ENPC Exam Questions
Which of the following would be an abnormal finding in a patient with glomerulonephritis? - 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...
Which of the following would be an abnormal finding in a patient with glomerulonephritis? - 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. - 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? - 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? - 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 - 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? - 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 - 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.
, 1. Which of the following tasks can the nurse do to decrease adverse medication events? - 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? - 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?
- 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? - 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? - 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? - 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? - 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
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