ENPC 5th Edition Exam with Questions and Answers
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? ANSWER Succinylcholine
Succinylcholine may increase intraocular pressu...
ENPC 5th Edition Exam with Questions
and Answers
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?
ANSWER Succinylcholine
Succinylcholine may increase intraocular pressure and should be avoided.
A toddler has a chemical eye injury. Which of the following is the priority intervention?
ANSWER Copious eye irrigation with an isotonic solution
Normal saline or Ringer's lactate solution are both acceptable for irrigation. Irrigate until the
pH of the eye returns to normal. The pH of Ringer's lactate is closer to that of human tears
and may be more comfortable than normal saline.
Which of the following medications is appropriate for treating the fever of a four-year-old
with scleral jaundice and elevated aspartate transaminase (AST)? ANSWER (Do not pick
acetaminophen)
The parents of a 5-year-old child arrive at the emergency department. The child's lips and
face are swollen with hives on the face. The parents report the child ate peanut butter crackers
in the last hour. The child has no known allergies. The nurse recognizes the findings are
associated with: ANSWER Food allergy These findings are typical of a food allergy. Because
allergic reactions are so variable and do not always include classic manifestations, anticipate
that any food-induced allergic reaction may unexpectedly progress to life-threatening
anaphylaxis.
, A nurse providing crisis intervention to the family of a seriously ill child can best keep the
family informed of the child's condition by doing which of the following? ANSWER
Appointing one staff member to communicate with them.
This will help create a solid patient-staff bond and facilitate communication
Which of the following patients should be evaluated first? 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.
Which of the following would be an abnormal finding in a patient with glomerulonephritis?
ANSWER Clear urine
Normal finding: There is a decrease in urine output for patient's with glomerulonephritis.
Urine would be concentrated and dark brown/tea-colored
Which of the following indicates the need for additional parent/guardian education regarding
a UTI? ANSWER My child will grow out of their frequent urinary tract infections
UTIs are not a normal occurrence in children and may require additional investigation and
follow up
Which of the following interventions would the nurse anticipate for a pediatric patient with a
fever and a history of a hematologic or oncologic condition? ANSWER Intravenous
antibiotics
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