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ENPC 6TH EDITION PROVIDER EXAM QUESTIONS & ANSWER
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ENPC 6TH EDITION PROVIDER EXAM QUESTIONS & ANSWER
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ENPC 6TH EDITION PROVIDER EXAM QUESTIONS &ANSWER
A 3 year-old patient presents following frequent emesis and diarrhea over the past 12
hours. Which of the following assessment findings indicate that the patient' body is
compensating for the fluid loss? - Answers- A.Increased diastolic blood pressure
B.Bounding peripheral pulses
C.Prolonged capillary refill
D.Increased urine output
You are discharging a patient home who has a history of depression. Discharge
teaching should include which of the following? - Answers- A.Discussing the importance
of stopping all current psychiatric medications.
B.Providing the family a list of behavioral health facilities to call for follow-up.
C.Explaining that the family should not call authorities for escalations in the patient's
behavior.
D.Ensuring all firearms in the home are locked up with no access available by the
patient.
A 10-year-old playing baseball is hit in the chest with a ball. He immediately
demonstrates loss of consciousness with no pulses. Which of the following is the priority
intervention? - Answers- A.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
The triage nurse is assessing a 14 year old male who was brought in by ambulance.
The patient reports he was playing his video games at home when he had a sudden
onset of groin pain that was so severe he became nauseated and vomited. Further
assessment reveals a swollen scrotum. What is the priority intervention for this patient?
- Answers- A.Obtaining a sterile urine sample
B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
A caregiver reports their one-month-old has had a yellowish color to their eyes and skin
over the last two weeks. If left untreated, which body system can this affect? - Answers-
A.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
An infant presents to the emergency department with difficulty breathing. The patient is
pale and respirations appear rapid and shallow. Which location on the torso is the most
,effective site for assessing bilateral breath sounds? - Answers- A.Bilateral posterior
back
B.Over the epigastrium
C.Bilateral midaxillary
D.Bilateral anterior chest
A child with an electrical injury is seen 1 hour post event. Which of the following
specimen samples would provide visual information regarding a potential complication
of this injury? - Answers- A.Serum
B.Urine
C.Stool
D.Sputum
A 4-year-old patient is being assessed for a foreign body in the nose. The child is awake
and alert and watching a video on the caregivers phone. Vitals include HR of 110
beats/minute, RR of 26 breaths per minute, BP of 138/90 mm Hg, and T of 37.3oC
(99.3oF) orally. Which of the following interventions should the nurse perform next? -
Answers- A.Check the size of the blood pressure cuff
B.Recheck the temperature rectally
C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
A 5-year-old presents with sudden onset nausea, vomiting, abdominal cramping, hives,
and hypotension after eating lunch. Which of the following is the priority intervention? -
Answers- A.Intramuscular epinephrine
B.Inhaled albuterol
C.Oral diphenhydramine
D.Intravenous ondansetron
A 3-year-old is assessed for the presence of increasing amounts of serosanguineous
drainage from his left nares over the past 6 hours. Which of the following foreign bodies
is the most likely etiology? - Answers- A.Magnet
B.Button battery
C.Dried bean
D.Fishing weight
Caregivers state an 18-month-old child had a harsh, barky cough, low-grade fever, and
irritability throughout the night. On assessment this morning, the child appears alert, is
interactive, their present cough is quiet, and their temperature is 98.8°F (37.1°C)
axillary. Which of the following diagnoses is the highest probablity for this child? -
Answers- A.Asthma
B.Croup
C.Epiglottitis
D.Pneumonia
, A 12-year-old female patient arrives awake and alert with an acute onset of abdominal
pain on the right side, nausea, vomiting, and vaginal spotting. On palpation, the pain is
localized to the right side and there is tenderness to the breasts. Which of the following
laboratory tests is the priority for this patient? - Answers- A.Human chorionic
gonadotropin
B.Complete blood count
C.Vaginal cultures
D.Bedside glucose level
A fertilizer silo exploded during a school tour of a working farm. The children are able to
manage their own secretions but all are incontinent and salivating, with excess tearing.
Which of the following is the priority intervention? - Answers- A.Removal of clothing and
decontamination
B.Establishing patient identification
C.Rapid administration of atropine
D.Providing supportive treatment
A caregiver states their 3-year-old child ate some marijuana gummies approximately 3
hours prior to arrival. The PAT reveals the child is pink, difficult to arouse, and work of
breathing is normal. What is your initial intervention? - Answers- A.Administer activated
charcoal
B.Check the child's blood glucose
C.Initiate intravenous access
D.Obtain a full set of vital signs
A 14-year-old patient presents to the emergency department with her aunt after being
assaulted. The patient has multiple bruises inconsistent with the assault history and
seems guarded with her answers. A urine test is positive for pregnancy, although the
patient denies being sexually active. The aunt repeatedly asks when they will be
discharged. The ED nurse recognizes these finding as red flags for which of the
following? - Answers- A.Labor trafficking
B.Sex trafficking
C.Psychological abuse
D.Physical abuse
A 12-year-old restrained, back -seat passenger involved in a motor vehicle crash is
noted to have hypotension, tachycardia, and contusions and discoloration across the
lap area. On exam a splenic rupture is suspected. Which of the following diagnoses
should be suspected as a companion injury with these findings and associated
mechanism of injury? - Answers- A.Lumbar fracture
B.Pneumothorax
C.Subdural hematoma
D.Cardiac tamponade
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