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ENPC EXAM LATEST ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+
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ENPC EXAM LATEST ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+
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ENPC EXAM LATEST 2023-2024 ACTUAL EXAM 100QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
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 infant has had fatty stools. The
emergency nurse should be concerned about which of the following disease
,processes? - ANSWER- 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? - ANSWER- 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? - ANSWER- 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? - ANSWER- 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? - ANSWER- Increasing heart
rate In pediatric patients, tachycardia is the primary compensatory mechanism to
increase cardiac output.
A toddler has a chemical eye injury. Which of the following is the priority
intervention? - ANSWER- Increasing heart rate In pediatric patients, tachycardia is
the primary compensatory mechanism to increase cardiac output.
A 5 year-old with no health problems presents to the Emergency Department with
a sudden onset of chest pain and shortness of breath. Parents state that the family
was involved in a bad car crash one week ago. A thorough assessment and workup
has not revealed any abnormalities. Which of the following steps is the best next
, step to take? - ANSWER- Ask about any new bed-wetting or sleep disturbances
Pediatric patients with anxiety and PTSD may present with physical complaints.
Assess for other behavioral symptoms to facilitate appropriate care and follow-up.
Which of the following is the most appropriate intervention for a child
experiencing a seizure? - ANSWER- Prepare to administer intranasal midazolam
Midazolam has gained favor because of its ease of use and quick onset of action.
An ambulance arrives with a 16-year-old male involved in a dirt bike crash who
was intubated prior to arrival. Which of the following is the priority assessment or
intervention? - ANSWER- Assess the endotracheal tube placement and patency If
a patient arrives with an artificial airway (endotracheal tube or tracheostomy) in
place, assess its placement, tube patency, and the oral airway (in that order) before
moving to the next step of the primary survey.
A three-year-old is rescued after being submerged in a residential pool for several
minutes. On arrival at the Emergency Department he is responsive to painful
stimuli, has shallow respirations with diminished breath sounds throughout, and
has an occasional cough. What is the initial management priority? - ANSWER-
Endotracheal intubation with positive pressure ventilation Airway control and
positive pressure ventilation are the priority interventions for this patient.
A nurse providing crisis intervention to the family of a seriously ill child can best
keep the family informed of the child's condition by doing which of the following?
- ANSWER- Appointing one staff member to communicate with them. This will
help create a solid patient-staff bond and facilitate communication.
You are discharging a patient to home with a history of depression. Discharge
teaching should include which of the following? - ANSWER- Ensuring all firearms
in the home are locked in a safe place with no access by the patient. Promote injury
prevention with caregivers of patients with a history of depression or suicidal
ideation by encouraging that all firearms and medications are under lock to prevent
overdoses or suicide attempt.
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.
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