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ENPC EXAM QUIZZES AND CORRECT DETAILED ANSWERS 2023
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ENPC EXAM QUIZZES AND CORRECTDETAILED ANSWERS 2023
A 3 year old is rescued after being submerged in a residential pool for several minutes.
On arrival at the ED he is responsive to painful stimuli, has slow respirations with
diminished breath sounds throughout, and has an occasional cough. What is the initial
management priority? - ANSWER- ET intubation with positive pressure ventilation
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
A 6 month old is brought to the ED for recurrent respiratory infections. When gathering a
history from the care giver, the emergency nurse learns that in addition to respiratory
symptoms, the infant has had fatty stools. The emergency nurse should be concerned
about which of the following disease processes? - ANSWER- Cystic fibrosis
A toddler has a chemical eye injury. Which of the following is a priority intervention? -
ANSWER- Copious eye irrigation with an isotonic solution
Which of these is the priority intervention for a pediatric patient with DKA? - ANSWER-
Insulin infusion
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
Which of the following patients should be evaluated first? - ANSWER- 18 month old with
bilious emesis
Which of the following describes a neonates normal position? - ANSWER- Flexion with
extremities close to the body
You are discharging a patient home with a history of depression. Discharge teaching
should include which of the following? - ANSWER- Ensuring all firearms in the house
are locked up in a safe place with no access by the patient
An ambulance arrives with a 16 year old male who was 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 ET tube placement and patency
, All of the vaccine administrations are appropriate EXCEPT which of the following? -
ANSWER- Fifth Disease at 6 months
A 4 day old who is brought to the ED 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
The neurosurgeon has decided to perform an invasive procedure in the emergency
department to monitor the ICP on a 5 year old pt. 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- A. allowing caregivers to remain with the pediatric
pt
B. allow the extended family members to serve as interpreters during the procedure
c. dedicate a healthcare team member with a qualified interpreter to be with the family
during the procedure
d. provide access to a quiet area
IDK MAYBE A
A 16 year old is noted to have external rotation and shortening of the left lower extremity
and pain with palpation of the pelvis after being ejected from a motorcycle. Which of the
following assessment findings is most concerning for a potentially life threatening
condition? - ANSWER- Bony crepitus and instability with gentle anterior posterior
compression
During the assessment of a 16 year old male patient the ED nurse identifies him as a
possible 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
The emergency nurse is caring for a patient with significant facial trauma and a
suspected globe rupture. Which of the following medications would the nurse question?
- ANSWER- Succinylcholine
Which of the following indicates the need for additional parent/guardian education
regarding UTI? - ANSWER- "My child will grow out of their frequent UTIs".
A 15 year old patient has attempted suicide by overdosing on amitriptyline. The
emergency nurse should expect which of the following symptoms? - ANSWER-
Dysrhythmias
A 2 year old has uniform demarcated burns to bilateral lower extremities, approximately
30% of the childs total body surface area. The father states he briefly left the room while
the child was in the bath and the child apparently played with the faucet. Which of the
following interventions has the highest priority? - ANSWER- Obtain vascular access for
rapid fluid administration
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