ENPC EXAM 6TH ED QUESTIONS AND
COMPLETE SOLUTIONS 2024 - 2025
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,,,ANS,-A.,Administer,intramuscular,epinephrine
An,adolescent,is,awaiting,ICU,admission,for,pneumonia.,During,reassessment,,which,of,the,following,findi
ngs,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,,,ANS,-A.,SpO2,of,94,%,on,room,air
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,,,ANS,-B.,Administration,of,nebulized,epinephrine
A,14-year-
old,patient,had,a,reduction,of,a,temporomandibular,joint,dislocation,in,the,ED.,Which,of,the,following,sho
uld,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,,,ANS,-D.,Use,a,nonsteroidal,anti-
inflammatory,for,pain,control
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,,,ANS,-A.,Pulse,oximetry,reading,of,96%
An,anxious,12-year-
old,child,presents,to,the,emergency,department,with,a,sudden,onset,of,nausea,,diarrhea,,abdominal,cra
mping,,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,,,ANS,-A.,Anaphylaxis
An,8-year-
old,trauma,patient,suddenly,develops,increased,respiratory,distress,with,a,rise,in,heart,rate,from,112,bea
ts/minute,to,142,beats/minute,associated,with,an,abrupt,hypotensive,event.,Distention,of,the,jugular,vei
ns,is,noted.,Which,of,the,following,emergent,interventions,should,be,anticipated,first?,
A.,High,flow,oxygen,
B.,Drug,assisted,intubation,
C.,Chest,tube,insertion,
D.,Needle,decompression,,,ANS,-D.,Needle,decompression
A,4-week-
old,infant,born,prematurely,is,brought,to,the,emergency,department,due,to,the,rapid,onset,of,abdominal,
distention,,vomiting,,bloody,stools,,and,exhibiting,signs,of,shock.,Based,on,these,findings,,what,condition,
should,the,nurse,suspect?,