ENPC EXAM LATEST 2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED
ANSWERS (verified answers) ALREADY
GRADED A+
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
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- A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-grade fever, and a "barky" cough
at night. The child is awake and alert with noted stridor. Pulse oximetry is 96% on room
air. Which of the following interventions would be the most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer -answer- B. Administration of
nebulized epinephrine
A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the
ED. Which of the following should be included in the discharge instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a no steroidal anti-inflammatory for pain control -answer- D. Use a no
steroidal anti-inflammatory for pain control
Which of the following parameters would indicate that appropriate post resuscitation
interventions were successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Scenography reading of 60 mm Hg -answer- A. Pulse oximetry reading of 96%
,An anxious 12-year-old child presents to the emergency department with a sudden
onset of nausea, diarrhea, abdominal cramping, flushing, and hypotension. Symptoms
started about 60 minutes after lunch. Which of the following conditions is the most likely
cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Cohn’s Disease
D. Menarche -answer- A. Anaphylaxis
An 8-year-old trauma patient suddenly develops increased respiratory distress with a
rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted. Which of the following
emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression -answer- D. Needle decompression
A 4-week-old infant born prematurely is brought to the emergency department due to
the rapid onset of abdominal distention, vomiting, bloody stools, and exhibiting signs of
shock. Based on these findings, what condition should the nurse suspect?
A. Necrotizing enter colitis
B. Pyloric stenosis
C. Mega colon
D. Congenital diaphragmatic hernia -answer- A. Necrotizing enter colitis
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?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate -answer- C. Low pH level
Which of the following pathologic processes would most likely be attributed to a primary
diagnosis of cystic fibrosis?
A. Hypernatremia
B. Constipation
C. Obesity
D. Epiglottitis -answer- B. Constipation
Which of the following is the highest priority intervention for a well-appearing 2-month-
old with a fever?
A. Lumbar puncture
, B. Urine culture
C. Intravenous fluid bolus
D. Chest radiograph -answer- B. Urine culture
The caregivers of a 6-year-old report the child developed a cough with nasal congestion
and "pink-eye" that started two days ago. Today they noticed a raised, red rash on the
face, and grey papules in the mouth. Which of the following is the priority intervention
for this patient?
A. Obtain a nasopharyngeal swab
B. Place in airborne isolation
C. Place in contact isolation
D. Obtain a finger stick glucose -answer- C. Place in contact isolation
A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted
to the left, decreased sensation to the extremities, and urinary incontinence. The patient
has no history of trauma. Which of the following diagnostics is the priority for this
patient?
A. Lumbar spine magnetic resonance imaging
B. Complete neurologic exam
C. Urinalysis by straight catheterization
D. Cervical spine radiographs -answer- D. Cervical spine radiographs
A 7-year-old is being seen for new onset of headaches. Which of the following
manifestations would most likely rule out the potential of a primary etiology?
A. Presence of ataxia
B. Pulsating, unilateral pain
C. Occurrence of photophobia
D. Nausea, vomiting -answer- A. Presence of ataxia
A 3-week old is brought to the emergency department with a history of fussiness,
spitting up, crying, and watery stools. Assessment reveals an alert child with moist
mucous membranes. Which of the following should be the priority?
A. Medicate with ondansetron for emesis
B. Identify the type of formula the caregiver uses
C. Obtain a stool specimen for culture
D. Initiate intravenous access with 0.9% sodium chloride -answer- B. Identify the
type of formula the caregiver uses
A laceration on a toddler's arm is prepared for suturing. Which of the following
preparations for topical anesthesia would be the best choice for this procedure?
A. EMLA (lidocaine 2.5% and procaine 2.5%)
B. LET (lidocaine/epinephrine/tetra Caine)
C. LMX (lidocaine 4%)
D. Tetra Caine 4% -answer- B. LET (lidocaine/epinephrine/tetra Caine)
QUESTIONS AND CORRECT DETAILED
ANSWERS (verified answers) ALREADY
GRADED A+
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
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- A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-grade fever, and a "barky" cough
at night. The child is awake and alert with noted stridor. Pulse oximetry is 96% on room
air. Which of the following interventions would be the most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer -answer- B. Administration of
nebulized epinephrine
A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the
ED. Which of the following should be included in the discharge instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a no steroidal anti-inflammatory for pain control -answer- D. Use a no
steroidal anti-inflammatory for pain control
Which of the following parameters would indicate that appropriate post resuscitation
interventions were successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Scenography reading of 60 mm Hg -answer- A. Pulse oximetry reading of 96%
,An anxious 12-year-old child presents to the emergency department with a sudden
onset of nausea, diarrhea, abdominal cramping, flushing, and hypotension. Symptoms
started about 60 minutes after lunch. Which of the following conditions is the most likely
cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Cohn’s Disease
D. Menarche -answer- A. Anaphylaxis
An 8-year-old trauma patient suddenly develops increased respiratory distress with a
rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted. Which of the following
emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression -answer- D. Needle decompression
A 4-week-old infant born prematurely is brought to the emergency department due to
the rapid onset of abdominal distention, vomiting, bloody stools, and exhibiting signs of
shock. Based on these findings, what condition should the nurse suspect?
A. Necrotizing enter colitis
B. Pyloric stenosis
C. Mega colon
D. Congenital diaphragmatic hernia -answer- A. Necrotizing enter colitis
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?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate -answer- C. Low pH level
Which of the following pathologic processes would most likely be attributed to a primary
diagnosis of cystic fibrosis?
A. Hypernatremia
B. Constipation
C. Obesity
D. Epiglottitis -answer- B. Constipation
Which of the following is the highest priority intervention for a well-appearing 2-month-
old with a fever?
A. Lumbar puncture
, B. Urine culture
C. Intravenous fluid bolus
D. Chest radiograph -answer- B. Urine culture
The caregivers of a 6-year-old report the child developed a cough with nasal congestion
and "pink-eye" that started two days ago. Today they noticed a raised, red rash on the
face, and grey papules in the mouth. Which of the following is the priority intervention
for this patient?
A. Obtain a nasopharyngeal swab
B. Place in airborne isolation
C. Place in contact isolation
D. Obtain a finger stick glucose -answer- C. Place in contact isolation
A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted
to the left, decreased sensation to the extremities, and urinary incontinence. The patient
has no history of trauma. Which of the following diagnostics is the priority for this
patient?
A. Lumbar spine magnetic resonance imaging
B. Complete neurologic exam
C. Urinalysis by straight catheterization
D. Cervical spine radiographs -answer- D. Cervical spine radiographs
A 7-year-old is being seen for new onset of headaches. Which of the following
manifestations would most likely rule out the potential of a primary etiology?
A. Presence of ataxia
B. Pulsating, unilateral pain
C. Occurrence of photophobia
D. Nausea, vomiting -answer- A. Presence of ataxia
A 3-week old is brought to the emergency department with a history of fussiness,
spitting up, crying, and watery stools. Assessment reveals an alert child with moist
mucous membranes. Which of the following should be the priority?
A. Medicate with ondansetron for emesis
B. Identify the type of formula the caregiver uses
C. Obtain a stool specimen for culture
D. Initiate intravenous access with 0.9% sodium chloride -answer- B. Identify the
type of formula the caregiver uses
A laceration on a toddler's arm is prepared for suturing. Which of the following
preparations for topical anesthesia would be the best choice for this procedure?
A. EMLA (lidocaine 2.5% and procaine 2.5%)
B. LET (lidocaine/epinephrine/tetra Caine)
C. LMX (lidocaine 4%)
D. Tetra Caine 4% -answer- B. LET (lidocaine/epinephrine/tetra Caine)
