NEWEST ENPC 6TH EDITION 2024 EXAM COMPLETE
REAL EXAM QUESTIONS AND ANSWERS (100%
VERIFIED ANSWERS) A NEW UPDATED VERSION 2024 |
GUARANTEED PASS. (REVISED EXAM)
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: Hypoglycemia
(wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifestations include signs of dehydration ( dry mucous membranes, hypotension,
tachycardia), incontinence (polyuria), vomiting, abdominal pain, Kussmaul
respirations (to counter the acidosis), polydipsia, anorexia, and weight loss. Expected
laboratory values would reveal an acidotic state with a pH level below 7.3, an
elevated serum bIcarbonate level, and an 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.
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
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 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
Remediation feedback:
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? - ANSWER: Have the boyfriend leave the room during the pelvic
exam.
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately.
After several attempts, your team has been unsuccessful at establishing vascular
access. Of the following, which is the next best option for establishing access
quickly? - ANSWER: Intraosseous in the patient's medial tibia.
A child with an electrical injury is seen 1 hour post event. Which of the following
types of specimen samples would provide visual information regarding a potential
complication of this injury? - ANSWER: Myoglobin is excreted in the urine and is
evidenced by dark, red-tinged urine.
Parents with an infant requiring multiple laboratory tests, radiographic studies, and
invasive procedures appear to be distressed and withdrawn. Which of the following
interventions would best ensure a sense of comfort and control for these parents? -
ANSWER: Providing frequent updates and re-educating them on the care that is
being provided
When taking vital signs on a stable infant, which of the following should be done
first? - ANSWER: Respiratory rate
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? -
ANSWER: LET (lidocaine/epinephrine/tetracaine)
Which of the following is appropriate administration of N-acetylcysteine (NAC) for an
acetaminophen overdose? - ANSWER: A bolus infusion of 150 mg/kg NAC should be
administered.
A 2-year-old is seen with a 3-day history of irritability, vomiting, and the presence of
foul-smelling urine. The child is hypotensive and tachycardic. Which of the following
methods for obtaining a urine sample is most appropriate in this circumstance? -
ANSWER: Urinary catherization
, You are discharging a patient home who has a history of depression. Discharge
teaching should include which of the following? - ANSWER: Ensuring all firearms in
the home are locked up with no access available by the patient.
A 2-year-old arrives with a 2-day history of vomiting and diarrhea. The patient has a
fever of 38.4oC (101.2°F), resting HR of 152 beats/minute, RR of 34 breaths/minute,
and blood pressure of 94/ 56 mm Hg. Assessment reveals a capillary refill time of > 5
seconds. Which of the following would be most indicative of the need for
intravenous rehydration therapy for this patient? - ANSWER: Capillary refill
An 8-month-old arrives with a 12-hour history of intermittent abdominal pain, non-
bilious vomiting, and a low grade fever. On assessment the child is intermittently
inconsolable followed by periods of normal activity. A sausage-shaped mass is noted
during palpation of the abdomen. The nurse should prepare for which of the
following? - ANSWER: Enema with air
A 13-year -old male presents to the triage desk complaining of nausea and vomiting.
The patient looks distressed and pale. He complains of spasming pain in his right
scrotum which has now become constant and more severe. Which of the following
assessment findings would the nurse expect with this patient? - ANSWER: Elevated
right testicle
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? - ANSWER: Needle
decompression is emergently necessary to release the air and allow expansion of the
lung again.
An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the
windshield. On arrival to the ED. the patient is minimally responsive with active
bleeding from the nose and mouth. The patient is vomiting. Which of the following
interventions would most likely be considered? - ANSWER: Endotracheal intubation
The nurse is reevaluating the effectiveness of interventions for a 4-year-old child
with a suspected tension pneumothorax. Which assessment finding indicates the
interventions were effective? - ANSWER: Bilateral chest wall rise with assisted
ventilations.
A 3-year-old is brought by caregivers with generalized tonic-clonic activity,
unresponsiveness, and drooling that began 6 minutes prior to arrival. Which of the
following interventions would be most appropriate for this event? - ANSWER:
Administer intranasal midazolam
A 6-month-old arrives with swelling to the left thigh. Caregivers deny any traumatic
event. Assessment findings include a patient who is active and alert, in the 10th
REAL EXAM QUESTIONS AND ANSWERS (100%
VERIFIED ANSWERS) A NEW UPDATED VERSION 2024 |
GUARANTEED PASS. (REVISED EXAM)
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: Hypoglycemia
(wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifestations include signs of dehydration ( dry mucous membranes, hypotension,
tachycardia), incontinence (polyuria), vomiting, abdominal pain, Kussmaul
respirations (to counter the acidosis), polydipsia, anorexia, and weight loss. Expected
laboratory values would reveal an acidotic state with a pH level below 7.3, an
elevated serum bIcarbonate level, and an 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.
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
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 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
Remediation feedback:
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? - ANSWER: Have the boyfriend leave the room during the pelvic
exam.
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately.
After several attempts, your team has been unsuccessful at establishing vascular
access. Of the following, which is the next best option for establishing access
quickly? - ANSWER: Intraosseous in the patient's medial tibia.
A child with an electrical injury is seen 1 hour post event. Which of the following
types of specimen samples would provide visual information regarding a potential
complication of this injury? - ANSWER: Myoglobin is excreted in the urine and is
evidenced by dark, red-tinged urine.
Parents with an infant requiring multiple laboratory tests, radiographic studies, and
invasive procedures appear to be distressed and withdrawn. Which of the following
interventions would best ensure a sense of comfort and control for these parents? -
ANSWER: Providing frequent updates and re-educating them on the care that is
being provided
When taking vital signs on a stable infant, which of the following should be done
first? - ANSWER: Respiratory rate
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? -
ANSWER: LET (lidocaine/epinephrine/tetracaine)
Which of the following is appropriate administration of N-acetylcysteine (NAC) for an
acetaminophen overdose? - ANSWER: A bolus infusion of 150 mg/kg NAC should be
administered.
A 2-year-old is seen with a 3-day history of irritability, vomiting, and the presence of
foul-smelling urine. The child is hypotensive and tachycardic. Which of the following
methods for obtaining a urine sample is most appropriate in this circumstance? -
ANSWER: Urinary catherization
, You are discharging a patient home who has a history of depression. Discharge
teaching should include which of the following? - ANSWER: Ensuring all firearms in
the home are locked up with no access available by the patient.
A 2-year-old arrives with a 2-day history of vomiting and diarrhea. The patient has a
fever of 38.4oC (101.2°F), resting HR of 152 beats/minute, RR of 34 breaths/minute,
and blood pressure of 94/ 56 mm Hg. Assessment reveals a capillary refill time of > 5
seconds. Which of the following would be most indicative of the need for
intravenous rehydration therapy for this patient? - ANSWER: Capillary refill
An 8-month-old arrives with a 12-hour history of intermittent abdominal pain, non-
bilious vomiting, and a low grade fever. On assessment the child is intermittently
inconsolable followed by periods of normal activity. A sausage-shaped mass is noted
during palpation of the abdomen. The nurse should prepare for which of the
following? - ANSWER: Enema with air
A 13-year -old male presents to the triage desk complaining of nausea and vomiting.
The patient looks distressed and pale. He complains of spasming pain in his right
scrotum which has now become constant and more severe. Which of the following
assessment findings would the nurse expect with this patient? - ANSWER: Elevated
right testicle
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? - ANSWER: Needle
decompression is emergently necessary to release the air and allow expansion of the
lung again.
An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the
windshield. On arrival to the ED. the patient is minimally responsive with active
bleeding from the nose and mouth. The patient is vomiting. Which of the following
interventions would most likely be considered? - ANSWER: Endotracheal intubation
The nurse is reevaluating the effectiveness of interventions for a 4-year-old child
with a suspected tension pneumothorax. Which assessment finding indicates the
interventions were effective? - ANSWER: Bilateral chest wall rise with assisted
ventilations.
A 3-year-old is brought by caregivers with generalized tonic-clonic activity,
unresponsiveness, and drooling that began 6 minutes prior to arrival. Which of the
following interventions would be most appropriate for this event? - ANSWER:
Administer intranasal midazolam
A 6-month-old arrives with swelling to the left thigh. Caregivers deny any traumatic
event. Assessment findings include a patient who is active and alert, in the 10th
