ENPC EXAM
1. Which of the following would be an abnormal finding in a patient with glomerulonephritis?
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be concentrated and dark brown/tea-colored.
Decreased energy
Hypertension
Naus...
,1. Which of the following would be an abnormal finding in a patient with glomerulonephritis?
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Decreased energy
Hypertension
Nausea, vomiting
2. A 3-year-old is brought to the emergency department with a 2-day history of a runny nose, lowgrade
fever, and a "barky" cough at night. The caregiver tells the emergency department nurse the coughing is
getting worse. The child is awake and alert, with stridor. The nurse should anticipate which of the
following?
Administration of nebulized epinephrine Moderate to severe croup is treated with dexamethasone and
nebulized epinephrine.
Delivery of humidified oxygen
Bag-valve-mask ventilations
Suctioning secretions from the oropharynx
3. 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?
Allow the extended to family members to serve as interpreters during the procedure.
Dedicate a healthcare team member to be with the family during the procedure.
Allowing caregivers to remain with the pediatric patient is more supportive in this situation.
Allow family members to serve as interpreters during the procedure
, Provide access to nondenominational clergy in a quiet area
4. Which of the following patient presentations should increase suspicion of potential child maltreatment?
Right radial spiral fracture in a 10-year-old practicing martial arts
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a nonexploratory
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.
Closed greenstick wrist fracture in a 4 year old who fell off his bicycle
Bruises in various stages of healing to the lower extremities of a 2-year-old
5. A 14-year-old high school student who was pitching for his baseball team was hit in the chest by the ball
and had a sudden cardiac arrest. Of the following, which is the most likely cause of the cardiac arrest?
Aortic Dissection
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.
Pericardial Tamponade
Blunt Aortic Injury
6. 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?
Ecstasy overdose
Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant syndrome, which is
a rare reaction to antipsychotic medications.
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