Exam (elaborations)
Emergency Nursing Pediatric Course (ENPC) Exam
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Emergency Nursing Pediatric Course 2024
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ENPC Exam6th Edition
100% Correct Answers
1. 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
2. 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
,3. 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
4. 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
5. 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%
6. 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
7. 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
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