ENPC EXAM 2 LATEST VERSIONS 2025 n n n n n
QUESTIONSWITH CORRECTANSWERS
n n n n
Which of the following would be an abnormal finding in a patient with glomerulonephritis? - CORRECT
n n n n n n n n n n n n n n n
ANSWER -Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would
n n n n n n n n n n n n n n n n
be concentrated and dark brown/tea-colored.
n n n n n
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be
n n n n n n n n n n n n n n n
concentrated and dark brown/tea-colored. - CORRECT ANSWER -Administration of nebulized
n n n n n n n n n n
epinephrine Moderate to severe croup is treated with dexamethasone and nebulized epinephrine.
n n n n n n n n n n n n
The neurosurgeon has decided to perform an invasive procedure in the emergency department to monitor the
n n n n n n n n n n n n n n n
intracranial pressure on a 5-year-old patient. The family does not speak English and has identified their
n n n n n n n n n n n n n n n n
religion as Muslim. Which of the following interventions is most supportive of the family? - CORRECT
n n n n n n n n n n n n n n n n
ANSWER -Allow the extended to family members to serve as interpreters during the procedure.
n n n n n n n n n n n n n n
Which of the following patient presentations should increase suspicion of potential child maltreatment? -
n n n n n n n n n n n n n
CORRECT ANSWER -Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
n n n n n n n n n n n n n n n n n n n n
exploratory location in children younger than 4 years and any bruising in a child younger than 4 months
n n n n n n n n n n n n n n n n n
(TEN-4) are cause for suspicion of abuse
n n n n n n n
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory location in
n n n n n n n n n n n n n n n n n n n
children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are cause for
n n n n n n n n n n n n n n n n n n n
suspicion of abuse - CORRECT ANSWER -Commotio cordis Commotio cordis occurs when the chest is
n n n n n n n n n n n n n n n
struck during the refractory period of the cardiac conduction cycle, resulting in a ventricular dysrhythmia or
n n n n n n n n n n n n n n n n
asystole. This type of injury usually occurs in recreational sports such as baseball or ice hockey
n n n n n n n n n n n n n n n n
A 12-year-old who was recently started on anti-psychotic medication for schizophrenia is brought to the
n n n n n n n n n n n n n n
emergency department with severe muscle rigidity and hyperthermia. These symptoms are most likely
n n n n n n n n n n n n n
caused by which of the following? - CORRECT ANSWER -Neuroleptic malignant syndrome These are
n n n n n n n n n n n n n n
classic symptoms of neuroleptic malignant syndrome, which is a rare reaction to antipsychotic medications.
n n n n n n n n n n n n n n
Which of the following patients should be evaluated first - CORRECT ANSWER -An 18-month-old with
n n n n n n n n n n n n n n
bilious emesis Bilious emesis in an 18-month-old is always considered an emergent symptom indicative of a
n n n n n n n n n n n n n n n n
life-threatening bowel obstruction.
n n n
1. Which of the following tasks can the nurse do to decrease adverse medication events? - CORRECT
n n n n n n n n n n n n n n n n
ANSWER -Obtain the patient's weight in kilograms This is the preferred measurement for medication
n n n n n n n n n n n n n n
calculations for pediatric and adult patients
n n n n n n
Acute chest syndrome, stroke, and splenic sequestration are complications of which of the following
n n n n n n n n n n n n n
diseases? - CORRECT ANSWER -Sickle cell anemia These are all complications of sickle cell anemia.
n n n n n n n n n n n n n n n
During the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential sex trafficking
n n n n n n n n n n n n n n n n n
victim. The trauma informed approach to care emphasizes certain principles in caring for these
n n n n n n n n n n n n n n
, types of patients. Which of the following care principles has the highest priority? - CORRECT ANSWER
n n n n n n n n n n n n n n n
-Physical and psychological safety Create an environment where patients feel safe, both physically and
n n n n n n n n n n n n n
psychologically. Increase awareness of the patient's interpersonal interactions with others to screen for
n n n n n n n n n n n n n
risk of harm. Prioritize the patient being in a safe location
n n n n n n n n n n n
A 6-month-old is brought to the emergency department for a recurrent respiratory infection. When gathering
n n n n n n n n n n n n n n
a history from the caregiver, the emergency nurse learns that, in addition to the respiratory symptoms, the
n n n n n n n n n n n n n n n n n
infant has had fatty stools. The emergency nurse should be concerned about which of the following disease
n n n n n n n n n n n n n n n n n
processes? - CORRECT ANSWER -Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption,
n n n n n n n n n n n n
which results in the fatty stools seen with cystic fibrosis.
n n n n n n n n n n
The emergency nurse is caring for a patient with significant facial trauma and a suspected globe rupture. Which
n n n n n n n n n n n n n n n n n
of the following medication orders would the nurse question? - CORRECT ANSWER - Succinylcholine
n n n n n n n n n n n n n n
Succinylcholine may increase intraocular pressure and should be avoided.
n n n n n n n n n
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a seizure at home. The patient
n n n n n n n n n n n n n n n
has no seizure history. Upon examination, the patient is post-ictal with a heart rate of 142 beats per minute,
n n n n n n n n n n n n n n n n n n n
respiratory rate of 36 breaths per minute, and blood pressure of 86/72 mm Hg. Significant burns are noted to
n n n n n n n n n n n n n n n n n n n
the patient's back and lower extremities. The mother states the burns accidentally occurred 3 days ago, but she
n n n n n n n n n n n n n n n n n n
was afraid to bring patient in due to an ongoing child welfare investigation. Which of the following are the
n n n n n n n n n n n n n n n n n n n
MOST appropriate immediate interventions? - CORRECT ANSWER -Draw and send a metabolic panel,
n n n n n n n n n n n n n
administer a fluid bolus, and obtain a point of care glucose Significant burns can cause electrolyte imbalances.
n n n n n n n n n n n n n n n n n
Electrolyte imbalances may be the cause of the patient's seizure. Electrolyte imbalances need to be identified
n n n n n n n n n n n n n n n n
and treated.
n n
In which of the following primary survey components can assessment of the fontanel provide the most useful
n n n n n n n n n n n n n n n n
information? - CORRECT ANSWER -Circulation and disability A sunken fontanel may indicate
n n n n n n n n n n n n
dehydration; a bulging fontanel can indicate increased intracranial pressure.
n n n n n n n n n
A 5-year-old patient presents to the emergency department with severe dehydration due to viral
n n n n n n n n n n n n n
gastroenteritis. He has signs of shock due to his hypovolemia. Which of the following physiologic responses to
n n n n n n n n n n n n n n n n n
shock has the greatest impact on improving cardiac output in the pediatric patient? - CORRECT ANSWER -
n n n n n n n n n n n n n n n n n
Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism to increase
n n n n n n n n n n n n n
cardiac output.
n n
A toddler has a chemical eye injury. Which of the following is the priority intervention? - CORRECT
n n n n n n n n n n n n n n n n
ANSWER -Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism
n n n n n n n n n n n n n
to increase cardiac output.
n n n n
A 5 year-old with no health problems presents to the Emergency Department with a sudden onset of chest pain
n n n n n n n n n n n n n n n n n n
and shortness of breath. Parents state that the family was involved in a bad car crash one week ago. A thorough
n n n n n n n n n n n n n n n n n n n n n
assessment and workup has not revealed any abnormalities. Which of the following steps is the best next step
n n n n n n n n n n n n n n n n n n
to take? - CORRECT ANSWER -Ask about any new bed-wetting or sleep disturbances Pediatric patients
n n n n n n n n n n n n n n n
with anxiety and PTSD may present with physical complaints. Assess for other behavioral symptoms to
n n n n n n n n n n n n n n n
facilitate appropriate care and follow-up.
n n n n n
Which of the following is the most appropriate intervention for a child experiencing a seizure? - CORRECT
n n n n n n n n n n n n n n n n
ANSWER -Prepare to administer intranasal midazolam Midazolam has gained favor because of its ease of use
n n n n n n n n n n n n n n n n
and quick onset of action.
n n n n n
An ambulance arrives with a 16-year-old male involved in a dirt bike crash who was intubated prior to
n n n n n n n n n n n n n n n n n
QUESTIONSWITH CORRECTANSWERS
n n n n
Which of the following would be an abnormal finding in a patient with glomerulonephritis? - CORRECT
n n n n n n n n n n n n n n n
ANSWER -Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would
n n n n n n n n n n n n n n n n
be concentrated and dark brown/tea-colored.
n n n n n
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be
n n n n n n n n n n n n n n n
concentrated and dark brown/tea-colored. - CORRECT ANSWER -Administration of nebulized
n n n n n n n n n n
epinephrine Moderate to severe croup is treated with dexamethasone and nebulized epinephrine.
n n n n n n n n n n n n
The neurosurgeon has decided to perform an invasive procedure in the emergency department to monitor the
n n n n n n n n n n n n n n n
intracranial pressure on a 5-year-old patient. The family does not speak English and has identified their
n n n n n n n n n n n n n n n n
religion as Muslim. Which of the following interventions is most supportive of the family? - CORRECT
n n n n n n n n n n n n n n n n
ANSWER -Allow the extended to family members to serve as interpreters during the procedure.
n n n n n n n n n n n n n n
Which of the following patient presentations should increase suspicion of potential child maltreatment? -
n n n n n n n n n n n n n
CORRECT ANSWER -Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
n n n n n n n n n n n n n n n n n n n n
exploratory location in children younger than 4 years and any bruising in a child younger than 4 months
n n n n n n n n n n n n n n n n n
(TEN-4) are cause for suspicion of abuse
n n n n n n n
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory location in
n n n n n n n n n n n n n n n n n n n
children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are cause for
n n n n n n n n n n n n n n n n n n n
suspicion of abuse - CORRECT ANSWER -Commotio cordis Commotio cordis occurs when the chest is
n n n n n n n n n n n n n n n
struck during the refractory period of the cardiac conduction cycle, resulting in a ventricular dysrhythmia or
n n n n n n n n n n n n n n n n
asystole. This type of injury usually occurs in recreational sports such as baseball or ice hockey
n n n n n n n n n n n n n n n n
A 12-year-old who was recently started on anti-psychotic medication for schizophrenia is brought to the
n n n n n n n n n n n n n n
emergency department with severe muscle rigidity and hyperthermia. These symptoms are most likely
n n n n n n n n n n n n n
caused by which of the following? - CORRECT ANSWER -Neuroleptic malignant syndrome These are
n n n n n n n n n n n n n n
classic symptoms of neuroleptic malignant syndrome, which is a rare reaction to antipsychotic medications.
n n n n n n n n n n n n n n
Which of the following patients should be evaluated first - CORRECT ANSWER -An 18-month-old with
n n n n n n n n n n n n n n
bilious emesis Bilious emesis in an 18-month-old is always considered an emergent symptom indicative of a
n n n n n n n n n n n n n n n n
life-threatening bowel obstruction.
n n n
1. Which of the following tasks can the nurse do to decrease adverse medication events? - CORRECT
n n n n n n n n n n n n n n n n
ANSWER -Obtain the patient's weight in kilograms This is the preferred measurement for medication
n n n n n n n n n n n n n n
calculations for pediatric and adult patients
n n n n n n
Acute chest syndrome, stroke, and splenic sequestration are complications of which of the following
n n n n n n n n n n n n n
diseases? - CORRECT ANSWER -Sickle cell anemia These are all complications of sickle cell anemia.
n n n n n n n n n n n n n n n
During the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential sex trafficking
n n n n n n n n n n n n n n n n n
victim. The trauma informed approach to care emphasizes certain principles in caring for these
n n n n n n n n n n n n n n
, types of patients. Which of the following care principles has the highest priority? - CORRECT ANSWER
n n n n n n n n n n n n n n n
-Physical and psychological safety Create an environment where patients feel safe, both physically and
n n n n n n n n n n n n n
psychologically. Increase awareness of the patient's interpersonal interactions with others to screen for
n n n n n n n n n n n n n
risk of harm. Prioritize the patient being in a safe location
n n n n n n n n n n n
A 6-month-old is brought to the emergency department for a recurrent respiratory infection. When gathering
n n n n n n n n n n n n n n
a history from the caregiver, the emergency nurse learns that, in addition to the respiratory symptoms, the
n n n n n n n n n n n n n n n n n
infant has had fatty stools. The emergency nurse should be concerned about which of the following disease
n n n n n n n n n n n n n n n n n
processes? - CORRECT ANSWER -Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption,
n n n n n n n n n n n n
which results in the fatty stools seen with cystic fibrosis.
n n n n n n n n n n
The emergency nurse is caring for a patient with significant facial trauma and a suspected globe rupture. Which
n n n n n n n n n n n n n n n n n
of the following medication orders would the nurse question? - CORRECT ANSWER - Succinylcholine
n n n n n n n n n n n n n n
Succinylcholine may increase intraocular pressure and should be avoided.
n n n n n n n n n
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a seizure at home. The patient
n n n n n n n n n n n n n n n
has no seizure history. Upon examination, the patient is post-ictal with a heart rate of 142 beats per minute,
n n n n n n n n n n n n n n n n n n n
respiratory rate of 36 breaths per minute, and blood pressure of 86/72 mm Hg. Significant burns are noted to
n n n n n n n n n n n n n n n n n n n
the patient's back and lower extremities. The mother states the burns accidentally occurred 3 days ago, but she
n n n n n n n n n n n n n n n n n n
was afraid to bring patient in due to an ongoing child welfare investigation. Which of the following are the
n n n n n n n n n n n n n n n n n n n
MOST appropriate immediate interventions? - CORRECT ANSWER -Draw and send a metabolic panel,
n n n n n n n n n n n n n
administer a fluid bolus, and obtain a point of care glucose Significant burns can cause electrolyte imbalances.
n n n n n n n n n n n n n n n n n
Electrolyte imbalances may be the cause of the patient's seizure. Electrolyte imbalances need to be identified
n n n n n n n n n n n n n n n n
and treated.
n n
In which of the following primary survey components can assessment of the fontanel provide the most useful
n n n n n n n n n n n n n n n n
information? - CORRECT ANSWER -Circulation and disability A sunken fontanel may indicate
n n n n n n n n n n n n
dehydration; a bulging fontanel can indicate increased intracranial pressure.
n n n n n n n n n
A 5-year-old patient presents to the emergency department with severe dehydration due to viral
n n n n n n n n n n n n n
gastroenteritis. He has signs of shock due to his hypovolemia. Which of the following physiologic responses to
n n n n n n n n n n n n n n n n n
shock has the greatest impact on improving cardiac output in the pediatric patient? - CORRECT ANSWER -
n n n n n n n n n n n n n n n n n
Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism to increase
n n n n n n n n n n n n n
cardiac output.
n n
A toddler has a chemical eye injury. Which of the following is the priority intervention? - CORRECT
n n n n n n n n n n n n n n n n
ANSWER -Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism
n n n n n n n n n n n n n
to increase cardiac output.
n n n n
A 5 year-old with no health problems presents to the Emergency Department with a sudden onset of chest pain
n n n n n n n n n n n n n n n n n n
and shortness of breath. Parents state that the family was involved in a bad car crash one week ago. A thorough
n n n n n n n n n n n n n n n n n n n n n
assessment and workup has not revealed any abnormalities. Which of the following steps is the best next step
n n n n n n n n n n n n n n n n n n
to take? - CORRECT ANSWER -Ask about any new bed-wetting or sleep disturbances Pediatric patients
n n n n n n n n n n n n n n n
with anxiety and PTSD may present with physical complaints. Assess for other behavioral symptoms to
n n n n n n n n n n n n n n n
facilitate appropriate care and follow-up.
n n n n n
Which of the following is the most appropriate intervention for a child experiencing a seizure? - CORRECT
n n n n n n n n n n n n n n n n
ANSWER -Prepare to administer intranasal midazolam Midazolam has gained favor because of its ease of use
n n n n n n n n n n n n n n n n
and quick onset of action.
n n n n n
An ambulance arrives with a 16-year-old male involved in a dirt bike crash who was intubated prior to
n n n n n n n n n n n n n n n n n
