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ENPC PRACTICE EXAM| ENPC 6TH AND 5TH EDITION
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EXAM OR STUDY GUIDE ALL QUESTIONS AND COR j j j j j j j
RECT ANSWERS/ MOST RECENT AND COMPLETE V j j j j j j
ERSIONGRADED A+| BRAND NEW!!!! j j j j
An unresponsive 2-year-
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old child was found by his mother with a bottle labeled "Elavil 50 mg" by his side. Whic
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h piece of information is important to obtain from his mother?
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A. The size of the medication bottle.
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B. The expiration date of the medication.
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C. The number of pills left in the bottle.
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D. The person for whom the medication was prescribe.
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C. The number of pills left in the bottle.
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A nurse providing crisis intervention to the family of a seriously ill child can best keep th
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e family informed of the child's condition by:
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A. Placing them in a secluded room.
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B. Referring to their child as "the patient".
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C. Telling the family how they should feel.
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D. Appointing one staff member to communicate with them.
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D. Appointing one staff member to communicate with them.
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A 16-month-
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old child was an unrestrained front seat passenger in a motor vehicle crash. The chest x
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-ray reveals multiple rib fractures. These findings suggest what type of injury?
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A. Minor surface injury.
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B. Significant underlying injury.
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C. Significant surface injury.
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D. Minor underlying injury.
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B. Significant underlying injury.
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Which piece of information is most important to know prior to transferring a patient to a
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nother facility? j
A. Documentation of the family's health insurance coverage.
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B. Pertinent family health history.
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C. Confirmation of acceptance from the receiving hospital.
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D. Confirmation of a medical diagnosis.
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C. Confirmation of acceptance from the receiving hospital.
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A 10-year-
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old child who was struck by a car has a distended, tense abdomen. The child's heart rate i
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s 144 beats/minute, respirations 24 breaths/minute, and blood pressure 120/80 mm Hg.
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Capillary refill is more than 3 seconds, and skin is pale and cool. The patient's signs and
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symptoms suggest: j
A. Obstructive shock.
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B. Distributive shock.
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C. Hypovolemic shock.
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D. Cardiogenic shock.
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C. Hypovolemic shock.
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A school-
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aged child is about to receive stitches. To evaluate his understanding of the procedure, y
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ou tell him:
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A. "Young people your age have questions about getting stitches. What are your questions?
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"
B. "Don't cry while you are getting the stitches. Be brave like a man."
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C. "You will probably receive 10 stitches. Do you have any questions before we restrain you
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?"
D. "Does your cut hurt? Would you like your mommy to hold you?"
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A. "Young people your age have questions about getting stitches. What are your questio
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ns?"
What is the preferred sit for intraosseous access in the infant?
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A. Lateral malleolus
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B. Iliac crest
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C. Proximal femur
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D. Anteromedial tibia
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D. Anteromedial tibia
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An important consideration in the assessment of pain for an adolescent patient is that th
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ey:
A. May deny or minimize their pain when friends visit for fear of losing control.
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B. Have difficulty localizing or describing the pain.
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C. Are unable to use the 1 to 10 scale to report their pain.
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D. Feel that the pain is a punishment for something they did wrong.
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A. May deny or minimize their pain when friends visit for fear of losing control.
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An 8-month- j
old infant with pneumonia has severe intercostal and substernal retractions, weak mus
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cle tone, lethargy, and gray skin color. The infant's condition does not improve after bag
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-mask ventilation. The next step in treatment is most likely to be:
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A. Administration of epinephrine.
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B. Supplemental warming measures.
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C. Rapid sequence intubation.
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D. Administration of albuterol.
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C. Rapid sequence intubation.
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Which combination of medications is best to have prepared for a pediatric resuscitation?
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A. Dopamine and sodium bicarbonate.
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B. Epinephrine and glucose.
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C. Naloxone and lidocaine.
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D. Pentothal and vecuronium.
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B. Epinephrine and glucose.
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A 20-day-old infant has a 1-
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week history of not eating well. The infant has a weak cry and is jittery. Which laborator
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y test is indicated?
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A. Arterial blood gas.
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B. Finger-stick glucose.
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C. Complete blood count with differential.
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ENPC PRACTICE EXAM| ENPC 6TH AND 5TH EDITION
j j j j j j j j
EXAM OR STUDY GUIDE ALL QUESTIONS AND COR j j j j j j j
RECT ANSWERS/ MOST RECENT AND COMPLETE V j j j j j j
ERSIONGRADED A+| BRAND NEW!!!! j j j j
An unresponsive 2-year-
j j
old child was found by his mother with a bottle labeled "Elavil 50 mg" by his side. Whic
j j j j j j j j j j j j j j j j j
h piece of information is important to obtain from his mother?
j j j j j j j j j j
A. The size of the medication bottle.
j j j j j j
B. The expiration date of the medication.
j j j j j j
C. The number of pills left in the bottle.
j j j j j j j j
D. The person for whom the medication was prescribe.
j j j j j j j j
C. The number of pills left in the bottle.
j j j j j j j j
A nurse providing crisis intervention to the family of a seriously ill child can best keep th
j j j j j j j j j j j j j j j j
e family informed of the child's condition by:
j j j j j j j
A. Placing them in a secluded room.
j j j j j j
B. Referring to their child as "the patient".
j j j j j j j
C. Telling the family how they should feel.
j j j j j j j
D. Appointing one staff member to communicate with them.
j j j j j j j j
D. Appointing one staff member to communicate with them.
j j j j j j j j
A 16-month-
j
old child was an unrestrained front seat passenger in a motor vehicle crash. The chest x
j j j j j j j j j j j j j j j
-ray reveals multiple rib fractures. These findings suggest what type of injury?
j j j j j j j j j j j
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A. Minor surface injury.
j j j
B. Significant underlying injury.
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C. Significant surface injury.
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D. Minor underlying injury.
j j j
B. Significant underlying injury.
j j j
Which piece of information is most important to know prior to transferring a patient to a
j j j j j j j j j j j j j j j
nother facility? j
A. Documentation of the family's health insurance coverage.
j j j j j j j
B. Pertinent family health history.
j j j j
C. Confirmation of acceptance from the receiving hospital.
j j j j j j j
D. Confirmation of a medical diagnosis.
j j j j j
C. Confirmation of acceptance from the receiving hospital.
j j j j j j j
A 10-year-
j
old child who was struck by a car has a distended, tense abdomen. The child's heart rate i
j j j j j j j j j j j j j j j j j
s 144 beats/minute, respirations 24 breaths/minute, and blood pressure 120/80 mm Hg.
j j j j j j j j j j j
Capillary refill is more than 3 seconds, and skin is pale and cool. The patient's signs and
j j j j j j j j j j j j j j j j j j
symptoms suggest: j
A. Obstructive shock.
j j
B. Distributive shock.
j j
C. Hypovolemic shock.
j j
D. Cardiogenic shock.
j j
C. Hypovolemic shock.
j j
,3j|jPj aj gj e
A school-
j
aged child is about to receive stitches. To evaluate his understanding of the procedure, y
j j j j j j j j j j j j j j
ou tell him:
j j
A. "Young people your age have questions about getting stitches. What are your questions?
j j j j j j j j j j j j j
"
B. "Don't cry while you are getting the stitches. Be brave like a man."
j j j j j j j j j j j j j
C. "You will probably receive 10 stitches. Do you have any questions before we restrain you
j j j j j j j j j j j j j j j
?"
D. "Does your cut hurt? Would you like your mommy to hold you?"
j j j j j j j j j j j j
A. "Young people your age have questions about getting stitches. What are your questio
j j j j j j j j j j j j j
ns?"
What is the preferred sit for intraosseous access in the infant?
j j j j j j j j j j
A. Lateral malleolus
j j
B. Iliac crest
j j
C. Proximal femur
j j
D. Anteromedial tibia
j j
D. Anteromedial tibia
j j
An important consideration in the assessment of pain for an adolescent patient is that th
j j j j j j j j j j j j j j
ey:
A. May deny or minimize their pain when friends visit for fear of losing control.
j j j j j j j j j j j j j j
B. Have difficulty localizing or describing the pain.
j j j j j j j
C. Are unable to use the 1 to 10 scale to report their pain.
j j j j j j j j j j j j j
D. Feel that the pain is a punishment for something they did wrong.
j j j j j j j j j j j j
A. May deny or minimize their pain when friends visit for fear of losing control.
j j j j j j j j j j j j j j
, 4j|jPj aj gj e
An 8-month- j
old infant with pneumonia has severe intercostal and substernal retractions, weak mus
j j j j j j j j j j j
cle tone, lethargy, and gray skin color. The infant's condition does not improve after bag
j j j j j j j j j j j j j j
-mask ventilation. The next step in treatment is most likely to be:
j j j j j j j j j j j
A. Administration of epinephrine.
j j j
B. Supplemental warming measures.
j j j
C. Rapid sequence intubation.
j j j
D. Administration of albuterol.
j j j
C. Rapid sequence intubation.
j j j
Which combination of medications is best to have prepared for a pediatric resuscitation?
j j j j j j j j j j j j
A. Dopamine and sodium bicarbonate.
j j j j
B. Epinephrine and glucose.
j j j
C. Naloxone and lidocaine.
j j j
D. Pentothal and vecuronium.
j j j
B. Epinephrine and glucose.
j j j
A 20-day-old infant has a 1-
j j j j j
week history of not eating well. The infant has a weak cry and is jittery. Which laborator
j j j j j j j j j j j j j j j j
y test is indicated?
j j j
A. Arterial blood gas.
j j j
B. Finger-stick glucose.
j j
C. Complete blood count with differential.
j j j j j
