ENP - EMERGENCY NURSE PRACTITIONER ULTIMATE | FINAL EXAM PREP
2026/2027 | QUESTIONS AND 100% VERIFIED ANSWERS | 100% PASS
GUARANTEE
1. A 62-year-old man arrives with crushing chest pain radiating to his left
arm and diaphoresis. Which action should the ENP prioritize?
A. Obtain a chest X-ray
B. Administer aspirin
C. Schedule stress testing
D. Encourage oral fluids
ANSWER : B. Administer aspirin
Explanation: Aspirin reduces platelet aggregation and lowers mortality in
patients with suspected acute coronary syndrome. It should be administered
as soon as possible unless contraindications exist.
2. Which electrolyte abnormality is most commonly associated with
peaked T waves on an ECG?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypercalcemia
ANSWER : B. Hyperkalemia
Explanation: Hyperkalemia causes characteristic ECG changes, including
peaked T waves, prolonged PR intervals, widened QRS complexes, and severe
arrhythmias.
3. A patient with asthma presents with severe respiratory distress and
inability to speak full sentences. Which medication should be
administered first?
,A. Intravenous antibiotics
B. Inhaled albuterol
C. Oral corticosteroids
D. Antihistamines
ANSWER : B. Inhaled albuterol
Explanation: Short-acting beta-agonists such as albuterol rapidly relieve
bronchospasm and are first-line treatment during acute asthma exacerbations.
4. Which Glasgow Coma Scale component evaluates verbal response?
A. Eye opening
B. Motor response
C. Speech pattern
D. Verbal response
ANSWER : D. Verbal response
Explanation: The Glasgow Coma Scale assesses eye opening, verbal response,
and motor response to determine neurologic status.
5. A patient arrives after trauma with hypotension, tachycardia, and
distended neck veins. Which condition should the ENP suspect?
A. Tension pneumothorax
B. Appendicitis
C. Gastroenteritis
D. Renal colic
ANSWER : A. Tension pneumothorax
Explanation: Tension pneumothorax produces obstructive shock characterized
by hypotension, tachycardia, respiratory distress, and jugular venous
distention.
6. Which artery is most commonly palpated during adult cardiopulmonary
resuscitation?
A. Femoral artery
,B. Radial artery
C. Carotid artery
D. Ulnar artery
ANSWER : C. Carotid artery
Explanation: Healthcare providers assess circulation in adults by palpating the
carotid artery because it remains palpable during low blood flow states.
7. A patient presents with sudden facial droop and arm weakness. What
assessment tool is commonly used to screen for stroke?
A. Braden Scale
B. FAST assessment
C. APGAR score
D. Wells score
ANSWER : B. FAST assessment
Explanation: FAST stands for Face drooping, Arm weakness, Speech difficulty,
and Time to call emergency services.
8. Which laboratory test confirms diabetic ketoacidosis?
A. Elevated ketones and metabolic acidosis
B. Elevated calcium
C. Increased hemoglobin
D. Elevated platelets
ANSWER : A. Elevated ketones and metabolic acidosis
Explanation: Diabetic ketoacidosis is diagnosed by hyperglycemia, ketonemia,
and metabolic acidosis.
9. A patient experiences anaphylaxis after a bee sting. Which medication is
first-line treatment?
A. Diphenhydramine
B. Epinephrine
C. Prednisone
, D. Albuterol
ANSWER : B. Epinephrine
Explanation: Intramuscular epinephrine is the primary treatment for
anaphylaxis because it reverses airway edema, hypotension, and
bronchospasm.
10.Which fracture is commonly associated with injury to the median nerve?
A. Distal radius fracture
B. Fibular fracture
C. Metatarsal fracture
D. Clavicle fracture
ANSWER : A. Distal radius fracture
Explanation: Distal radius fractures, particularly Colles fractures, may compress
or damage the median nerve.
11.What is the normal adult respiratory rate?
A. 4 to 8 breaths per minute
B. 8 to 12 breaths per minute
C. 12 to 20 breaths per minute
D. 24 to 30 breaths per minute
ANSWER : C. 12 to 20 breaths per minute
Explanation: The normal respiratory rate for healthy adults ranges from 12 to
20 breaths per minute.
12.A patient with fever, productive cough, and pleuritic chest pain likely
has:
A. Pneumonia
B. Migraine
C. Gastritis
D. Cystitis
ANSWER : A. Pneumonia
2026/2027 | QUESTIONS AND 100% VERIFIED ANSWERS | 100% PASS
GUARANTEE
1. A 62-year-old man arrives with crushing chest pain radiating to his left
arm and diaphoresis. Which action should the ENP prioritize?
A. Obtain a chest X-ray
B. Administer aspirin
C. Schedule stress testing
D. Encourage oral fluids
ANSWER : B. Administer aspirin
Explanation: Aspirin reduces platelet aggregation and lowers mortality in
patients with suspected acute coronary syndrome. It should be administered
as soon as possible unless contraindications exist.
2. Which electrolyte abnormality is most commonly associated with
peaked T waves on an ECG?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypercalcemia
ANSWER : B. Hyperkalemia
Explanation: Hyperkalemia causes characteristic ECG changes, including
peaked T waves, prolonged PR intervals, widened QRS complexes, and severe
arrhythmias.
3. A patient with asthma presents with severe respiratory distress and
inability to speak full sentences. Which medication should be
administered first?
,A. Intravenous antibiotics
B. Inhaled albuterol
C. Oral corticosteroids
D. Antihistamines
ANSWER : B. Inhaled albuterol
Explanation: Short-acting beta-agonists such as albuterol rapidly relieve
bronchospasm and are first-line treatment during acute asthma exacerbations.
4. Which Glasgow Coma Scale component evaluates verbal response?
A. Eye opening
B. Motor response
C. Speech pattern
D. Verbal response
ANSWER : D. Verbal response
Explanation: The Glasgow Coma Scale assesses eye opening, verbal response,
and motor response to determine neurologic status.
5. A patient arrives after trauma with hypotension, tachycardia, and
distended neck veins. Which condition should the ENP suspect?
A. Tension pneumothorax
B. Appendicitis
C. Gastroenteritis
D. Renal colic
ANSWER : A. Tension pneumothorax
Explanation: Tension pneumothorax produces obstructive shock characterized
by hypotension, tachycardia, respiratory distress, and jugular venous
distention.
6. Which artery is most commonly palpated during adult cardiopulmonary
resuscitation?
A. Femoral artery
,B. Radial artery
C. Carotid artery
D. Ulnar artery
ANSWER : C. Carotid artery
Explanation: Healthcare providers assess circulation in adults by palpating the
carotid artery because it remains palpable during low blood flow states.
7. A patient presents with sudden facial droop and arm weakness. What
assessment tool is commonly used to screen for stroke?
A. Braden Scale
B. FAST assessment
C. APGAR score
D. Wells score
ANSWER : B. FAST assessment
Explanation: FAST stands for Face drooping, Arm weakness, Speech difficulty,
and Time to call emergency services.
8. Which laboratory test confirms diabetic ketoacidosis?
A. Elevated ketones and metabolic acidosis
B. Elevated calcium
C. Increased hemoglobin
D. Elevated platelets
ANSWER : A. Elevated ketones and metabolic acidosis
Explanation: Diabetic ketoacidosis is diagnosed by hyperglycemia, ketonemia,
and metabolic acidosis.
9. A patient experiences anaphylaxis after a bee sting. Which medication is
first-line treatment?
A. Diphenhydramine
B. Epinephrine
C. Prednisone
, D. Albuterol
ANSWER : B. Epinephrine
Explanation: Intramuscular epinephrine is the primary treatment for
anaphylaxis because it reverses airway edema, hypotension, and
bronchospasm.
10.Which fracture is commonly associated with injury to the median nerve?
A. Distal radius fracture
B. Fibular fracture
C. Metatarsal fracture
D. Clavicle fracture
ANSWER : A. Distal radius fracture
Explanation: Distal radius fractures, particularly Colles fractures, may compress
or damage the median nerve.
11.What is the normal adult respiratory rate?
A. 4 to 8 breaths per minute
B. 8 to 12 breaths per minute
C. 12 to 20 breaths per minute
D. 24 to 30 breaths per minute
ANSWER : C. 12 to 20 breaths per minute
Explanation: The normal respiratory rate for healthy adults ranges from 12 to
20 breaths per minute.
12.A patient with fever, productive cough, and pleuritic chest pain likely
has:
A. Pneumonia
B. Migraine
C. Gastritis
D. Cystitis
ANSWER : A. Pneumonia
