ENPC Exam Prep / Exam Questions with Answers
1.Which of the following would be an abnormal finding in a patient with
glomerulonephritis?: Clear urine There is a decrease in urine output for
patient's with glomerulonephritis. Urine would be concentrated and
dark brown/tea-colored.
2.Clear urine There is a decrease in urine output for patient's with
glomeru- lonephritis. Urine would be concentrated and dark brown/tea-
colored.: Ad- ministration of nebulized epinephrine Moderate to severe
croup is treated with dexamethasone and nebulized epinephrine.
3.The neurosurgeon has decided to perform an invasive procedure in the
emergency department to monitor the intracranial pressure on a 5-year-old
patient. The family does not speak English and has identified their religion
as Muslim. Which of the following interventions is most supportive of the
family?: Allow the extended to family members to serve as interpreters
during the procedure.
4.Which of the following patient presentations should increase suspicion of
potential child maltreatment?: Bruising to the left ear of a newborn from
1
,sleeping on his side Any bruise in a non-exploratory location in children
younger than 4 years and any bruising in a child younger than 4 months
(TEN-4) are cause for suspicion of abuse
5.Bruising to the left ear of a newborn from sleeping on his side Any bruise
in a non-exploratory location in children younger than 4 years and any
bruising in a child younger than 4 months (TEN-4) are cause for suspicion of
abuse: Com- motio cordis Commotio cordis occurs when the chest is
struck during the refractory period of the cardiac conduction cycle,
resulting in a ventricular dysrhythmia or asystole. This type of injury
usually occurs in recreational sports such as baseball or ice hockey
6.A 12-year-old who was recently started on anti-psychotic medication for
schizophrenia is brought to the emergency department with severe muscle
rigidity and hyperthermia. These symptoms are most likely caused by which
of the following?: Neuroleptic malignant syndrome These are classic
symptoms of neuroleptic malignant syndrome, which is a rare reaction
to antipsychotic medica- tions.
7.Which of the following patients should be evaluated first: An 18-month-
old with bilious emesis Bilious emesis in an 18-month-old is always
considered an emergent symptom indicative of a life-threatening
2
, bowel obstruction.
8.1. Which of the following tasks can the nurse do to decrease adverse
medication events?: Obtain the patient's weight in kilograms This is the
preferred measurement for medication calculations for pediatric and
adult patients
9.Acute chest syndrome, stroke, and splenic sequestration are
complications of which of the following diseases?: Sickle cell anemia
These are all complica- tions of sickle cell anemia.
10.During the assessment of a 16-year-old male patient, the ED nurse identi-
fies him as a potential sex trafficking victim. The trauma informed approach
to care emphasizes certain principles in caring for these types of patients.
Which of the following care principles has the highest priority?: Physical
and psychological safety Create an environment where patients feel
safe, both physically and psychologically. Increase awareness of the
patient's interpersonal interactions with others to screen for risk of
harm. Prioritize the patient being in a safe location
11.A 6-month-old is brought to the emergency department for a recurrent
res- piratory infection. When gathering a history from the caregiver, the
emergency nurse learns that, in addition to the respiratory symptoms, the
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1.Which of the following would be an abnormal finding in a patient with
glomerulonephritis?: Clear urine There is a decrease in urine output for
patient's with glomerulonephritis. Urine would be concentrated and
dark brown/tea-colored.
2.Clear urine There is a decrease in urine output for patient's with
glomeru- lonephritis. Urine would be concentrated and dark brown/tea-
colored.: Ad- ministration of nebulized epinephrine Moderate to severe
croup is treated with dexamethasone and nebulized epinephrine.
3.The neurosurgeon has decided to perform an invasive procedure in the
emergency department to monitor the intracranial pressure on a 5-year-old
patient. The family does not speak English and has identified their religion
as Muslim. Which of the following interventions is most supportive of the
family?: Allow the extended to family members to serve as interpreters
during the procedure.
4.Which of the following patient presentations should increase suspicion of
potential child maltreatment?: Bruising to the left ear of a newborn from
1
,sleeping on his side Any bruise in a non-exploratory location in children
younger than 4 years and any bruising in a child younger than 4 months
(TEN-4) are cause for suspicion of abuse
5.Bruising to the left ear of a newborn from sleeping on his side Any bruise
in a non-exploratory location in children younger than 4 years and any
bruising in a child younger than 4 months (TEN-4) are cause for suspicion of
abuse: Com- motio cordis Commotio cordis occurs when the chest is
struck during the refractory period of the cardiac conduction cycle,
resulting in a ventricular dysrhythmia or asystole. This type of injury
usually occurs in recreational sports such as baseball or ice hockey
6.A 12-year-old who was recently started on anti-psychotic medication for
schizophrenia is brought to the emergency department with severe muscle
rigidity and hyperthermia. These symptoms are most likely caused by which
of the following?: Neuroleptic malignant syndrome These are classic
symptoms of neuroleptic malignant syndrome, which is a rare reaction
to antipsychotic medica- tions.
7.Which of the following patients should be evaluated first: An 18-month-
old with bilious emesis Bilious emesis in an 18-month-old is always
considered an emergent symptom indicative of a life-threatening
2
, bowel obstruction.
8.1. Which of the following tasks can the nurse do to decrease adverse
medication events?: Obtain the patient's weight in kilograms This is the
preferred measurement for medication calculations for pediatric and
adult patients
9.Acute chest syndrome, stroke, and splenic sequestration are
complications of which of the following diseases?: Sickle cell anemia
These are all complica- tions of sickle cell anemia.
10.During the assessment of a 16-year-old male patient, the ED nurse identi-
fies him as a potential sex trafficking victim. The trauma informed approach
to care emphasizes certain principles in caring for these types of patients.
Which of the following care principles has the highest priority?: Physical
and psychological safety Create an environment where patients feel
safe, both physically and psychologically. Increase awareness of the
patient's interpersonal interactions with others to screen for risk of
harm. Prioritize the patient being in a safe location
11.A 6-month-old is brought to the emergency department for a recurrent
res- piratory infection. When gathering a history from the caregiver, the
emergency nurse learns that, in addition to the respiratory symptoms, the
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