ENPC 5TH EDITION EXAM PREP
2025/2026 QUESTIONS AND CORRECT
ANSWERS GRADED A+
Which of the following patient presentations should increase suspicion of
potential child maltreatment? - ✔✔ANSWER✔✔-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
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 -
✔✔ANSWER✔✔-Commotio 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
, 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? - ✔✔ANSWER✔✔-Neuroleptic malignant syndrome These are
classic symptoms of neuroleptic malignant syndrome, which is a rare reaction
to antipsychotic medications.
Which of the following patients should be evaluated first - ✔✔ANSWER✔✔-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 bowel
obstruction.
1. Which of the following tasks can the nurse do to decrease adverse
medication events? - ✔✔ANSWER✔✔-Obtain the patient's weight in kilograms
This is the preferred measurement for medication calculations for pediatric
and adult patients
Acute chest syndrome, stroke, and splenic sequestration are complications of
which of the following diseases? - ✔✔ANSWER✔✔-Sickle cell anemia These
are all complications of sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies
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? - ✔✔ANSWER✔✔-
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
A 6-month-old is brought to the emergency department for a recurrent
respiratory infection. When gathering a history from the caregiver, the
emergency nurse learns that, in addition to the respiratory symptoms, the
2025/2026 QUESTIONS AND CORRECT
ANSWERS GRADED A+
Which of the following patient presentations should increase suspicion of
potential child maltreatment? - ✔✔ANSWER✔✔-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
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 -
✔✔ANSWER✔✔-Commotio 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
, 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? - ✔✔ANSWER✔✔-Neuroleptic malignant syndrome These are
classic symptoms of neuroleptic malignant syndrome, which is a rare reaction
to antipsychotic medications.
Which of the following patients should be evaluated first - ✔✔ANSWER✔✔-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 bowel
obstruction.
1. Which of the following tasks can the nurse do to decrease adverse
medication events? - ✔✔ANSWER✔✔-Obtain the patient's weight in kilograms
This is the preferred measurement for medication calculations for pediatric
and adult patients
Acute chest syndrome, stroke, and splenic sequestration are complications of
which of the following diseases? - ✔✔ANSWER✔✔-Sickle cell anemia These
are all complications of sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies
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? - ✔✔ANSWER✔✔-
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
A 6-month-old is brought to the emergency department for a recurrent
respiratory infection. When gathering a history from the caregiver, the
emergency nurse learns that, in addition to the respiratory symptoms, the
