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ULTIMATE ENPC EXAM.
A + GRADED.
ULTIMATE ENPC.WITH 100% VERIFIED
QUESTIONS AND
ANSWERS.2023/2024.YEAR 2024.
A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment,
padding should be placed under which area?
A. Shoulders
B. Head
C. Neck
D. Waist --CORRECT ANSWER--- A. Shoulders
The nurse is planning to begin oral rehydration therapy for a 9-month-old with mild
dehydration. She provides the caregivers with a glucose and sodium solution and instructs them
to administer small amounts:
A. Every 2 to 5 minutes
B. Every 10 to 12 minutes
C. Every 15 minutes
D. Every 30 minutes --CORRECT ANSWER--- A. 2-5
Caregivers bring in their 3-week-old neonate and describe nonbilious vomiting after every
feeding that is becoming more forceful over the past 24 hours. The last time he vomited the
vomitus hit a chair 2 feet away. They say he cries, roots, and sucks vigorously on his pacifier
right after vomiting as though still hungry. He is not experiencing any diarrhea. What condition
is the most likely cause of these signs and symptoms?
A. Intussusception
B. Volvulus
C. Gastroenteritis
D. Pyloric stenosis --CORRECT ANSWER--- D. Pyloric Stenosis
Which of the following screening statements/questions is most appropriate in assessing an
adolescent for dating violence?
A. "What triggers violence you've experienced from your partner?"
B. "Does your partner feel entitled to sex even if you say 'no'?"
C. "Tell me about a time when you've felt unsafe in your relationship."
D. "Do you feel if you tried harder to please, your partner will not become violent?" --CORRECT
ANSWER--- C. "Tell me about a time when you've felt unsafe in your relationship."
Which sign distinguishes compensated shock from decompensated shock in the pediatric
patient?
A. Peripheral pulses
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ULTIMATE ENPC EXAM.
A + GRADED.
B. Blood pressure
C. Capillary refill
D. Level of consciousness --CORRECT ANSWER--- B. Blood Pressure
A 15-year-old with a history of schizophrenia is taking risperidone (Risperdal) and lithium
(Eskalith). She presents with dystonia, akinesia, a shuffling gait, muscle rigidity, and tremors.
What does the nurse suspect is the cause of these signs and symptoms?
A. Extrapyramidal symptoms
B. Tardive dyskinesia
C. Neuroleptic malignant syndrome
D. Serotonin syndrome --CORRECT ANSWER--- A. Extrapyramidal symptoms
Two ambulances collide in front of the hospital. The victims include three pediatric victims.
Using the JumpSTART triage system, which category assignment will the nurse give to a 2-year-
old who is lying on the ground, alert and crying with spontaneous respirations of 36
breaths/minute and present peripheral pulses?
A. Green
B. Yellow
C. Red
D. Black --CORRECT ANSWER--- B. Yellow
A nurse providing crisis intervention to the family of a seriously ill child can best keep the family
informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them. --CORRECT ANSWER--- D.
Appointing one staff member to communicate with them.
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash. The
chest x-ray reveals multiple rib fractures. These findings suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury. --CORRECT ANSWER--- B. Significant underlying injury.
Which piece of information is most important to know prior to transferring a patient to another
facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis. --CORRECT ANSWER--- C. Confirmation of acceptance
from the receiving hospital.
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ULTIMATE ENPC EXAM.
A + GRADED.
A 10-year-old child who was struck by a car has a distended, tense abdomen. The child's heart
rate is 144 beats/minute, respirations 24 breaths/minute, and blood pressure 120/80 mm Hg.
Capillary refill is more than 3 seconds, and skin is pale and cool. The patient's signs and
symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock. --CORRECT ANSWER--- C. Hypovolemic shock.
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Proximal tibia --CORRECT ANSWER--- D. Proximal tibia
A 13-year -old male presents to the triage desk complaining of nausea and vomiting. The
patient looks distressed and pale. He complains of spasming pain in his right scrotum which has
now become constant and more severe. Which of the following assessment findings would the
nurse expect with this patient? --CORRECT ANSWER--- Elevated right testicle
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? --CORRECT ANSWER--- Needle decompression is emergently
necessary to release the air and allow expansion of the lung again.
An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the windshield.
On arrival to the ED. the patient is minimally responsive with active bleeding from the nose and
mouth. The patient is vomiting. Which of the following interventions would most likely be
considered? --CORRECT ANSWER--- Endotracheal intubation
The nurse is reevaluating the effectiveness of interventions for a 4-year-old child with a
suspected tension pneumothorax. Which assessment finding indicates the interventions were
effective? --CORRECT ANSWER--- Bilateral chest wall rise with assisted ventilations.
A 3-year-old is brought by caregivers with generalized tonic-clonic activity, unresponsiveness,
and drooling that began 6 minutes prior to arrival. Which of the following interventions would
be most appropriate for this event? --CORRECT ANSWER--- Administer intranasal midazolam
A 6-month-old arrives with swelling to the left thigh. Caregivers deny any traumatic event.
Assessment findings include a patient who is active and alert, in the 10th percentile for length,
and has blue-grey sclera. Radiographs reveal a midshaft fracture of the left femur. Which of the
following is the most likely cause? --CORRECT ANSWER--- Osteogenesis imperfecta
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