ENPC 6th Edition Appraisal Exam Assessment Questions and Correct answers with Rationales Latest Updates 2024/2025
Parents with an infant requiring multiple laboratory tests, radiographic studies, and invasive procedures appear to be distressed and withdrawn. Which of the following interventions ...
ENPC 6th Edition Appraisal Exam
Assessment Questions and Correct
answers with Rationales Latest
Updates 2024/2025
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distressed and withdrawn.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
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 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? - correct answer
Assist with chest tube insertion (wrong)
Remediation feedback:
Urinary catheters are contraindicated for placement if pelvic
injury is suspected or blood is noted at the urinary meatus.
Scrotal or perineal discolorations with edema to the areas is also
a contraindication for this adjunct.
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
A child with bipolar disorder is brought to the emergency
department for increasing irritability, agitation, pressured
speech, and a decreased need for sleep. What should be included
in the plan of care for this child? - correct answer Performing a
suicide risk assessment
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 5-year-old child presents with hives, swelling of the lips and
face, and stridor that developed about an hour after eating lunch.
The child has no known allergies. Which of the following is the
priority intervention? - correct answer Administer
intramuscular epinephrine
, Which of the following pathologic processes would most likely be
attributed to a primary diagnosis of cystic fibrosis? - correct
answer Constipation
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
Which of the following is a family-centered care concept ? -
correct answer Cultural backgrounds are assessed and
incorporated into the plan of care.
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 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? - correct answer Sick
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
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