ENPC Final Exam - 117 Questions with Correct and Verified Answers. Graded A+
"An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on auscultation in the right upper lobe of the lung field after a choking event 4 days ago. The white blood cell count is elevated and t...
ENPC Final Exam - 117 Questions
with Correct and Verified
Answers. Graded A+
"An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on auscultation in the right
upper lobe of the lung field after a choking event 4 days ago. The white blood cell count is elevated and the
patient noted to be tachypneic, tachycardic, agitated, and has an increased respiratory effort. At the time of the
event, the patient was started on antibiotics with subsequent increasing manifestations instead of
improvement. Which of the following would be considered to be definitive treatment for the suspected
diagnosis? - Correct answer The definitive treatment would be a bronchoscopy in order to retrieve the
suspected foreign body instead of diagnostic tests to locate the foreign body itself."
"A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with a bag-mask
device. Once return of spontaneous circulation has been confirmed, which of the following would be the
priority intervention? - Correct answer Establishing a secure airway"
"Parents report their 3-year-old child has developed noisy breathing. On assessment, high-pitched wheezes are
audible and auscultated on inspiration and expiration. What medication would be appropriate to administer
first? - Correct answer initial medication intervention includes an inhaled short-acting beta agonist."
"A 6-week-old is brought to the emergency department by the caregivers for poor feeding, listlessness, and
fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52 breaths/minute, rectal temperature of
96.0 F (35.5 C), and a bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings what is the
most likely diagnostic test the nurse should anticipate? - Correct answer Lumbar puncture"
"A 17-year-old female arrives in the ED with her boyfriend who states she is pregnant and having vaginal
bleeding. The patient is unsure of the gestational age and has not had any prenatal treatment. The patient is
quiet and lets her boyfriend answer most of the questions. Which of the following is the most appropriate
action for the nurse to take at this point? - Correct answer Have the boyfriend leave the room during the pelvic
exam."
"A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. After several attempts, your
team has been unsuccessful at establishing vascular access. Of the following, which is the next best option for
establishing access quickly? - Correct answer Intraosseous in the patient's medial tibia."
"A child with an electrical injury is seen 1 hour post event. Which of the following types of specimen samples
would provide visual information regarding a potential complication of this injury? - Correct answer Myoglobin
is excreted in the urine and is evidenced by dark, red-tinged urine."
"Parents with an infant requiring multiple laboratory tests, radiographic studies, and invasive procedures
appear to be distressed and withdrawn. Which of the following interventions would best ensure a sense of
comfort and control for these parents? - Correct answer Providing frequent updates and re-educating them on
the care that is being provided"
"When taking vital signs on a stable infant, which of the following should be done first? - Correct answer
Respiratory rate"
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, "A laceration on a toddler's arm is prepared for suturing. Which of the following preparations for topical
anesthesia would be the best choice for this procedure? - Correct answer LET
(lidocaine/epinephrine/tetracaine)"
"Which of the following is appropriate administration of N-acetylcysteine (NAC) for an acetaminophen
overdose? - Correct answer A bolus infusion of 150 mg/kg NAC should be administered."
"A 2-year-old is seen with a 3-day history of irritability, vomiting, and the presence of foul-smelling urine. The
child is hypotensive and tachycardic. Which of the following methods for obtaining a urine sample is most
appropriate in this circumstance? - Correct answer Urinary catherization"
"You are discharging a patient home who has a history of depression. Discharge teaching should include which
of the following? - Correct answer Ensuring all firearms in the home are locked up with no access available by
the patient."
"A 2-year-old arrives with a 2-day history of vomiting and diarrhea. The patient has a fever of 38.4oC (101.2°F),
resting HR of 152 beats/minute, RR of 34 breaths/minute, and blood pressure of 94/ 56 mm Hg. Assessment
reveals a capillary refill time of > 5 seconds. Which of the following would be most indicative of the need for
intravenous rehydration therapy for this patient? - Correct answer Capillary refill"
"An 8-month-old arrives with a 12-hour history of intermittent abdominal pain, non-bilious vomiting, and a low
grade fever. On assessment the child is intermittently inconsolable followed by periods of normal activity. A
sausage-shaped mass is noted during palpation of the abdomen. The nurse should prepare for which of the
following? - Correct answer Enema with air"
"A 13-year -old male presents to the triage desk complaining of nausea and vomiting. The patient looks
distressed and pale. He complains of spasming pain in his right scrotum which has now become constant and
more severe. Which of the following assessment findings would the nurse expect with this patient? - Correct
answer Elevated right testicle"
"An 8-year-old trauma patient suddenly develops increased respiratory distress with a rise in heart rate from
112 beats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of the jugular
veins is noted. Which of the following emergent interventions should be anticipated first? - Correct answer
Needle decompression is emergently necessary to release the air and allow expansion of the lung again."
"An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the windshield. On arrival to the
ED. the patient is minimally responsive with active bleeding from the nose and mouth. The patient is vomiting.
Which of the following interventions would most likely be considered? - Correct answer Endotracheal
intubation"
"The nurse is reevaluating the effectiveness of interventions for a 4-year-old child with a suspected tension
pneumothorax. Which assessment finding indicates the interventions were effective? - Correct answer Bilateral
chest wall rise with assisted ventilations."
"A 3-year-old is brought by caregivers with generalized tonic-clonic activity, unresponsiveness, and drooling
that began 6 minutes prior to arrival. Which of the following interventions would be most appropriate for this
event? - Correct answer Administer intranasal midazolam"
"A 6-month-old arrives with swelling to the left thigh. Caregivers deny any traumatic event. Assessment
findings include a patient who is active and alert, in the 10th percentile for length, and has blue-grey sclera.
Radiographs reveal a midshaft fracture of the left femur. Which of the following is the most likely cause? -
Correct answer Osteogenesis imperfecta"
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