ENPC EXAM LATEST 2023-2024 ACTUAL
EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
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
A 2-month-old child with intermittent irritability, poor feeding and apneic episodes has
a heart rate of 188 and an irregular respiratory rate. After three 0.9% sodium chloride
fluid boluses at 20 ml/kg each with only minimal clinical improvement, what treatment
should the emergency nurse anticipate next? - ANSWER-Start a vasopressor
infusion A child in septic shock who is not responding to fluid resuscitation likely
needs vasopressors to compensate for the vasodilation caused by the septic shock
state.
A 2-month-old infant is brought to the emergency department. The mother states he
has had trouble breathing for the past two days. The PAT reveals an age-appropriate
general appearance, rapid breathing with mild distress, and pink skin. Mucous is
noted to both nares. Which of the following is the best next step? - ANSWER-Suction
the nares with a bulb syringe Infants are preferential nose breathers and can have
respiratory distress when the nares are occluded. Suctioning the nares is the priority
intervention to open the airway.
A 2-year old has uniformly demarcated burns to bilateral lower extremities,
approximately 30% of the child's 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 analgesic and fluid administration Rapid vascular access
and fluid administration are the priority interventions.
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.
A 4-day-old who is brought to the emergency department 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 D10 is the preferred concentration for neonates to protect their fragile
vasculature.
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
ENPC EXAM LATEST 2023-2024 ACTUAL
EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
, ENPC EXAM LATEST 2023-2024 ACTUAL
EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
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.
A 5-year-old child presents to the emergency department after being hit by a car.
She complains of left upper quadrant pain and the focused assessment with
sonography for trauma (FAST) exam shows fluid around her spleen. Which of the
following findings would be an early indication of ongoing blood loss? - ANSWER-
Widening pulse pressure Narrowing pulse pressure and increasing heart rate are
early indications of ongoing blood loss.
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 6 year-old child presents to the emergency department with caregivers who report
a cough with nasal congestion and "pink-eye" that started 2 days ago. They have
been treating with an over-the-counter medicine without relief. Today they noticed a
raised red rash on the face and papules in the mouth. You suspect which of the
following? - ANSWER-Rubeola Rubeola presents with a cough, nasal inflammation
(coryza), and non-purulent conjunctivitis. A rash begins as erythematous macules
and papules on the hairline and face that spreads downward.
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.
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
ENPC EXAM LATEST 2023-2024 ACTUAL
EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller mikedoc. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.49. You're not tied to anything after your purchase.
