ENPC FINAL PAPER 2026 EXAM TEST PAPER
WITH FULLY SOLVED QUESTIONS GRADED
A+
⫸ Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored. Answer: Administration of nebulized epinephrine Moderate to
severe croup is treated with dexamethasone and nebulized epinephrine.
⫸ The neurosurgeon has decided to perform an invasive procedure in
the emergency department to monitor the intracranial pressure on a 5-
year-old patient. The family does not speak English and has identified
their religion as Muslim. Which of the following interventions is most
supportive of the family? Answer: Allow the extended to family
members to serve as interpreters during the procedure.
⫸ Which of the following patient presentations should increase
suspicion of potential child maltreatment? Answer: Bruising to the left
ear of a newborn from sleeping on his side Any bruise in a non-
exploratory location in children younger than 4 years and any bruising in
a child younger than 4 months (TEN-4) are cause for suspicion of abuse
⫸ Bruising to the left ear of a newborn from sleeping on his side Any
bruise in a non-exploratory location in children younger than 4 years and
any bruising in a child younger than 4 months (TEN-4) are cause for
suspicion of abuse Answer: Commotio cordis Commotio cordis occurs
, when the chest is struck during the refractory period of the cardiac
conduction cycle, resulting in a ventricular dysrhythmia or asystole. This
type of injury usually occurs in recreational sports such as baseball or
ice hockey
⫸ A 12-year-old who was recently started on anti-psychotic medication
for schizophrenia is brought to the emergency department with severe
muscle rigidity and hyperthermia. These symptoms are most likely
caused by which of the following? Answer: Neuroleptic malignant
syndrome These are classic symptoms of neuroleptic malignant
syndrome, which is a rare reaction to antipsychotic medications.
⫸ Which of the following patients should be evaluated first Answer: An
18-month-old with bilious emesis Bilious emesis in an 18-month-old is
always considered an emergent symptom indicative of a life-threatening
bowel obstruction.
⫸ 1. Which of the following tasks can the nurse do to decrease adverse
medication events? Answer: Obtain the patient's weight in kilograms
This is the preferred measurement for medication calculations for
pediatric and adult patients
⫸ Acute chest syndrome, stroke, and splenic sequestration are
complications of which of the following diseases? Answer: Sickle cell
anemia These are all complications of sickle cell anemia.
WITH FULLY SOLVED QUESTIONS GRADED
A+
⫸ Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored. Answer: Administration of nebulized epinephrine Moderate to
severe croup is treated with dexamethasone and nebulized epinephrine.
⫸ The neurosurgeon has decided to perform an invasive procedure in
the emergency department to monitor the intracranial pressure on a 5-
year-old patient. The family does not speak English and has identified
their religion as Muslim. Which of the following interventions is most
supportive of the family? Answer: Allow the extended to family
members to serve as interpreters during the procedure.
⫸ Which of the following patient presentations should increase
suspicion of potential child maltreatment? Answer: Bruising to the left
ear of a newborn from sleeping on his side Any bruise in a non-
exploratory location in children younger than 4 years and any bruising in
a child younger than 4 months (TEN-4) are cause for suspicion of abuse
⫸ Bruising to the left ear of a newborn from sleeping on his side Any
bruise in a non-exploratory location in children younger than 4 years and
any bruising in a child younger than 4 months (TEN-4) are cause for
suspicion of abuse Answer: Commotio cordis Commotio cordis occurs
, when the chest is struck during the refractory period of the cardiac
conduction cycle, resulting in a ventricular dysrhythmia or asystole. This
type of injury usually occurs in recreational sports such as baseball or
ice hockey
⫸ A 12-year-old who was recently started on anti-psychotic medication
for schizophrenia is brought to the emergency department with severe
muscle rigidity and hyperthermia. These symptoms are most likely
caused by which of the following? Answer: Neuroleptic malignant
syndrome These are classic symptoms of neuroleptic malignant
syndrome, which is a rare reaction to antipsychotic medications.
⫸ Which of the following patients should be evaluated first Answer: An
18-month-old with bilious emesis Bilious emesis in an 18-month-old is
always considered an emergent symptom indicative of a life-threatening
bowel obstruction.
⫸ 1. Which of the following tasks can the nurse do to decrease adverse
medication events? Answer: Obtain the patient's weight in kilograms
This is the preferred measurement for medication calculations for
pediatric and adult patients
⫸ Acute chest syndrome, stroke, and splenic sequestration are
complications of which of the following diseases? Answer: Sickle cell
anemia These are all complications of sickle cell anemia.
