ENPC EXAM QUESTIONS AND ANSWERS
A 3 year old is rescued after being submerged in a residential pool for several minutes. On arrival at the ED he is responsive to painful stimuli, has slow respirations with diminished breath sounds throughout, and has an occasional cough. What is the initial mana...
ENPC EXAM QUESTIONS AND
ANSWERS
A 3 year old is rescued after being submerged in a residential pool for several minutes.
On arrival at the ED he is responsive to painful stimuli, has slow respirations with
diminished breath sounds throughout, and has an occasional cough. What is the initial
management priority? - CORRECT ANSWER- ET intubation with
positive pressure ventilation
Which of the following patient presentations should increase suspicion of potential child
maltreatment? - CORRECT ANSWER- Bruising to the left ear of a
newborn from sleeping on his side
A 6 month old is brought to the ED for recurrent respiratory infections. When gathering a
history from the care giver, the emergency nurse learns that in addition to respiratory
symptoms, the infant has had fatty stools. The emergency nurse should be concerned
about which of the following disease processes? - CORRECT ANSWER-
Cystic fibrosis
A toddler has a chemical eye injury. Which of the following is a priority intervention? -
CORRECT ANSWER- Copious eye irrigation with an isotonic solution
Which of these is the priority intervention for a pediatric patient with DKA? - CORRECT
ANSWER- Insulin infusion
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 ANSWER-
Primary survey, vital signs, pain management, and effectiveness of therapeutic
interventions
Which of the following patients should be evaluated first? - CORRECT ANSWER-
18 month old with bilious emesis
Which of the following describes a neonates normal position? - CORRECT ANSWER-
Flexion with extremities close to the body
You are discharging a patient home with a history of depression. Discharge teaching
should include which of the following? - CORRECT ANSWER-
Ensuring all firearms in the house are locked up in a safe place with no access by the
patient
An ambulance arrives with a 16 year old male who was involved in a dirt bike crash who
was intubated prior to arrival. Which of the following is the priority assessment or
, intervention? - CORRECT ANSWER- Assess the ET tube placement
and patency
All of the vaccine administrations are appropriate EXCEPT which of the following? -
CORRECT ANSWER- Fifth Disease at 6 months
A 4 day old who is brought to the ED 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 ANSWER- D10
The neurosurgeon has decided to perform an invasive procedure in the emergency
department to monitor the ICP on a 5 year old pt. 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 ANSWER- A. allowing
caregivers to remain with the pediatric pt
B. allow the extended family members to serve as interpreters during the procedure
c. dedicate a healthcare team member with a qualified interpreter to be with the family
during the procedure
d. provide access to a quiet area
IDK MAYBE A
A 16 year old 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 ANSWER- Bony crepitus and instability with
gentle anterior posterior compression
During the assessment of a 16 year old male patient the ED nurse identifies him as a
possible sex trafficking victim. The trauma informed approach to care emphasizes
certain principles in caring for these types of patients. Which of the following care
principles has the highest priority? - CORRECT ANSWER- Physical
and psychological safety
The emergency nurse is caring for a patient with significant facial trauma and a
suspected globe rupture. Which of the following medications would the nurse question?
- CORRECT ANSWER- Succinylcholine
Which of the following indicates the need for additional parent/guardian education
regarding UTI? - CORRECT ANSWER- "My child will grow out of their
frequent UTIs".
A 15 year old patient has attempted suicide by overdosing on amitriptyline. The
emergency nurse should expect which of the following symptoms? - CORRECT
ANSWER- Dysrhythmias
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