ENPC 6th Edition Study guide Exam
Questions with Key Marking Scheme
Updated 2024/2025
A 2-year-old arrives at the ED in hypovolemic shock and needs
fluids immediately. After several attempts, your team has been
unsuccessful at establishing vascular access. Of the following,
which is the next best option for establishing access quickly. -
correct answer Intraosseous in the patient's medial tibia.
A 13-year-old is experiencing a sudden onset of testicular pain,
swelling, and vomiting. The cremasteric reflex is absent. Which
of the following diagnoses is of highest suspicion in this
situation. - correct answer Testicular Torsion
After an explosion at a school, you are helping triage patients. In
your field triage room you find a 5-year-old patient who is not
breathing. What is the appropriate initial intervention. - correct
answer Open the Airway and assess for breathing
A parent presents to the emergency department carrying her 12-
week-old infant. The PAT reveals an infant who is quiet and opens
eyes with stimulation, whose breathing is regular and even, and
whose skin is pale, with a scattered vesicular rash. What is the
priority intervention for this infant. - correct answer Initiate
isolation precautions
A 12-year-old complains of a severe headache for the past 8
hours. Which of the following past history disease processes
would be considered a "red flag" and warrant immediate
evaluation for this patient. - correct answer Sickle Cell
, A 14-year-old patient presents to the emergency department with
her aunt after being assaulted. The patient has multiple bruises
inconsistent with the assault history and seems guarded with her
answers. A urine test is positive for pregnancy, although the
patient denies being sexually active. The aunt repeatedly asks
when they will be discharged. The ED nurse recognizes these
finding as red flags for which of the following. - correct answer
Sex Trafficking
A 12-year-old presents to the emergency department with a
severe headache. The mother reports that the child has been
experiencing headaches and has had multiple seizures for the
past several months. The child was seen by their primary doctor
and prescribed an anti-seizure medication, but the prescription
was not filled because "the doctor just wants money." This is an
example of what type of neglect. - correct answer Medical
Which of the following is the recommended method of insulin
administration for a pediatric patient with diabetic ketoacidosis. -
correct answer Insulin Infusion
Which of the following is the priority intervention for the nurse
caring for an immunocompromised pediatric patient with a fever
- correct answer Negative Pressure Room
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. - correct answer
Anaphylaxis
A school-aged child arrives in the emergency department with a
2-day history of vomiting. The child is cool and pale, with weak
Questions with Key Marking Scheme
Updated 2024/2025
A 2-year-old arrives at the ED in hypovolemic shock and needs
fluids immediately. After several attempts, your team has been
unsuccessful at establishing vascular access. Of the following,
which is the next best option for establishing access quickly. -
correct answer Intraosseous in the patient's medial tibia.
A 13-year-old is experiencing a sudden onset of testicular pain,
swelling, and vomiting. The cremasteric reflex is absent. Which
of the following diagnoses is of highest suspicion in this
situation. - correct answer Testicular Torsion
After an explosion at a school, you are helping triage patients. In
your field triage room you find a 5-year-old patient who is not
breathing. What is the appropriate initial intervention. - correct
answer Open the Airway and assess for breathing
A parent presents to the emergency department carrying her 12-
week-old infant. The PAT reveals an infant who is quiet and opens
eyes with stimulation, whose breathing is regular and even, and
whose skin is pale, with a scattered vesicular rash. What is the
priority intervention for this infant. - correct answer Initiate
isolation precautions
A 12-year-old complains of a severe headache for the past 8
hours. Which of the following past history disease processes
would be considered a "red flag" and warrant immediate
evaluation for this patient. - correct answer Sickle Cell
, A 14-year-old patient presents to the emergency department with
her aunt after being assaulted. The patient has multiple bruises
inconsistent with the assault history and seems guarded with her
answers. A urine test is positive for pregnancy, although the
patient denies being sexually active. The aunt repeatedly asks
when they will be discharged. The ED nurse recognizes these
finding as red flags for which of the following. - correct answer
Sex Trafficking
A 12-year-old presents to the emergency department with a
severe headache. The mother reports that the child has been
experiencing headaches and has had multiple seizures for the
past several months. The child was seen by their primary doctor
and prescribed an anti-seizure medication, but the prescription
was not filled because "the doctor just wants money." This is an
example of what type of neglect. - correct answer Medical
Which of the following is the recommended method of insulin
administration for a pediatric patient with diabetic ketoacidosis. -
correct answer Insulin Infusion
Which of the following is the priority intervention for the nurse
caring for an immunocompromised pediatric patient with a fever
- correct answer Negative Pressure Room
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. - correct answer
Anaphylaxis
A school-aged child arrives in the emergency department with a
2-day history of vomiting. The child is cool and pale, with weak
