2024 ENPC TEST EXAM
QUESTIONS WITH CORRECT
ANSWERS
An unresponsive 2-year-old child was found by his mother with a bottle
labeled "Elavil 50 mg" by his side. Which piece of information is important to
obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe. - CORRECT-
ANSWERSC. The number of pills left in the bottle.
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:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them. - CORRECT-
ANSWERSD.
Appointing one staff member to communicate with them.
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-ANSWERSB. 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-ANSWERSB. 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-ANSWERSD. 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. - CORRECT-ANSWERSD. Urine output of 11
ml/hour.
A 7-year-old female sustains a minor head injury and did not lose
consciousness. She does not respond to commands and groans in response
to questions. Which action will quickly determine if her behavior indicates a
serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual. - CORRECT-ANSWERSD. Ask the
parents if her behavior is unusual.
An 8-month-old child presents with purpura, irritability, and a rectal
temperature of 39.4�C (102.9�F). An intervention of high priority is:
A. Encouraging the caregiver to hold and comfort the child.
B. Monitoring for signs and symptoms of increased intracranial pressure
(ICP).
C. Collecting urine for toxicology screen.
D. Encouraging oral fluids and food. - CORRECT-ANSWERSB. Monitoring for
signs and symptoms of increased intracranial pressure (ICP).
The Pediatric Assessment Triangle is used to:
A. Identify all life-threatening conditions that the child presents with.
B. Perform a complete head-to-toe assessment on the child.
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the "across-
the-room" assessment. - CORRECT-ANSWERSD. Determine the severity of
the child's illness or injury using the "across-the-room" assessment.
The caregivers of a 6-year-old boy who is brought to the emergency
department for abdominal pain should first be asked:
A. "Are his immunizations current?"
B. "Has anything happened to him at school recently?"
C. "What is the reason for the child's visit and how long has he been ill?"
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