
syndrome, which is a rare reaction to antipsychotic medications.
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 epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the
emergency department to monitor the intracranial pressure on a 5-year-old
patient. The family does not speak English and has identified their religion as
Muslim. Which of the following interventions is most supportive of the family?
,Allow the extended to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of
potential child maltreatment?
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
exploratory location in children younger than 4 years and any bruising in a child younger
than 4 months (TEN-4) are cause for suspicion of abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a
non-exploratory location in children younger than 4 years and any bruising in a
child younger than 4 months (TEN-4) are cause for suspicion of abuse
Commotio cordis Commotio cordis occurs when the chest is struck during the refractory
period of the cardiac conduction cycle, resulting in a ventricular dysrhythmia or asystole.
This type of injury usually occurs in recreational sports such as baseball or ice hockey
Which of the following patients should be evaluated first
An 18-month-old with bilious emesis Bilious emesis in an 18-month-old is always
considered an emergent symptom indicative of a life-threatening bowel obstruction.
1. Which of the following tasks can the nurse do to decrease adverse medication
events?
Obtain the patient's weight in kilograms This is the preferred measurement for
medication calculations for pediatric and adult patients
Acute chest syndrome, stroke, and splenic sequestration are complications of
which of the following diseases?
Sickle cell anemia These are all complications of sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies him
as a potential sex trafficking victim. The trauma informed approach to care
emphasizes certain principles in caring for these types of patients. Which of the
following care principles has the highest priority?
Physical and psychological safety Create an environment where patients feel safe, both
physically and psychologically. Increase awareness of the patient's interpersonal
interactions with others to screen for risk of harm. Prioritize the patient being in a safe
location
, A 6-month-old is brought to the emergency department for a recurrent respiratory
infection. When gathering a history from the caregiver, the emergency nurse
learns that, in addition to the respiratory symptoms, the infant has had fatty
stools. The emergency nurse should be concerned about which of the following
disease processes?
Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results in the
fatty stools seen with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a
suspected globe rupture. Which of the following medication orders would the
nurse question?
Succinylcholine Succinylcholine may increase intraocular pressure and should be
avoided.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a
seizure at home. The patient has no seizure history. Upon examination, the
patient is post-ictal with a heart rate of 142 beats per minute, respiratory rate of
36 breaths per minute, and blood pressure of 86/72 mm Hg. Significant burns are
noted to the patient's back and lower extremities. The mother states the burns
accidentally occurred 3 days ago, but she was afraid to bring patient in due to an
ongoing child welfare investigation. Which of the following are the MOST
appropriate immediate interventions?
Draw and send a metabolic panel, administer a fluid bolus, and obtain a point of care
glucose Significant burns can cause electrolyte imbalances. Electrolyte imbalances may
be the cause of the patient's seizure. Electrolyte imbalances need to be identified and
treated.
In which of the following primary survey components can assessment of the
fontanel provide the most useful information?
Circulation and disability A sunken fontanel may indicate dehydration; a bulging fontanel
can indicate increased intracranial pressure.
A 5-year-old patient presents to the emergency department with severe
dehydration due to viral gastroenteritis. He has signs of shock due to his
DETAILED QUESTION AND CORRECT ANSWERS
100% PASS MARK.
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 behavioral symptoms
to facilitate appropriate care and follow-up.
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.
A 12-year-old who was recently started on anti-psychotic medication for
schizophrenia is brought to the emergency department with severe muscle
rigidity and hyperthermia. These symptoms are most likely caused by which of
the following?
Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant
syndrome, which is a rare reaction to antipsychotic medications.
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 epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the
emergency department to monitor the intracranial pressure on a 5-year-old
patient. The family does not speak English and has identified their religion as
Muslim. Which of the following interventions is most supportive of the family?
,Allow the extended to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of
potential child maltreatment?
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
exploratory location in children younger than 4 years and any bruising in a child younger
than 4 months (TEN-4) are cause for suspicion of abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a
non-exploratory location in children younger than 4 years and any bruising in a
child younger than 4 months (TEN-4) are cause for suspicion of abuse
Commotio cordis Commotio cordis occurs when the chest is struck during the refractory
period of the cardiac conduction cycle, resulting in a ventricular dysrhythmia or asystole.
This type of injury usually occurs in recreational sports such as baseball or ice hockey
Which of the following patients should be evaluated first
An 18-month-old with bilious emesis Bilious emesis in an 18-month-old is always
considered an emergent symptom indicative of a life-threatening bowel obstruction.
1. Which of the following tasks can the nurse do to decrease adverse medication
events?
Obtain the patient's weight in kilograms This is the preferred measurement for
medication calculations for pediatric and adult patients
Acute chest syndrome, stroke, and splenic sequestration are complications of
which of the following diseases?
Sickle cell anemia These are all complications of sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies him
as a potential sex trafficking victim. The trauma informed approach to care
emphasizes certain principles in caring for these types of patients. Which of the
following care principles has the highest priority?
Physical and psychological safety Create an environment where patients feel safe, both
physically and psychologically. Increase awareness of the patient's interpersonal
interactions with others to screen for risk of harm. Prioritize the patient being in a safe
location
, A 6-month-old is brought to the emergency department for a recurrent respiratory
infection. When gathering a history from the caregiver, the emergency nurse
learns that, in addition to the respiratory symptoms, the infant has had fatty
stools. The emergency nurse should be concerned about which of the following
disease processes?
Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results in the
fatty stools seen with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a
suspected globe rupture. Which of the following medication orders would the
nurse question?
Succinylcholine Succinylcholine may increase intraocular pressure and should be
avoided.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a
seizure at home. The patient has no seizure history. Upon examination, the
patient is post-ictal with a heart rate of 142 beats per minute, respiratory rate of
36 breaths per minute, and blood pressure of 86/72 mm Hg. Significant burns are
noted to the patient's back and lower extremities. The mother states the burns
accidentally occurred 3 days ago, but she was afraid to bring patient in due to an
ongoing child welfare investigation. Which of the following are the MOST
appropriate immediate interventions?
Draw and send a metabolic panel, administer a fluid bolus, and obtain a point of care
glucose Significant burns can cause electrolyte imbalances. Electrolyte imbalances may
be the cause of the patient's seizure. Electrolyte imbalances need to be identified and
treated.
In which of the following primary survey components can assessment of the
fontanel provide the most useful information?
Circulation and disability A sunken fontanel may indicate dehydration; a bulging fontanel
can indicate increased intracranial pressure.
A 5-year-old patient presents to the emergency department with severe
dehydration due to viral gastroenteritis. He has signs of shock due to his
