ENPC Exam Prep / Exam Questions
Which of the following would be an abnormal finding in a patient with glomerulonephritis? Correct Answer: Clear urine There is a decrease in urine output for patients with glomerulonephritis. Urine would be concentrated and dark brown/tea-colored. Clear urine Th...
Which of the following would be an abnormal finding in a patient with glomerulonephritis? Correct
Answer: Clear urine There is a decrease in urine output for patients with glomerulonephritis. Urine
would be concentrated and dark brown/tea-colored. Clear urine There is a decrease in urine output for
patients with glomerulonephritis. Urine would be concentrated and dark brown/tea-colored. Correct
Answer: 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? Correct Answer: 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?
Correct Answer: 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 Correct Answer: 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? Correct Answer: 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 Correct Answer: 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.
Which of the following tasks can the nurse do to decrease adverse medication events? Correct Answer:
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? Correct Answer: 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? Correct Answer:
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? Correct Answer: 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? Correct Answer: 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? Correct Answer: 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? Correct Answer: 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 pediatric patient? Correct
Answer: Increasing heart rate In pediatric patients, tachycardia is the primary compensatory
mechanism to increase cardiac output.
A toddler has a chemical eye injury. Which of the following is the priority intervention? Correct Answer:
Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism to
increase cardiac output.
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 has not revealed any abnormalities. Which of the
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