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2024 ENPC EXAM PREP QUESTIONS WITH CORRECT ANSWERS
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2024 ENPC EXAM PREP QUESTIONS WITH CORRECT ANSWERS
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2024 ENPC EXAM PREPQUESTIONS WITH CORRECT
ANSWERS
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-ANSWERSAllow the extended to family members to serve
as interpreters during the procedure.
Which of the following would be an abnormal finding in a patient with
glomerulonephritis? - CORRECT-ANSWERSClear urine There is a decrease in
urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored. - CORRECT-ANSWERSAdministration of nebulized epinephrine
Moderate to severe croup is treated with dexamethasone and nebulized
epinephrine.
During the tertiary survey, the emergency nurse should continue to conduct
reevaluations of the Pediatric Assessment Triangle (PAT), abnormal findings,
and which of the following other assessment components? - CORRECT-
ANSWERSPrimary survey, vital signs, pain management, and effectiveness of
therapeutic interventions The additional components of the reevaluation in
the tertiary survey include the primary survey, vital signs, pain management,
and effectiveness of therapeutic interventions.
Which of the following interventions would the nurse anticipate for a
pediatric patient with a fever and a history of a hematologic or oncologic
condition? - CORRECT-ANSWERSIntravenous antibiotics This patient
population is at risk for life-threatening sepsis, and treatment with
intravenous antibiotics is indicated.
Prioritizing pediatric patients presenting with fever is often difficult. Which of
the following patients is at greatest risk of serious illness? - CORRECT-
ANSWERSA 7-year old boy with a history of sickle cell anemia and an oral
, temperature of 38.3°C (101°F) Children with chronic illnesses such as sickle
cell disease are at greatest risk for life-threatening fever-related illnesses.
Which of the following indicates the need for additional parent/guardian
education regarding a UTI? - CORRECT-ANSWERSMy child will grow out of
their frequent urinary tract infections UTIs are not a normal occurrence in
children and may require additional investigation and follow up.
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?
- CORRECT-ANSWERSD10 D10 is the preferred concentration for neonates to
protect their fragile vasculature.
Which of the following actions by the nurse promotes pediatric patient
safety? - CORRECT-ANSWERSPreparing medications in a distraction-free area
To decrease errors, the nurse should be focused and systematic in verifying
patient identification, medication order, route, time, and dose.
A 16-year-old trauma patient is noted to have external rotation and
shortening of the left lower extremity and pain with palpation of the pelvis
after being ejected from a motorcycle. Which of the following assessment
findings is most concerning for a potentially life-threatening condition? -
CORRECT-ANSWERSBony crepitus and instability with gentle anteroposterior
compression of the iliac crests Bony crepitus and instability to palpation of
the pelvis are common findings in patients with unstable pelvic fractures.
Unstable pelvic fractures may be associated with injury to major blood
vessels and contribute to hypovolemic shock.
A 10-year-old patient was recently diagnosed with Marfan syndrome. The
emergency nurse understands that this patient may be at risk for developing
which of the following conditions? - CORRECT-ANSWERSAortic Aneurism
Cardiovascular defects associated with Marfan syndrome are mitral valve
prolapse, heart failure, and aortic dissection/aneurysm.
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? - CORRECT-ANSWERSStart 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.
Spinal shock results in which of the following transient conditions? -
CORRECT-ANSWERSPain at the site of injury and hyperesthesia above the
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