ENPC EXAM 100 QUESTIONS AND 100% CORRECT ANSWERS 2023-
2024 VERSION/A+ GRADE GUARANTEED LATEST UPDATE MAY 2023.
Which of the following would be an abnormal finding in a patient with
glomerulonephritis? - ANSWER-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. - ANSWER-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? - ANSWER-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? - 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
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
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