ENPC Test Questions & Answers 6th
Edition Updated
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. - CORRECT ANSWER-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. - CORRECT ANSWER-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. - CORRECT ANSWER-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. - CORRECT ANSWER-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. - CORRECT ANSWER-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?" - CORRECT
ANSWER-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 - CORRECT ANSWER-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. - CORRECT
ANSWER-A. May deny or minimize their pain when friends visit for fear of losing
control.
An 8-month-old infant with pneumonia has severe intercostal and substernal retractions,
weak muscle tone, lethargy, and gray skin color. The infant's condition does not improve
after bag-mask ventilation. The next step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol. - CORRECT ANSWER-C. Rapid sequence intubation.
Which combination of medications is best to have prepared for a pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium. - CORRECT ANSWER-B. Epinephrine and glucose.
A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry
and is jittery. Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
, D. Toxicology screen. - CORRECT ANSWER-B. Finger-stick glucose.
Which intervention should be performed next if tactile stimulation, positioning, drying,
and blow-by oxygen administration do not increase a newborn's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
D. Bag-mask ventilation. - CORRECT ANSWER-D. Bag-mask ventilation.
A 10-kg child has deep partial-thickness burns over 35% of the total body surface area.
Which evaluation parameter indicates that fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour. - CORRECT ANSWER-D. Urine output of 11 ml/hour.
A 7-year-old female sustains a minor head injury and did not lose consciousness. She
does not respond to commands and groans in response to questions. Which action will
quickly determine if her behavior indicates a serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual. - CORRECT ANSWER-D. Ask the parents
if her behavior is unusual.
An 8-month-old child presents with purpura, irritability, and a rectal temperature of
39.4�C (102.9�F). An intervention of high priority is:
A. Encouraging the caregiver to hold and comfort the child.
B. Monitoring for signs and symptoms of increased intracranial pressure (ICP).
C. Collecting urine for toxicology screen.
D. Encouraging oral fluids and food. - CORRECT ANSWER-B. Monitoring for signs and
symptoms of increased intracranial pressure (ICP).
The Pediatric Assessment Triangle is used to:
A. Identify all life-threatening conditions that the child presents with.
B. Perform a complete head-to-toe assessment on the child.
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the "across-the-room"
assessment. - CORRECT ANSWER-D. Determine the severity of the child's illness or
injury using the "across-the-room" assessment.
The caregivers of a 6-year-old boy who is brought to the emergency department for
abdominal pain should first be asked:
A. "Are his immunizations current?"
B. "Has anything happened to him at school recently?"
C. "What is the reason for the child's visit and how long has he been ill?"
Edition Updated
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. - CORRECT ANSWER-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. - CORRECT ANSWER-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. - CORRECT ANSWER-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. - CORRECT ANSWER-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. - CORRECT ANSWER-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?" - CORRECT
ANSWER-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 - CORRECT ANSWER-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. - CORRECT
ANSWER-A. May deny or minimize their pain when friends visit for fear of losing
control.
An 8-month-old infant with pneumonia has severe intercostal and substernal retractions,
weak muscle tone, lethargy, and gray skin color. The infant's condition does not improve
after bag-mask ventilation. The next step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol. - CORRECT ANSWER-C. Rapid sequence intubation.
Which combination of medications is best to have prepared for a pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium. - CORRECT ANSWER-B. Epinephrine and glucose.
A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry
and is jittery. Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
, D. Toxicology screen. - CORRECT ANSWER-B. Finger-stick glucose.
Which intervention should be performed next if tactile stimulation, positioning, drying,
and blow-by oxygen administration do not increase a newborn's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
D. Bag-mask ventilation. - CORRECT ANSWER-D. Bag-mask ventilation.
A 10-kg child has deep partial-thickness burns over 35% of the total body surface area.
Which evaluation parameter indicates that fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour. - CORRECT ANSWER-D. Urine output of 11 ml/hour.
A 7-year-old female sustains a minor head injury and did not lose consciousness. She
does not respond to commands and groans in response to questions. Which action will
quickly determine if her behavior indicates a serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual. - CORRECT ANSWER-D. Ask the parents
if her behavior is unusual.
An 8-month-old child presents with purpura, irritability, and a rectal temperature of
39.4�C (102.9�F). An intervention of high priority is:
A. Encouraging the caregiver to hold and comfort the child.
B. Monitoring for signs and symptoms of increased intracranial pressure (ICP).
C. Collecting urine for toxicology screen.
D. Encouraging oral fluids and food. - CORRECT ANSWER-B. Monitoring for signs and
symptoms of increased intracranial pressure (ICP).
The Pediatric Assessment Triangle is used to:
A. Identify all life-threatening conditions that the child presents with.
B. Perform a complete head-to-toe assessment on the child.
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the "across-the-room"
assessment. - CORRECT ANSWER-D. Determine the severity of the child's illness or
injury using the "across-the-room" assessment.
The caregivers of a 6-year-old boy who is brought to the emergency department for
abdominal pain should first be asked:
A. "Are his immunizations current?"
B. "Has anything happened to him at school recently?"
C. "What is the reason for the child's visit and how long has he been ill?"
