ENPC Actual Exam preparation test Questions with correct and verified Answers Updated 2024/2025
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash. The chest x-ray reveals multiple rib fractures. These findings suggest what type of injury?
A. Minor surface in...
ENPC Actual Exam preparation test
Questions with correct and verified
Answers Updated 2024/2025
A 16-month-old child was an unrestrained front seat passenger in
a motor vehicle crash. The chest x-ray reveals multiple rib
fractures. These findings suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
Correct answer: b. Significant underlying injury.
Which piece of information is most important to know prior to
transferring a patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
Correct answer c. Confirmation of acceptance from the
receiving hospital.
A 10-year-old child who was struck by a car has a distended,
tense abdomen. The child's heart rate is 144 beats/minute,
respirations 24 breaths/minute, and blood pressure 120/80 mm
hg. Capillary refill is more than 3 seconds, and skin is pale and
cool. The patient's signs and symptoms suggest:
a. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock.
Correct answer c. Hypovolemic shock.
,A school-aged child is about to receive stitches. To evaluate his
understanding of the procedure, you tell him:
a. "young people your age have questions about getting stitches.
What are your questions?"
b. "don't cry while you are getting the stitches. Be brave like a
man."
c. "you will probably receive 10 stitches. Do you have any
questions before we restrain you?"
d. "does your cut hurt? Would you like your mommy to hold you?"
Correct answer a. "young people your age have questions about
getting stitches. What are your questions?"
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
b. Iliac crest
c. Proximal femur
d. Anteromedial tibia
Correct answer d. Anteromedial tibia
An important consideration in the assessment of pain for an
adolescent patient is that they:
a. May deny or minimize their pain when friends visit for fear of
losing control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did
wrong.
Correct answer a. May deny or minimize their pain when
friends visit for fear of losing control.
An 8-month-old infant with pneumonia has severe intercostal and
substernal retractions, weak muscle tone, lethargy, and gray skin
color. The infant's condition does not improve after bag-mask
ventilation. The next step in treatment is most likely to be:
a. Administration of epinephrine.
B. Supplemental warming measures.
, C. Rapid sequence intubation.
D. Administration of albuterol.
Correct answer c. Rapid sequence intubation.
Which combination of medications is best to have prepared for a
pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium.
Correct answer b. Epinephrine and glucose.
A 20-day-old infant has a 1-week history of not eating well. The
infant has a weak cry and is jittery. Which laboratory test is
indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen.
Correct answer b. Finger-stick glucose.
Which intervention should be performed next if tactile
stimulation, positioning, drying, and blow-by oxygen
administration do not increase a newborn's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
D. Bag-mask ventilation.
Correct answer d. Bag-mask ventilation.
A 10-kg child has deep partial-thickness burns over 35% of the
total body surface area. Which evaluation parameter indicates
that fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm hg.
D. Urine output of 11 ml/hour.
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