ENPC 6th edition Exam test preparation Questions and Must have marking scheme Updated version 2024/2025
A caregiver presents to the emergency department with an 18-month-old and reports the child is not using their left arm after playing a game with an older sibling. The child is alert and curio...
ENPC 6th edition Exam test
preparation Questions and Must have
marking scheme Updated version
2024/2025
A caregiver presents to the emergency department with an 18-
month-old and reports the child is not using their left arm after
playing a game with an older sibling. The child is alert and
curious, with regular, even respirations, and skin color is
appropriate. Using the Pediatric Assessment Triangle (PAT), how
would you categorize this patient?
A. Sicker
B. Sickest
C. Stable
D. Sick - correct answer D. Sick
An 8-year-old male presents to the emergency department with
incoherent speech, hallucinations, and violent behavior. What is
the priority in caring for this patient?
A. Administer antipsychotic medications
B. Evaluate laboratory values
C. Allow family and friend visitation
D. Ensure safety of the patient and staff - correct answer D.
Ensure safety of the patient and staff
A 2-year-old child is seen with acute respiratory distress after
playing alone. Caregiver statements indicate the child was found
playing with irregular, ½ - ¾ inch sized pieces of a game. Which
,of the following assessment findings would most likely be
expected for this situation?
A. Audible wheezing and retractions
B. Inspiratory stridor and coughing
C. Grunting respirations and tachypnea
D. Quiet tachypnea and coarse crackles - correct answer B.
Inspiratory stridor and coughing
A 15-year-old presents alone requesting care. Which of the
following chief complaints would most likely be considered legal
or appropriate to treat without parental consent?
A. Lower back pain
B. Itching rash to arms
C. Possible pregnancy
D. Dental pain - correct answer C. Possible pregnancy
An 11-year-old child presents with right arm pain after falling off
a bicycle. The child is tearful and holding his right arm. What
pain scale would be the most appropriate to use when assessing
this child's pain?
A. Faces scale
B. FLACC scale
C. Numbers scale
D. NIPS scale - correct answer C. Numbers scale
A 10-year-old arrives at the ED post motor vehicle crash. The
following assessment is noted: hypotension, tachycardia, absent
breath sounds from the left chest with an increased respiratory
, rate, pain on palpation of the pelvis, tinge of blood noted at the
urinary meatus, moderate active bleeding from a laceration to
left thigh, pulse oximetry of 86% without supplemental oxygen,
deformity to the left upper leg, and a Glasgow Coma Score of 7.
Which of the following orders will prompt the nurse to have a
discussion with the provider before initiating?
A. Insert urinary catheter
B. Prepare for intubation
C. Assist with chest tube insertion
D. Place orogastric tube - correct answer A. Insert urinary
catheter
A six-week-old infant presents to the emergency department with
seizures. The infant is afebrile with a normal glucose level ,and
caregivers report no signs of illness other than formula
intolerance, which they treated by adding extra water to the
formula. The nurse would expect to find which of the following
laboratory abnormalities?
A. Hypokalemia
B. Hyponatremia
C. Hyperkalemia
D. Hypernatremia - correct answer B. Hyponatremia
A 12-year-old involved in a house fire has full thickness,
circumferential burns to bilateral lower extremities. Fluid
resuscitation is in progress on arrival at the ED. On assessment
the left pedal and posterior tibialis pulses are absent, with
delayed capillary refill. Which of the following is the priority
intervention?
A. Application of compression dressings
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