ENPC Exam 6th Edition Questions
And Revised Correct Answers
A 5-year-old child presents with hives, swelling of the lips
and face, and stridor that developed about an hour after
eating lunch. The child has no known allergies. Which of
the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - ANSWER : A. Administer
intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia.
During reassessment, which of the following findings
would be most indicative that respiratory failure is
developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - ANSWER : A. SpO2 of 94 % on
room air
A 3-year-old has a two-day history of runny nose, low-
grade fever, and a "barky" cough at night. The child is
awake and alert with noted stridor. Pulse oximetry is 96%
on room air. Which of the following interventions would be
the most appropriated for this child?
,A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer - ANSWER :
B. Administration of nebulized epinephrine
A 14-year-old patient had a reduction of a
temporomandibular joint dislocation in the ED. Which of
the following should be included in the discharge
instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control -
ANSWER : D. Use a nonsteroidal anti-inflammatory for
pain control
Which of the following parameters would indicate that
appropriate post resuscitation interventions were
successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - ANSWER : A.
Pulse oximetry reading of 96%
An anxious 12-year-old child presents to the emergency
department with a sudden onset of nausea, diarrhea,
abdominal cramping, flushing, and hypotension.
Symptoms started about 60 minutes after lunch. Which of
, the following conditions is the most likely cause of these
symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche - ANSWER : A. Anaphylaxis
An 8-year-old trauma patient suddenly develops
increased respiratory distress with a rise in heart rate from
112 beats/minute to 142 beats/minute associated with an
abrupt hypotensive event. Distention of the jugular veins is
noted. Which of the following emergent interventions
should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression - ANSWER : D. Needle
decompression
A 4-week-old infant born prematurely is brought to the
emergency department due to the rapid onset of
abdominal distention, vomiting, bloody stools, and
exhibiting signs of shock. Based on these findings, what
condition should the nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia - ANSWER : A.
Necrotizing enterocolitis
And Revised Correct Answers
A 5-year-old child presents with hives, swelling of the lips
and face, and stridor that developed about an hour after
eating lunch. The child has no known allergies. Which of
the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - ANSWER : A. Administer
intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia.
During reassessment, which of the following findings
would be most indicative that respiratory failure is
developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - ANSWER : A. SpO2 of 94 % on
room air
A 3-year-old has a two-day history of runny nose, low-
grade fever, and a "barky" cough at night. The child is
awake and alert with noted stridor. Pulse oximetry is 96%
on room air. Which of the following interventions would be
the most appropriated for this child?
,A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer - ANSWER :
B. Administration of nebulized epinephrine
A 14-year-old patient had a reduction of a
temporomandibular joint dislocation in the ED. Which of
the following should be included in the discharge
instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control -
ANSWER : D. Use a nonsteroidal anti-inflammatory for
pain control
Which of the following parameters would indicate that
appropriate post resuscitation interventions were
successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - ANSWER : A.
Pulse oximetry reading of 96%
An anxious 12-year-old child presents to the emergency
department with a sudden onset of nausea, diarrhea,
abdominal cramping, flushing, and hypotension.
Symptoms started about 60 minutes after lunch. Which of
, the following conditions is the most likely cause of these
symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche - ANSWER : A. Anaphylaxis
An 8-year-old trauma patient suddenly develops
increased respiratory distress with a rise in heart rate from
112 beats/minute to 142 beats/minute associated with an
abrupt hypotensive event. Distention of the jugular veins is
noted. Which of the following emergent interventions
should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression - ANSWER : D. Needle
decompression
A 4-week-old infant born prematurely is brought to the
emergency department due to the rapid onset of
abdominal distention, vomiting, bloody stools, and
exhibiting signs of shock. Based on these findings, what
condition should the nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia - ANSWER : A.
Necrotizing enterocolitis
