ENPC Exam - 49 Questions with correct and verified answers.
"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. Wh...
ENPC Exam - 49 Questions with
correct and verified answers.
"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 answer Allow the extended to family members to serve as interpreters during the
procedure."
"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 answer Cystic Fibrosis Pancreatic insufficiency leads to fat
malabsorption, which results in the fatty stools seen with cystic fibrosis."
"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 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 answer 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 answer 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 answer 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
answer 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 answer 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 principles has the highest priority? - Correct
answer 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"
Which of the following would be an abnormal finding in a patient with glomerulonephritis? - Correct
answer Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine
would be concentrated and dark brown/tea-colored."
"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 answer
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 answer 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 answer 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 answer 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
answer 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 answer Ask about any new bed-wetting or
sleep disturbances Pediatric patients with anxiety and PTSD may present with physical complaints.
Assess for other behavioral symptoms to facilitate appropriate care and follow-up."
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