ULTIMATE ENPC FINAL EXAM LATEST REAL AND STUDY GUIDE EXAM 150 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)|AGRADE
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ULTIMATE ENPC FINA
ULTIMATE ENPC FINAL EXAM LATEST REAL
AND STUDY GUIDE EXAM 150 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)|AGRADE
ULTIMATE ENPC FINAL EXAM LATEST REAL
AND STUDY GUIDE EXAM 150 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)|AGRADE
ULTIMATE ENPC FINAL EXAM LATEST 2023-2024 REAL
AND STUDY GUIDE EXAM 150 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)|AGRADE
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? - CORRECT ANSWER-Preparing the patient for ultrasound
Which of the following is the recommended method of insulin administration for a pediatric patient with
diabetic ketoacidosis? - CORRECT ANSWER-Insulin infusion
A child was found unresponsive under the monkey bars during recess and arrives with the following
assessment: eyes open only with supraorbital pressure stimulus, no verbal response is elicited, and
withdraws arms and legs when a swab is inserted in the nose. Which of the following is the priority
intervention for this child? - CORRECT ANSWER-Prepare for immediate intubation
A term infant is delivered in the emergency department. Which assessment finding is most concerning?
- CORRECT ANSWER-Acrocyanosis (wrong)
Remediation feedback:
Normal findings for a newborn include a heart rate between 90-180 bpm, respiratory rate of 30-55
breaths/minute, and systolic blood pressure of 67-84 mm Hg. They may also exhibit acrocyanosis,
particularly when in cool environments.
A 3-year-old has a two-day history of runny nose, low-grade fever, and a "barky" cough at night. The
child is awake and alert with noted stridor. Pulse oximetry is 96% on room air. Which of the following
interventions would be the most appropriated for this child? - CORRECT ANSWER-Administration of
nebulized epinephrine
A pediatric resuscitation has ended with the death of the child. Coroner notification has not been made
yet. In dealing with the family of this child, how can the nurse facilitate their grieving process until
legally required notification has been made? - CORRECT ANSWER-Provide simple, straightforward
information
,During your primary assessment of a 3-year-old, the child is pale, with a respiratory rate of 70
breaths/minute, costal retractions, poor air movement, and a pulse oximetry reading of 89%. What is
the priority intervention for this patient? - CORRECT ANSWER-Prepare for intubation
A parent brings in a 4-month-old infant reporting seizure-like activity at home. The parent denies a fever
and reports that the infant is otherwise healthy. Which of the following is most important for the nurse
to inquire about? - CORRECT ANSWER-hyponatremia is the leading cause of new-onset non-febrile
seizures. The most common contributing factor is over-dilution of infant formula.
A 5-year-old presents with decreased level of consciousness and a wide complex and rapid rate on the
electrocardiogram. Which of the following characteristics would indicate ventricular tachycardia as
opposed to other tachydysrhythmias? - CORRECT ANSWER-Heart rate between 120 to 200 beats/minute
A 6-year-old involved in a boating crash is awaiting admission for surgical repair of a fractured ankle.
Which of the following manifestations during reassessments would cause the greatest concern for
possible intra-abdominal trauma? - CORRECT ANSWER-Constant left shoulder pain
Which of the following questions reflects the concept of the "teach-back" method? - CORRECT ANSWER-
"Would you repeat those instructions, so I can make sure I was clear?"
Which of the following physiological changes in an infant increase the chances of drowning? - CORRECT
ANSWER-Weak neck muscles
Immediately following birth, a full-term neonate is not breathing and has a heart rate of 45
beats/minute. The neonate has been warmed, dried, stimulated, and suctioned without improvement.
What the next step in resuscitation? - CORRECT ANSWER-Initiate positive-pressure ventilation with 21%
oxygen at 40-60 breaths per minute.
A parent presents to the emergency department carrying her 12-week-old infant. The PAT reveals an
infant who is quiet and opens eyes with stimulation, whose breathing is regular and even, and whose
skin is pale, with a scattered vesicular rash. What is the priority intervention for this infant? - CORRECT
ANSWER-Obtain a full set of vital signs (wrong)
Place patient in isolation (correct)
Remediation feedback:
, An abnormal PAT in the presence of a rash should be considered life-threatening until proven otherwise
and the patient placed in isolation.
After an explosion at a school, you are helping triage patients. In your field triage room you find a 5-
year-old patient who is not breathing. What is the appropriate initial intervention? - CORRECT ANSWER-
Open the airway and assess for breathing.
A school-aged child arrives in the emergency department with a 2-day history of vomiting. The child is
cool and pale, with weak pulses, elevated heart rate, and capillary refill of 4 to 5 seconds. Which of the
following is the priority intervention for the child? - CORRECT ANSWER-Initiate a fluid bolus
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? - CORRECT ANSWER-A chance fracture (fracture of
the lumbar spine) is often associated with belted passengers. Injuries associated with the "seatbelt sign"
are small bowel, abdominal vasculature, ureteral, and splenic and liver injuries.
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? - CORRECT ANSWER-You should check blood sugar for any altered level of
consciousness.
A child with an injury to the lower cervical spine with spinal cord involvment would most likely
demonstrate which of the following findings during assessment? - CORRECT ANSWER-Decreased
respiratory effort
A 4-week-old infant born prematurely is brought to the emergency department due to the rapid onset
of abdominal distention, vomiting, bloody stools, and exhibiting signs of shock. Based on these findings,
what condition should the nurse suspect? - CORRECT ANSWER-Necrotizing enterocolitis
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the following
findings would be most indicative that respiratory failure is developing? - CORRECT ANSWER-Extreme
lethargy
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