ENPC Exam Prep / Exam Questions5th
Edition ENPC Exam Questions, Open
Book Exams 100% Complete and
Verified solutions
Which of the following would be an abnormal finding in a patient with
glomerulonephritis? - CORRECT ANS Clear urine There is a decrease in urine
output for patient's with...
ENPC Exam Prep / Exam Questions5th
Edition ENPC Exam Questions, Open
Book Exams 100% Complete and
Verified solutions
Which of the following would be an abnormal finding in a patient with
glomerulonephritis? - CORRECT ANS Clear 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 ANS
Administration of nebulized epinephrine Moderate to severe croup is treated with
dexamethasone and nebulized epinephrine.
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 ANS Allow
the extended to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of potential
child maltreatment? - CORRECT ANS Bruising to the left ear of a newborn from
sleeping on his side Any bruise in a non-exploratory 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
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
exploratory 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 - CORRECT
ANS 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
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? - CORRECT ANS Neuroleptic malignant syndrome These are classic
symptoms of neuroleptic malignant syndrome, which is a rare reaction to
antipsychotic medications.
Which of the following patients should be evaluated first - CORRECT ANS An 18-
month-old with bilious emesis Bilious emesis in an 18-month-old is always
considered an emergent symptom indicative of a life-threatening bowel obstruction.
1. Which of the following tasks can the nurse do to decrease adverse medication
events? - CORRECT ANS Obtain the patient's weight in kilograms This is the
preferred measurement for medication calculations for pediatric and adult patients
Acute chest syndrome, stroke, and splenic sequestration are complications of which
of the following diseases? - CORRECT ANS Sickle cell anemia These are all
complications of sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies him as
a potential sex trafficking victim. The trauma informed approach to care emphasizes
certain principles in caring for these types of patients. Which of the following care
, ENPC Exam Prep / Exam Questions5th
Edition ENPC Exam Questions, Open
Book Exams 100% Complete and
Verified solutions
principles has the highest priority? - CORRECT ANS Physical and psychological
safety Create an environment where patients feel safe, both physically and
psychologically. Increase awareness of the patient's interpersonal interactions with
others to screen for risk of harm. Prioritize the patient being in a safe location
A 6-month-old is brought to the emergency department for a recurrent respiratory
infection. When gathering a history from the caregiver, the emergency nurse learns
that, in addition to the respiratory symptoms, the infant has had fatty stools. The
emergency nurse should be concerned about which of the following disease
processes? - CORRECT ANS Cystic Fibrosis Pancreatic insufficiency leads to fat
malabsorption, which results in the fatty stools seen with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a
suspected globe rupture. Which of the following medication orders would the nurse
question? - CORRECT ANS Succinylcholine Succinylcholine may increase
intraocular pressure and should be avoided.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a
seizure at home. The patient has no seizure history. Upon examination, the patient is
post-ictal with a heart rate of 142 beats per minute, respiratory rate of 36 breaths per
minute, and blood pressure of 86/72 mm Hg. Significant burns are noted to the
patient's back and lower extremities. The mother states the burns accidentally
occurred 3 days ago, but she was afraid to bring patient in due to an ongoing child
welfare investigation. Which of the following are the MOST appropriate immediate
interventions? - CORRECT ANS Draw and send a metabolic panel, administer a
fluid bolus, and obtain a point of care glucose Significant burns can cause electrolyte
imbalances. Electrolyte imbalances may be the cause of the patient's seizure.
Electrolyte imbalances need to be identified and treated.
In which of the following primary survey components can assessment of the fontanel
provide the most useful information? - CORRECT ANS Circulation and disability
A sunken fontanel may indicate dehydration; a bulging fontanel can indicate
increased intracranial pressure.
A 5-year-old patient presents to the emergency department with severe dehydration
due to viral gastroenteritis. He has signs of shock due to his hypovolemia. Which of
the following physiologic responses to shock has the greatest impact on improving
cardiac output in the pediatric patient? - CORRECT ANS Increasing heart rate In
pediatric patients, tachycardia is the primary compensatory mechanism to increase
cardiac output.
A toddler has a chemical eye injury. Which of the following is the priority
intervention? - CORRECT ANS Increasing heart rate In pediatric patients,
tachycardia is the primary compensatory mechanism to increase cardiac output.
A 5 year-old with no health problems presents to the Emergency Department with a
sudden onset of chest pain and shortness of breath. Parents state that the family
was involved in a bad car crash one week ago. A thorough assessment and workup
has not revealed any abnormalities. Which of the following steps is the best next
step to take? - CORRECT ANS Ask about any new bed-wetting or sleep
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