ENPC 6th Edi on Course Final Exam With Ques ons And
Answers 2025
Parents report their 3-year-old child has developed noisy breathing. On assessment, high-
pitched wheezes are audible and auscultated on inspira on and expira on. What medica on
would be appropriate to administer first? - correct answers Ini al medica on interven on
includes an inhaled short-ac ng beta agonist.
A 4-year-old presents with vomi ng, lethargy, frequent urina on, weight loss, and dry mucous
membranes. Vital signs reveal deep respira ons at 44 breaths per minute, BP of 70/44 mm Hg,
and HR of 144 beats per minute. Which of the following laboratory values would be most
expected in this child? - correct answers Expected laboratory values would reveal an acido c
state with a pH level below 7.3, an elevated serum bIcarbonate level, and an elevated blood
glucose level > 200 mg.dL.
An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on
ausculta on in the right upper lobe of the lung field a er a choking event 4 days ago. The white
blood cell count is elevated and the pa ent noted to be tachypneic, tachycardic, agitated, and
has an increased respiratory effort. At the me of the event, the pa ent was started on
an bio cs with subsequent increasing manifesta ons instead of improvement. Which of the
following would be considered to be defini ve treatment for the suspected diagnosis? - correct
answers The defini ve treatment would be a bronchoscopy in order to retrieve the suspected
foreign body instead of diagnos c tests to locate the foreign body itself.
A child in cardiopulmonary arrest is receiving chest compressions and manual ven la ons with
a bag-mask device. Once return of spontaneous circula on has been confirmed, which of the
following would be the priority interven on? - correct answers Establishing a secure airway
, A 6-week-old is brought to the emergency department by the caregivers for poor feeding,
listlessness, and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52
breaths/minute, rectal temperature of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary
refill is 4 seconds. Based on these findings what is the most likely diagnos c test the nurse
should an cipate? - correct answers Lumbar puncture
A 12-year-old is being prepped for surgical interven on of acute appendici s. Which of the
following intravenous medica on orders should the nurse ques on? - correct answers
Ketorolac is an appropriate medica on for moderate to severe pain, however, it should not be
used pre-opera vely due to its poten al to increase the bleeding risk.
A 17-year-old female arrives in the ED with her boyfriend who states she is pregnant and having
vaginal bleeding. The pa ent is unsure of the gesta onal age and has not had any prenatal
treatment. The pa ent is quiet and lets her boyfriend answer most of the ques ons. Which of
the following is the most appropriate ac on for the nurse to take at this point? - correct
answers Have the boyfriend leave the room during the pelvic exam.
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. A er several
a empts, your team has been unsuccessful at establishing vascular access. Of the following,
which is the next best op on for establishing access quickly? - correct answers Intraosseous in
the pa ent's medial bia.
A child with an electrical injury is seen 1 hour post event. Which of the following types of
specimen samples would provide visual informa on regarding a poten al complica on of this
injury? - correct answers Electrical injuries, though they may appear to be small, can produce
large amounts of damage internally, including muscle damage. Myoglobin is excreted in the
urine and is evidenced by dark, red- nged urine.
Parents with an infant requiring mul ple laboratory tests, radiographic studies, and invasive
procedures appear to be distressed and withdrawn. Which of the following interven ons would
best ensure a sense of comfort and control for these parents? - correct answers Providing
frequent updates and re-educa ng them on the care that is being provided
Answers 2025
Parents report their 3-year-old child has developed noisy breathing. On assessment, high-
pitched wheezes are audible and auscultated on inspira on and expira on. What medica on
would be appropriate to administer first? - correct answers Ini al medica on interven on
includes an inhaled short-ac ng beta agonist.
A 4-year-old presents with vomi ng, lethargy, frequent urina on, weight loss, and dry mucous
membranes. Vital signs reveal deep respira ons at 44 breaths per minute, BP of 70/44 mm Hg,
and HR of 144 beats per minute. Which of the following laboratory values would be most
expected in this child? - correct answers Expected laboratory values would reveal an acido c
state with a pH level below 7.3, an elevated serum bIcarbonate level, and an elevated blood
glucose level > 200 mg.dL.
An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on
ausculta on in the right upper lobe of the lung field a er a choking event 4 days ago. The white
blood cell count is elevated and the pa ent noted to be tachypneic, tachycardic, agitated, and
has an increased respiratory effort. At the me of the event, the pa ent was started on
an bio cs with subsequent increasing manifesta ons instead of improvement. Which of the
following would be considered to be defini ve treatment for the suspected diagnosis? - correct
answers The defini ve treatment would be a bronchoscopy in order to retrieve the suspected
foreign body instead of diagnos c tests to locate the foreign body itself.
A child in cardiopulmonary arrest is receiving chest compressions and manual ven la ons with
a bag-mask device. Once return of spontaneous circula on has been confirmed, which of the
following would be the priority interven on? - correct answers Establishing a secure airway
, A 6-week-old is brought to the emergency department by the caregivers for poor feeding,
listlessness, and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52
breaths/minute, rectal temperature of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary
refill is 4 seconds. Based on these findings what is the most likely diagnos c test the nurse
should an cipate? - correct answers Lumbar puncture
A 12-year-old is being prepped for surgical interven on of acute appendici s. Which of the
following intravenous medica on orders should the nurse ques on? - correct answers
Ketorolac is an appropriate medica on for moderate to severe pain, however, it should not be
used pre-opera vely due to its poten al to increase the bleeding risk.
A 17-year-old female arrives in the ED with her boyfriend who states she is pregnant and having
vaginal bleeding. The pa ent is unsure of the gesta onal age and has not had any prenatal
treatment. The pa ent is quiet and lets her boyfriend answer most of the ques ons. Which of
the following is the most appropriate ac on for the nurse to take at this point? - correct
answers Have the boyfriend leave the room during the pelvic exam.
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. A er several
a empts, your team has been unsuccessful at establishing vascular access. Of the following,
which is the next best op on for establishing access quickly? - correct answers Intraosseous in
the pa ent's medial bia.
A child with an electrical injury is seen 1 hour post event. Which of the following types of
specimen samples would provide visual informa on regarding a poten al complica on of this
injury? - correct answers Electrical injuries, though they may appear to be small, can produce
large amounts of damage internally, including muscle damage. Myoglobin is excreted in the
urine and is evidenced by dark, red- nged urine.
Parents with an infant requiring mul ple laboratory tests, radiographic studies, and invasive
procedures appear to be distressed and withdrawn. Which of the following interven ons would
best ensure a sense of comfort and control for these parents? - correct answers Providing
frequent updates and re-educa ng them on the care that is being provided
