ENPC 6th Edition Exam Questions and
Answers
A neonate presents to the emergency department with irritability, weak cry, and
hypotonia. Which of the following is a priority intervention? - CORRECT ANSWER-
Serum blood glucose
Head compterized tomography scan
Prostaglandin infusion
Toxin Screening
Which of the following pathologic processes would most likely be attributed to a primary
diagnosis of cystic fibrosis? - CORRECT ANSWER-Hypernatremia
*Constipation
Obesity
Epiglottitis
A nurse begins making multiple errors in clinical decisions regarding the care of patients
in the pediatric emergency department. The nurse has worked many consecutive shifts
caring for severely ill and injured children and mentioned to a co-worker that they are
not sleeping and feel anxious about coming to work. What condition may this nurse be
experiencing? - CORRECT ANSWER-Nurse traumatization
Pediatric Traumatization
Direct Traumatization
*Vicarious Traumatization
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? - CORRECT ANSWER-Lumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
, *Cervical Spine Radiograph
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? - CORRECT ANSWER-Obtain a nasopharyngeal swab
*Airborne Isolation
Contact Isolation
Fingerstick Glucose
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of
the following intravenous medication orders should the nurse question? - CORRECT
ANSWER-Morphine
Acetaminophen
Hydromorphone
*Ketorolac
A child with an injury to the lower cervical spine with spinal cord involvment would most
likely demonstrate which of the following findings during assessment? - CORRECT
ANSWER-Increased rectal tone
Increased urinary outcomes
Decreased end-tidal CO2
*Decreased Respiratory effort
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of
the following findings would be most indicative that respiratory failure is developing? -
CORRECT ANSWER-SpO2 of 94 % on room air
Widened Pulse Pressure
*Extreme Lethargy
Flash Capillary Refill
A pediatric resuscitation has ended with the death of the child. Coroner notification has
not been made yet. In dealing with the family of this child, how can the nurse facilitate
Answers
A neonate presents to the emergency department with irritability, weak cry, and
hypotonia. Which of the following is a priority intervention? - CORRECT ANSWER-
Serum blood glucose
Head compterized tomography scan
Prostaglandin infusion
Toxin Screening
Which of the following pathologic processes would most likely be attributed to a primary
diagnosis of cystic fibrosis? - CORRECT ANSWER-Hypernatremia
*Constipation
Obesity
Epiglottitis
A nurse begins making multiple errors in clinical decisions regarding the care of patients
in the pediatric emergency department. The nurse has worked many consecutive shifts
caring for severely ill and injured children and mentioned to a co-worker that they are
not sleeping and feel anxious about coming to work. What condition may this nurse be
experiencing? - CORRECT ANSWER-Nurse traumatization
Pediatric Traumatization
Direct Traumatization
*Vicarious Traumatization
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? - CORRECT ANSWER-Lumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
, *Cervical Spine Radiograph
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? - CORRECT ANSWER-Obtain a nasopharyngeal swab
*Airborne Isolation
Contact Isolation
Fingerstick Glucose
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of
the following intravenous medication orders should the nurse question? - CORRECT
ANSWER-Morphine
Acetaminophen
Hydromorphone
*Ketorolac
A child with an injury to the lower cervical spine with spinal cord involvment would most
likely demonstrate which of the following findings during assessment? - CORRECT
ANSWER-Increased rectal tone
Increased urinary outcomes
Decreased end-tidal CO2
*Decreased Respiratory effort
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of
the following findings would be most indicative that respiratory failure is developing? -
CORRECT ANSWER-SpO2 of 94 % on room air
Widened Pulse Pressure
*Extreme Lethargy
Flash Capillary Refill
A pediatric resuscitation has ended with the death of the child. Coroner notification has
not been made yet. In dealing with the family of this child, how can the nurse facilitate
