ENPC 6TH EDITION COURSE EXAM
LATEST 2023-2024 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS|ALREADY
GRADED A+|NEW!!!
Parents report their 3-year-old child has developed noisy breathing. On assessment, high-pitched
wheezes are audible and auscultated on inspiration and expiration. What medication would be
appropriate to administer first?
- Answer -Initial medication intervention includes an inhaled short-acting beta agonist.
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous
membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg,
and HR of 144 beats per minute. Which of the following laboratory values would be most
expected in this child?
- Answer -Expected laboratory values would reveal an acidotic state with a pH level below 7.3,
an elevated serum bIcarbonate level, and elevated blood glucose level > 200 mg.dL.
An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on
auscultation in the right upper lobe of the lung field after a choking event 4 days ago. The white
blood cell count is elevated and the patient noted to be tachypneic, tachycardic, agitated, and has
an increased respiratory effort. At the time of the event, the patient was started on antibiotics
with subsequent increasing manifestations instead of improvement. Which of the following
would be considered to be definitive treatment for the suspected diagnosis?
- Answer -The definitive treatment would be a bronchoscopy in order to retrieve the suspected
foreign body instead of diagnostic tests to locate the foreign body itself.
, ENPC 6TH EDITION COURSE EXAM
LATEST 2023-2024 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS|ALREADY
GRADED A+|NEW!!!
A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with a
bag-mask device. Once return of spontaneous circulation has been confirmed, which of the
following would be the priority intervention?
- Answer -Establishing a secure airway
A 6-week-old is brought to the emergency department by the caregivers for poor feeding,
listlessness, and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52
breaths/minute, 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?
- Answer -Lumbar puncture
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the
following intravenous medication orders should the nurse question?
- Answer -Ketorolac is an appropriate medication for moderate to severe pain, however, it
should not be used pre-operatively due to its potential to increase the bleeding risk.
A 17-year-old female arrives in the ED with her boyfriend who states she is pregnant and having
vaginal bleeding. The patient is unsure of the gestational age and has not had any prenatal
treatment. The patient is quiet and lets her boyfriend answer most of the questions. Which of the
following is the most appropriate action for the nurse to take at this point?
LATEST 2023-2024 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS|ALREADY
GRADED A+|NEW!!!
Parents report their 3-year-old child has developed noisy breathing. On assessment, high-pitched
wheezes are audible and auscultated on inspiration and expiration. What medication would be
appropriate to administer first?
- Answer -Initial medication intervention includes an inhaled short-acting beta agonist.
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous
membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg,
and HR of 144 beats per minute. Which of the following laboratory values would be most
expected in this child?
- Answer -Expected laboratory values would reveal an acidotic state with a pH level below 7.3,
an elevated serum bIcarbonate level, and elevated blood glucose level > 200 mg.dL.
An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on
auscultation in the right upper lobe of the lung field after a choking event 4 days ago. The white
blood cell count is elevated and the patient noted to be tachypneic, tachycardic, agitated, and has
an increased respiratory effort. At the time of the event, the patient was started on antibiotics
with subsequent increasing manifestations instead of improvement. Which of the following
would be considered to be definitive treatment for the suspected diagnosis?
- Answer -The definitive treatment would be a bronchoscopy in order to retrieve the suspected
foreign body instead of diagnostic tests to locate the foreign body itself.
, ENPC 6TH EDITION COURSE EXAM
LATEST 2023-2024 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS|ALREADY
GRADED A+|NEW!!!
A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with a
bag-mask device. Once return of spontaneous circulation has been confirmed, which of the
following would be the priority intervention?
- Answer -Establishing a secure airway
A 6-week-old is brought to the emergency department by the caregivers for poor feeding,
listlessness, and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52
breaths/minute, 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?
- Answer -Lumbar puncture
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the
following intravenous medication orders should the nurse question?
- Answer -Ketorolac is an appropriate medication for moderate to severe pain, however, it
should not be used pre-operatively due to its potential to increase the bleeding risk.
A 17-year-old female arrives in the ED with her boyfriend who states she is pregnant and having
vaginal bleeding. The patient is unsure of the gestational age and has not had any prenatal
treatment. The patient is quiet and lets her boyfriend answer most of the questions. Which of the
following is the most appropriate action for the nurse to take at this point?
