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ENPC Exam Prep 2022 / Exam Questions & Answers
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ENPC Exam Prep 2022 / Exam Questions & AnswersWhich of the following would be an abnormal finding in a patient with
glomerulonephritis?
Correct Ans:- Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with glomerulonephritis.
Urine would be concentrated and dark brown/tea-colored.
Correct Ans:- Administration of nebulized epinephrine Moderate to severe croup is
treated with dexamethasone and nebulized epinephrine.
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?
Correct Ans:- Allow the extended to family members to serve as interpreters during
the procedure.
Which of the following patient presentations should increase suspicion of potential
child maltreatment?
Correct Ans:- 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
Correct Ans:- 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?
Correct Ans:- 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
Correct Ans:- 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.
Which of the following tasks can the nurse do to decrease adverse medication
events? Correct Ans:- 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?
Correct Ans:- 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?
Correct Ans:- 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 infant has had fatty stools. The
emergency nurse should be concerned about which of the following disease
processes? Correct Ans:- Cystic Fibrosis Pancreatic insufficiency leads to fat
malabsorption, which results in the fatty stools seen with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a
suspected globe rupture. Which of the following medication orders would the nurse
question?
Correct Ans:- Succinylcholine Succinylcholine may increase intraocular pressure
and should be avoided.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a
seizure at home. The patient has no seizure history. Upon examination, the patient
is post-ictal with a heart rate of 142 beats per minute, respiratory rate of 36 breaths
per minute, and blood pressure of 86/72 mm Hg. Significant burns are noted to the
patient's back and lower extremities. The mother states the burns accidentally
occurred 3 days ago, but she was afraid to bring patient in due to an ongoing child
welfare investigation. Which of the following are the MOST appropriate immediate
interventions?
Correct Ans:- Draw and send a metabolic panel, administer a fluid bolus, and obtain
a point of care glucose Significant burns can cause electrolyte imbalances.
Electrolyte imbalances may be the cause of the patient's seizure. Electrolyte
imbalances need to be identified and treated.
In which of the following primary survey components can assessment of the
fontanel provide the most useful information?
Correct Ans:- Circulation and disability A sunken fontanel may indicate dehydration;
a bulging fontanel can indicate increased intracranial pressure.
A 5-year-old patient presents to the emergency department with severe
dehydration due to viral gastroenteritis. He has signs of shock due to his
hypovolemia. Which of the following physiologic responses to shock has the
greatest impact on improving cardiac output in the pediatric patient?
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