ENPC 6th Edition Provider Exam Questions n n n n n
Latest Update n n
A 3 year-
n n
old patient presents following frequent emesis and diarrhea over the past 12 hours. Which of the follo wing
n n n n n n n n n n n n n n n n n
assessment findings indicate that the patient' body is compensating for the fluid loss?A.Increased diastolic
n n n n n n n n n n n n n n
blood pressure
n n
B.Bounding peripheral pulses n n
C.Prolonged capillary refill
n n n
D.Increased urine output
n n n
You are discharging a patient home who has a history of depression. Discharge teaching should includ e
n n n n n n n n n n n n n n n n
which of the following?A.Discussing the importance of stopping all current psychiatric medications.
n n n n n n n n n n n n
B.Providing the family a list of behavioral health facilities to call for follow-up.
n n n n n n n n n n n n n
C.Explaining that the family should not call authorities for escalations in the patient's behavior.
n n n n n n n n n n n n n
D.Ensuring all firearms in the home are locked up with no access available by the patient.
n n n n n n n n n n n n n n n n
A child with an electrical injury is seen 1 hour post event. Which of the following specimen samples would
n n n n n n n n n n n n n n n n n n
provide visual information regarding a potential complication of this injury?A.Serum
n n n n n n n n n n
B.Urine
C.Stool
n
D.Sputum
n
A 4-year-
n
old patient is being assessed for a foreign body in the nose. The child is awake and alert and watching a
n n n n n n n n n n n n n n n n n n n n
video on the caregivers phone. Vitals include HR of 110 beats/minute, RR of 26 breaths per minute, BP of
n n n n n n n n n n n n n n n n n n n
138/90 mm Hg, and T of 37.3oC (99.3oF) orally. Which of the following interventions should t he nurse
n n n n n n n n n n n n n n n n n n
perform next?A.Check the size of the blood pressure cuff
n n n n n n n n n
B.Recheck the temperature rectally n n n
C.Recheck the blood pressure on the other arm n n n n n n n
D.Place the patient on cardiac and respiratory monitors
n n n n n n n
A 10-year-
n
old playing baseball is hit in the chest with a ball. He immediately demonstrates loss of consciousness with
n n n n n n n n n n n n n n n n n
no pulses. Which of the following is the priority intervention?A.Utilize AED/defibrillator B.Prepare for
n n n n n n n n n n n n n
needle decompression
n n
C.Administer intravenous epinephrine n n
D.Intubate with endotracheal tube
n n n n
The triage nurse is assessing a 14 year old male who was brought in by ambulance. The patient reports he
n n n n n n n n n n n n n n n n n n n
was playing his video games at home when he had a sudden onset of groin pain that was so severe he
n n n n n n n n n n n n n n n n n n n n n
became nauseated and vomited. Further assessment reveals a swollen scrotum. What is the priority
n n n n n n n n n n n n n n
intervention for this patient?A.Obtaining a sterile urine sample
n n n n n n n n
B.Initiating intravenous access n n
C.Preparing the patient for ultrasound
n n n n n
D.Scanning the patient's bladder
n n n n
A caregiver reports their one-month-
n n n n
,old has had a yellowish color to their eyes and skin over the last two weeks. If left untreated, which b ody
n n n n n n n n n n n n n n n n n n n n n
system can this affect?A.Integumentary
n n n n
B.Renal
C.Gastrointestinal
n
D.Neurological
n
An infant presents to the emergency department with difficulty breathing. The patient is pale and respir ations
n n n n n n n n n n n n n n n n
appear rapid and shallow. Which location on the torso is the most effective site for assessing bil ateral breath
n n n n n n n n n n n n n n n n n n n
sounds?A.Bilateral posterior back
n n n
B.Over the epigastrium n n
C.Bilateral midaxillary
n n
D.Bilateral anterior chest
n n n
A 5-year-
n
old presents with sudden onset nausea, vomiting, abdominal cramping, hives, and hypotension afterVeat ing
n n n n n n n n n n n n n
lunch. Which of the following is the priority intervention?A.Intramuscular epinephrine
n n n n n n n n n n
B.Inhaled albuterol n
C.Oral diphenhydramine n
D.Intravenous ondansetron
n n
A 3-year-
n
old is assessed for the presence of increasing amounts of serosanguineous drainage from his left nares over
n n n n n n n n n n n n n n n n
the past 6 hours. Which of the following foreign bodies is the most likely etiology?A.Magnet
n n n n n n n n n n n n n n n
B.Button battery n
C.Dried bean n
D.Fishing weight
n n
Caregivers state an 18-month-old child had a harsh, barky cough, low- n n n n n n n n n n
grade fever, and irritability throughout the night. On assessment this morning, the child appears alert, i s
n n n n n n n n n n n n n n n n
interactive, their present cough is quiet, and their temperature is 98.8°F (37.1°C) axillary. Which of t he
n n n n n n n n n n n n n n n n n
following diagnoses is the highest probablity for this child?A.Asthma
n n n n n n n n n
B.Croup
C.Epiglottitis
n
D.Pneumonia
n
A 12-year-
n
old female patient arrives awake and alert with an acute onset of abdominal pain on the right side, nau sea,
n n n n n n n n n n n n n n n n n n n
vomiting, and vaginal spotting. On palpation, the pain is localized to the right side and there is ten derness
n n n n n n n n n n n n n n n n n n n
to the breasts. Which of the following laboratory tests is the priority for this patient?A.Human chorionic
n n n n n n n n n n n n n n n n
gonadotropin
n
B.Complete blood count n n
C.Vaginal cultures n
D.Bedside glucose level n n
A fertilizer silo exploded during a school tour of a working farm. The children are able to manage thei r
n n n n n n n n n n n n n n n n n n n
own secretions but all are incontinent and salivating, with excess tearing. Which of the following is t he
n n n n n n n n n n n n n n n n n n
priority intervention?A.Removal of clothing and decontamination
n n n n n n
B.Establishing patient identification n n
C.Rapid administration of atropine
n n n n
D.Providing supportive treatment
n n n
, A caregiver states their 3-year-
n n n n
old child ate some marijuana gummies approximately 3 hours prior to arrival. The PAT reveals the chi ld
n n n n n n n n n n n n n n n n n
is pink, difficult to arouse, and work of breathing is normal. What is your initial intervention?A.Ad minister
n n n n n n n n n n n n n n n n n
activated charcoal
n n
B.Check the child's blood glucose n n n n
C.Initiate intravenous access n n
D.Obtain a full set of vital signs n n n n n n
A 14-year-
n
old patient presents to the emergency department with her aunt after being assaulted. The patient has m ultiple
n n n n n n n n n n n n n n n n n
bruises inconsistent with the assault history and seems guarded with her answers. A urine test is positive for
n n n n n n n n n n n n n n n n n n
pregnancy, although the patient denies being sexually active. The aunt repeatedly asks wh en they will
n n n n n n n n n n n n n n n n
be discharged. The ED nurse recognizes these finding as red flags for which of the followi ng?A.Labor
n n n n n n n n n n n n n n n n n
trafficking
n
B.Sex trafficking n
C.Psychological abuse
n n
D.Physical abuse
n n
A 12-year-old restrained, back -
n n n n
seat passenger involved in a motor vehicle crash is noted to have hypotension, tachycardia, and contusi ons
n n n n n n n n n n n n n n n n
and discoloration across the lap area. On exam a splenic rupture is suspected. Which of the followi ng
n n n n n n n n n n n n n n n n n n
diagnoses should be suspected as a companion injury with these findings and associated mechanism of
n n n n n n n n n n n n n n n
injury?A.Lumbar fracture
n n
B.Pneumothorax
C.Subdural hematoma n
D.Cardiac tamponade n
Which patient reflects an EMTALA compliant transfer?A.An actively seizing toddler being transferred to
n n n n n n n n n n n n
a pediatric-specific facility. That facility is checking on inpatient bed availability.
n n n n n n n n n n n
B.A post- n
ictal patient with status epilepticus being transferred to a higher level of care with an accepting physici an.
n n n n n n n n n n n n n n n n n
All records are copied.
n n n n
C.A teenager with abdominal trauma and critical labs being transferred to a pediatric trauma center for
n n n n n n n n n n n n n n n
nsurgery. The facility has not accepted the transfer yet. n n n n n n n n
D.An infant with respiratory difficulties being transferred to another hospital with the same level of pe diatric
n n n n n n n n n n n n n n n n
care. Parents are not present, and records are copied.
n n n n n n n n n
After an explosion at a school, you are helping triage patients. In your field triage room you find a 5- year-
n n n n n n n n n n n n n n n n n n n n
old patient who is not breathing. What is the appropriate initial intervention?A.Assign the patient as bl
n n n n n n n n n n n n n n n
nack/expectant.
B.Open the airway and assess for breathing. - - n n n n n n n n
C.Check for capillary refill of < 2 seconds n n n n n n n
D.Initiate cardiopulmonary resuscitation n n
Return of spontaneous circulation has been confirmed in a 5-year- old
n n n n n n n n n n
following cardiopulmonary arrest after a 5-
n n n n n n
day history of vomiting and diarrhea. Vital signs are BP 72/60 mm Hg, HRV140 beats/minute, RRVassis ted at
n n n n n n n n n n n n n n n n n
30 breaths/minute via definitive airway, SpO2 97%, and T 36.8°C (98.4°F) rectally. Which of th e
n n n n n n n n n n n n n n n n
following would be the priority intervention at this time?A.Obtain a 12-lead electrocardiogram B.Administer
n n n n n n n n n n n n n
maintenance fluids
n n
Latest Update n n
A 3 year-
n n
old patient presents following frequent emesis and diarrhea over the past 12 hours. Which of the follo wing
n n n n n n n n n n n n n n n n n
assessment findings indicate that the patient' body is compensating for the fluid loss?A.Increased diastolic
n n n n n n n n n n n n n n
blood pressure
n n
B.Bounding peripheral pulses n n
C.Prolonged capillary refill
n n n
D.Increased urine output
n n n
You are discharging a patient home who has a history of depression. Discharge teaching should includ e
n n n n n n n n n n n n n n n n
which of the following?A.Discussing the importance of stopping all current psychiatric medications.
n n n n n n n n n n n n
B.Providing the family a list of behavioral health facilities to call for follow-up.
n n n n n n n n n n n n n
C.Explaining that the family should not call authorities for escalations in the patient's behavior.
n n n n n n n n n n n n n
D.Ensuring all firearms in the home are locked up with no access available by the patient.
n n n n n n n n n n n n n n n n
A child with an electrical injury is seen 1 hour post event. Which of the following specimen samples would
n n n n n n n n n n n n n n n n n n
provide visual information regarding a potential complication of this injury?A.Serum
n n n n n n n n n n
B.Urine
C.Stool
n
D.Sputum
n
A 4-year-
n
old patient is being assessed for a foreign body in the nose. The child is awake and alert and watching a
n n n n n n n n n n n n n n n n n n n n
video on the caregivers phone. Vitals include HR of 110 beats/minute, RR of 26 breaths per minute, BP of
n n n n n n n n n n n n n n n n n n n
138/90 mm Hg, and T of 37.3oC (99.3oF) orally. Which of the following interventions should t he nurse
n n n n n n n n n n n n n n n n n n
perform next?A.Check the size of the blood pressure cuff
n n n n n n n n n
B.Recheck the temperature rectally n n n
C.Recheck the blood pressure on the other arm n n n n n n n
D.Place the patient on cardiac and respiratory monitors
n n n n n n n
A 10-year-
n
old playing baseball is hit in the chest with a ball. He immediately demonstrates loss of consciousness with
n n n n n n n n n n n n n n n n n
no pulses. Which of the following is the priority intervention?A.Utilize AED/defibrillator B.Prepare for
n n n n n n n n n n n n n
needle decompression
n n
C.Administer intravenous epinephrine n n
D.Intubate with endotracheal tube
n n n n
The triage nurse is assessing a 14 year old male who was brought in by ambulance. The patient reports he
n n n n n n n n n n n n n n n n n n n
was playing his video games at home when he had a sudden onset of groin pain that was so severe he
n n n n n n n n n n n n n n n n n n n n n
became nauseated and vomited. Further assessment reveals a swollen scrotum. What is the priority
n n n n n n n n n n n n n n
intervention for this patient?A.Obtaining a sterile urine sample
n n n n n n n n
B.Initiating intravenous access n n
C.Preparing the patient for ultrasound
n n n n n
D.Scanning the patient's bladder
n n n n
A caregiver reports their one-month-
n n n n
,old has had a yellowish color to their eyes and skin over the last two weeks. If left untreated, which b ody
n n n n n n n n n n n n n n n n n n n n n
system can this affect?A.Integumentary
n n n n
B.Renal
C.Gastrointestinal
n
D.Neurological
n
An infant presents to the emergency department with difficulty breathing. The patient is pale and respir ations
n n n n n n n n n n n n n n n n
appear rapid and shallow. Which location on the torso is the most effective site for assessing bil ateral breath
n n n n n n n n n n n n n n n n n n n
sounds?A.Bilateral posterior back
n n n
B.Over the epigastrium n n
C.Bilateral midaxillary
n n
D.Bilateral anterior chest
n n n
A 5-year-
n
old presents with sudden onset nausea, vomiting, abdominal cramping, hives, and hypotension afterVeat ing
n n n n n n n n n n n n n
lunch. Which of the following is the priority intervention?A.Intramuscular epinephrine
n n n n n n n n n n
B.Inhaled albuterol n
C.Oral diphenhydramine n
D.Intravenous ondansetron
n n
A 3-year-
n
old is assessed for the presence of increasing amounts of serosanguineous drainage from his left nares over
n n n n n n n n n n n n n n n n
the past 6 hours. Which of the following foreign bodies is the most likely etiology?A.Magnet
n n n n n n n n n n n n n n n
B.Button battery n
C.Dried bean n
D.Fishing weight
n n
Caregivers state an 18-month-old child had a harsh, barky cough, low- n n n n n n n n n n
grade fever, and irritability throughout the night. On assessment this morning, the child appears alert, i s
n n n n n n n n n n n n n n n n
interactive, their present cough is quiet, and their temperature is 98.8°F (37.1°C) axillary. Which of t he
n n n n n n n n n n n n n n n n n
following diagnoses is the highest probablity for this child?A.Asthma
n n n n n n n n n
B.Croup
C.Epiglottitis
n
D.Pneumonia
n
A 12-year-
n
old female patient arrives awake and alert with an acute onset of abdominal pain on the right side, nau sea,
n n n n n n n n n n n n n n n n n n n
vomiting, and vaginal spotting. On palpation, the pain is localized to the right side and there is ten derness
n n n n n n n n n n n n n n n n n n n
to the breasts. Which of the following laboratory tests is the priority for this patient?A.Human chorionic
n n n n n n n n n n n n n n n n
gonadotropin
n
B.Complete blood count n n
C.Vaginal cultures n
D.Bedside glucose level n n
A fertilizer silo exploded during a school tour of a working farm. The children are able to manage thei r
n n n n n n n n n n n n n n n n n n n
own secretions but all are incontinent and salivating, with excess tearing. Which of the following is t he
n n n n n n n n n n n n n n n n n n
priority intervention?A.Removal of clothing and decontamination
n n n n n n
B.Establishing patient identification n n
C.Rapid administration of atropine
n n n n
D.Providing supportive treatment
n n n
, A caregiver states their 3-year-
n n n n
old child ate some marijuana gummies approximately 3 hours prior to arrival. The PAT reveals the chi ld
n n n n n n n n n n n n n n n n n
is pink, difficult to arouse, and work of breathing is normal. What is your initial intervention?A.Ad minister
n n n n n n n n n n n n n n n n n
activated charcoal
n n
B.Check the child's blood glucose n n n n
C.Initiate intravenous access n n
D.Obtain a full set of vital signs n n n n n n
A 14-year-
n
old patient presents to the emergency department with her aunt after being assaulted. The patient has m ultiple
n n n n n n n n n n n n n n n n n
bruises inconsistent with the assault history and seems guarded with her answers. A urine test is positive for
n n n n n n n n n n n n n n n n n n
pregnancy, although the patient denies being sexually active. The aunt repeatedly asks wh en they will
n n n n n n n n n n n n n n n n
be discharged. The ED nurse recognizes these finding as red flags for which of the followi ng?A.Labor
n n n n n n n n n n n n n n n n n
trafficking
n
B.Sex trafficking n
C.Psychological abuse
n n
D.Physical abuse
n n
A 12-year-old restrained, back -
n n n n
seat passenger involved in a motor vehicle crash is noted to have hypotension, tachycardia, and contusi ons
n n n n n n n n n n n n n n n n
and discoloration across the lap area. On exam a splenic rupture is suspected. Which of the followi ng
n n n n n n n n n n n n n n n n n n
diagnoses should be suspected as a companion injury with these findings and associated mechanism of
n n n n n n n n n n n n n n n
injury?A.Lumbar fracture
n n
B.Pneumothorax
C.Subdural hematoma n
D.Cardiac tamponade n
Which patient reflects an EMTALA compliant transfer?A.An actively seizing toddler being transferred to
n n n n n n n n n n n n
a pediatric-specific facility. That facility is checking on inpatient bed availability.
n n n n n n n n n n n
B.A post- n
ictal patient with status epilepticus being transferred to a higher level of care with an accepting physici an.
n n n n n n n n n n n n n n n n n
All records are copied.
n n n n
C.A teenager with abdominal trauma and critical labs being transferred to a pediatric trauma center for
n n n n n n n n n n n n n n n
nsurgery. The facility has not accepted the transfer yet. n n n n n n n n
D.An infant with respiratory difficulties being transferred to another hospital with the same level of pe diatric
n n n n n n n n n n n n n n n n
care. Parents are not present, and records are copied.
n n n n n n n n n
After an explosion at a school, you are helping triage patients. In your field triage room you find a 5- year-
n n n n n n n n n n n n n n n n n n n n
old patient who is not breathing. What is the appropriate initial intervention?A.Assign the patient as bl
n n n n n n n n n n n n n n n
nack/expectant.
B.Open the airway and assess for breathing. - - n n n n n n n n
C.Check for capillary refill of < 2 seconds n n n n n n n
D.Initiate cardiopulmonary resuscitation n n
Return of spontaneous circulation has been confirmed in a 5-year- old
n n n n n n n n n n
following cardiopulmonary arrest after a 5-
n n n n n n
day history of vomiting and diarrhea. Vital signs are BP 72/60 mm Hg, HRV140 beats/minute, RRVassis ted at
n n n n n n n n n n n n n n n n n
30 breaths/minute via definitive airway, SpO2 97%, and T 36.8°C (98.4°F) rectally. Which of th e
n n n n n n n n n n n n n n n n
following would be the priority intervention at this time?A.Obtain a 12-lead electrocardiogram B.Administer
n n n n n n n n n n n n n
maintenance fluids
n n
