ENPC Exam Test Questions And 100% Verified
Solutions/A+ Grade Guaranteed
A 3-year-old is injured in a motor vehicle collision. Upon arrival at the emergency
department, the child has a diminished level of consciousness, equal bilateral breath
sounds, and cool, pale skin. Vital signs are HR 140 beats/minute, RR 36
breaths/minute, and BP 70/40 mm Hg. The child is most likely in which of the following
shock states? - ANSWER-Hypovolemic shock The mechanism and presentation lead to
a suspicion of blood loss.
Which of the following is the priority intervention for a pediatric patient with diabetic
ketoacidosis? - ANSWER-Insulin infusion A continuous infusion of insulin at 0.05-0.1
unit/kg/hr should be used to decrease blood glucose.
Which of the following describes a neonate's normal position? - ANSWER-Flexion with
extremities close to the body A neonate's normal position is flexion with extremities
close to the body.
The emergency nurse is caring for a 14-year-old patient who sustained a displaced
fracture of the radius and ulna after falling from a bicycle. Which of the following pain
interventions is most likely to result in improvement in symptoms? -
ANSWERApplication of a splint to the affected extremity Splinting is an effective
nonpharmacologic intervention to reduce pain associated with fractures.
The type of vascular access is appropriate in all of the patient situations given EXCEPT
for which of the following? - ANSWER-Peripherally inserted central catheter line for one
time fluid bolus This vascular access is most appropriate for long term medication
administration and multiple blood draws.
A 5-year-old child presents to the emergency department after being hit by a car. She
complains of left upper quadrant pain and the focused assessment with sonography for
trauma (FAST) exam shows fluid around her spleen. Which of the following findings
would be an early indication of ongoing blood loss? - ANSWER-Widening pulse
pressure Narrowing pulse pressure and increasing heart rate are early indications of
ongoing blood loss.
A 15-year-old patient has attempted suicide by overdosing on amitriptyline. The
emergency nurse should expect which of the following symptoms? -
ANSWERDysrhythmias QRS prolongation and ventricular dysrhythmias are symptoms
of cyclic antidepressant overdose.
, The parents of a 5-year-old child arrive at the emergency department. The child's lips
and face are swollen with hives on the face. The parents report the child ate peanut
butter crackers in the last hour. The child has no known allergies. The nurse recognizes
the findings are associated with: - ANSWER-Food allergy This a clinical manifestation
seen in food allergies.
Which of the following statements demonstrates a nurse's understanding of pediatric
submersion injuries? - ANSWER-The best indicator of survival after submersion is the
duration of time of submersion The duration of submersion is the best predictor of
survival after drowning. In general, shorter times correlate to better outcomes.
A 2-month-old infant is brought to the emergency department. The mother states he has
had trouble breathing for the past two days. The PAT reveals an age-appropriate
general appearance, rapid breathing with mild distress, and pink skin. Mucous is noted
to both nares. Which of the following is the best next step? - ANSWER-Suction the
nares with a bulb syringe Infants are preferential nose breathers and can have
respiratory distress when the nares are occluded. Suctioning the nares is the priority
intervention to open the airway.
During the tertiary survey, the emergency nurse should continue to conduct
reevaluations of the Pediatric Assessment Triangle (PAT), abnormal findings, and which
of the following other assessment components? - ANSWER-Primary survey, vital signs,
pain management, and effectiveness of therapeutic interventions The additional
components of the reevaluation in the tertiary survey include the primary survey, vital
signs, pain management, and effectiveness of therapeutic interventions.
Which of the following interventions would the nurse anticipate for a pediatric patient
with a fever and a history of a hematologic or oncologic condition? -
ANSWERIntravenous antibiotics This patient population is at risk for life-threatening
sepsis, and treatment with intravenous antibiotics is indicated.
Prioritizing pediatric patients presenting with fever is often difficult. Which of the
following patients is at greatest risk of serious illness? - ANSWER-A 7-year old boy with
a history of sickle cell anemia and an oral temperature of 38.3°C (101°F) Children with
chronic illnesses such as sickle cell disease are at greatest risk for life-threatening
fever-related illnesses.
Which of the following indicates the need for additional parent/guardian education
regarding a UTI? - ANSWER-My child will grow out of their frequent urinary tract
infections UTIs are not a normal occurrence in children and may require additional
investigation and follow up.
A 4-day-old who is brought to the emergency department with the parental complaint of
"not acting right" is found to be hypoglycemic. The appropriate glucose concentration to
administer to this neonate is which of the following? - ANSWER-D10 D10 is the
Solutions/A+ Grade Guaranteed
A 3-year-old is injured in a motor vehicle collision. Upon arrival at the emergency
department, the child has a diminished level of consciousness, equal bilateral breath
sounds, and cool, pale skin. Vital signs are HR 140 beats/minute, RR 36
breaths/minute, and BP 70/40 mm Hg. The child is most likely in which of the following
shock states? - ANSWER-Hypovolemic shock The mechanism and presentation lead to
a suspicion of blood loss.
Which of the following is the priority intervention for a pediatric patient with diabetic
ketoacidosis? - ANSWER-Insulin infusion A continuous infusion of insulin at 0.05-0.1
unit/kg/hr should be used to decrease blood glucose.
Which of the following describes a neonate's normal position? - ANSWER-Flexion with
extremities close to the body A neonate's normal position is flexion with extremities
close to the body.
The emergency nurse is caring for a 14-year-old patient who sustained a displaced
fracture of the radius and ulna after falling from a bicycle. Which of the following pain
interventions is most likely to result in improvement in symptoms? -
ANSWERApplication of a splint to the affected extremity Splinting is an effective
nonpharmacologic intervention to reduce pain associated with fractures.
The type of vascular access is appropriate in all of the patient situations given EXCEPT
for which of the following? - ANSWER-Peripherally inserted central catheter line for one
time fluid bolus This vascular access is most appropriate for long term medication
administration and multiple blood draws.
A 5-year-old child presents to the emergency department after being hit by a car. She
complains of left upper quadrant pain and the focused assessment with sonography for
trauma (FAST) exam shows fluid around her spleen. Which of the following findings
would be an early indication of ongoing blood loss? - ANSWER-Widening pulse
pressure Narrowing pulse pressure and increasing heart rate are early indications of
ongoing blood loss.
A 15-year-old patient has attempted suicide by overdosing on amitriptyline. The
emergency nurse should expect which of the following symptoms? -
ANSWERDysrhythmias QRS prolongation and ventricular dysrhythmias are symptoms
of cyclic antidepressant overdose.
, The parents of a 5-year-old child arrive at the emergency department. The child's lips
and face are swollen with hives on the face. The parents report the child ate peanut
butter crackers in the last hour. The child has no known allergies. The nurse recognizes
the findings are associated with: - ANSWER-Food allergy This a clinical manifestation
seen in food allergies.
Which of the following statements demonstrates a nurse's understanding of pediatric
submersion injuries? - ANSWER-The best indicator of survival after submersion is the
duration of time of submersion The duration of submersion is the best predictor of
survival after drowning. In general, shorter times correlate to better outcomes.
A 2-month-old infant is brought to the emergency department. The mother states he has
had trouble breathing for the past two days. The PAT reveals an age-appropriate
general appearance, rapid breathing with mild distress, and pink skin. Mucous is noted
to both nares. Which of the following is the best next step? - ANSWER-Suction the
nares with a bulb syringe Infants are preferential nose breathers and can have
respiratory distress when the nares are occluded. Suctioning the nares is the priority
intervention to open the airway.
During the tertiary survey, the emergency nurse should continue to conduct
reevaluations of the Pediatric Assessment Triangle (PAT), abnormal findings, and which
of the following other assessment components? - ANSWER-Primary survey, vital signs,
pain management, and effectiveness of therapeutic interventions The additional
components of the reevaluation in the tertiary survey include the primary survey, vital
signs, pain management, and effectiveness of therapeutic interventions.
Which of the following interventions would the nurse anticipate for a pediatric patient
with a fever and a history of a hematologic or oncologic condition? -
ANSWERIntravenous antibiotics This patient population is at risk for life-threatening
sepsis, and treatment with intravenous antibiotics is indicated.
Prioritizing pediatric patients presenting with fever is often difficult. Which of the
following patients is at greatest risk of serious illness? - ANSWER-A 7-year old boy with
a history of sickle cell anemia and an oral temperature of 38.3°C (101°F) Children with
chronic illnesses such as sickle cell disease are at greatest risk for life-threatening
fever-related illnesses.
Which of the following indicates the need for additional parent/guardian education
regarding a UTI? - ANSWER-My child will grow out of their frequent urinary tract
infections UTIs are not a normal occurrence in children and may require additional
investigation and follow up.
A 4-day-old who is brought to the emergency department with the parental complaint of
"not acting right" is found to be hypoglycemic. The appropriate glucose concentration to
administer to this neonate is which of the following? - ANSWER-D10 D10 is the
