ENPC 6TH EDITION COURSE EXAM S 2024 (4 VERSIONS A,B, C& D) EACH EXAM CONTAINS 50 QUESTIONS AND CORRECT VERIFIED ANSWERS GRADED A+ (BRAND NEW!!) ENPC 6TH EDITION COURSE EXAM A A 10 -year-old arrives at the ED post motor vehicle crash. The following assessment is noted: hypotension, tachycardia, absent breath sounds from the left chest with an increased respiratory rate, pain on pa lpation of the pelvis, tinge of blood noted at the urinary meatus, moderate active bleeding from a laceration to left thigh, pulse oximetry of 86% without supplemental oxygen, deformity to the left upper leg, and a Glasgow Coma Score of 7. Which of the fol lowing orders will prompt the nurse to have a discussion with the provider before initiating? A. Insert urinary catheter B. Prepare for intubation C. Assist with chest tube insertion D. Place orogastric tube - ANSWER -A. Insert urinary catheter 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 epinephr ine B. Auscultate bilateral breath sounds C. Insert an intravenous catheter D. Administer inhaled albuterol - ANSWER -A. Administer intramuscular epinephrine An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the follow ing 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 A 3-year-old has a two -day history o f 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 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 pa in control D. Use a nonsteroidal anti -inflammatory for pain control - ANSWER -D. Use a nonsteroidal anti -inflammatory for pain control Which of the following parameters would indicate that appropriate post resuscitation interventions were successfully car ried 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% 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 ca use of these symptoms? A. Anaphylaxis B. Renal colic C. Crohn's Disease D. Menarche - ANSWER -A. Anaphylaxis An 8 -year-old trauma patient suddenly develops increased respiratory distress with a rise in heart rate from 112 beats/minute to 142 beats/minu te 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 B. Drug assisted intubation C. Chest tube insertion D. Needle decom pression - ANSWER -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 con dition should the nurse suspect? A. Necrotizing enterocolitis B. Pyloric stenosis C. Megacolon D. Congenital diaphragmatic hernia - ANSWER -A. Necrotizing enterocolitis A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory values would be most expected in this child? A. Hypoglycemia B. Severe anemia C. Low pH level D. Elevated serum bicarbonate - ANSWER -C. Low pH level Which of the following pathologic processes would most likely be attributed to a primary diagnosis of cystic fibrosis? A. Hypernatremia B. Constipation C. Obesity D. Epiglottitis - ANSWER -B. Constipation Which of the following is the highest priority intervention for a well -appearing 2 -
month -old with a fever? A. Lumbar puncture B. Urine culture C. Intravenous fluid bolus D. Chest radiograph - ANSWER -B. Urine cultu re
month -old with a fever? A. Lumbar puncture B. Urine culture C. Intravenous fluid bolus D. Chest radiograph - ANSWER -B. Urine cultu re
