ENPC Exam 6th Edition Questions and
Answers
1. A 5-year-old child presents with hives, swelling of the lips and face,
and stridor that developed about an hour after eating lunch. The
child has no known allergies. Which of the following is the priority
intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol
Answer A. Administer intramuscular epinephrine
2. An adolescent is awaiting ICU admission for pneumonia. During
reassessment, which of the following findings would be most
indicative that respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill
Answer A. SpO2 of 94 % on room air
3. A 3-year-old has a two-day history of runny nose, low-grade
,fever, and a "barky" cough at night. The child is awake and alert
with noted stridor. Pulse oximetry is 96% on room air. Which of the
following interventions would be the most appropriated for this
child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer
Answer B. Administration of nebulized epinephrine
4. A 14-year-old patient had a reduction of a
temporomandibular joint dislocation in the ED. Which of the
following should be included in the discharge instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control
Answer D. Use a nonsteroidal anti-in- flammatory for pain control
5. Which of the following parameters would indicate that
appropriate post resuscitation interventions were successfully
carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
, C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg
Answer A. Pulse oximetry reading of 96%
6. An anxious 12-year-old child presents to the emergency
department with a sudden onset of nausea, diarrhea, abdominal
cramping, flushing, and hypotension. Symptoms started about 60
minutes after lunch. Which of the following conditions is the most
likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche
Answer A. Anaphylaxis
7. An 8-year-old trauma patient suddenly develops increased
respiratory dis- tress with a rise in heart rate from 112
beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted. Which
of the following emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression
Answers
1. A 5-year-old child presents with hives, swelling of the lips and face,
and stridor that developed about an hour after eating lunch. The
child has no known allergies. Which of the following is the priority
intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol
Answer A. Administer intramuscular epinephrine
2. An adolescent is awaiting ICU admission for pneumonia. During
reassessment, which of the following findings would be most
indicative that respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill
Answer A. SpO2 of 94 % on room air
3. A 3-year-old has a two-day history of runny nose, low-grade
,fever, and a "barky" cough at night. The child is awake and alert
with noted stridor. Pulse oximetry is 96% on room air. Which of the
following interventions would be the most appropriated for this
child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer
Answer B. Administration of nebulized epinephrine
4. A 14-year-old patient had a reduction of a
temporomandibular joint dislocation in the ED. Which of the
following should be included in the discharge instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control
Answer D. Use a nonsteroidal anti-in- flammatory for pain control
5. Which of the following parameters would indicate that
appropriate post resuscitation interventions were successfully
carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
, C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg
Answer A. Pulse oximetry reading of 96%
6. An anxious 12-year-old child presents to the emergency
department with a sudden onset of nausea, diarrhea, abdominal
cramping, flushing, and hypotension. Symptoms started about 60
minutes after lunch. Which of the following conditions is the most
likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche
Answer A. Anaphylaxis
7. An 8-year-old trauma patient suddenly develops increased
respiratory dis- tress with a rise in heart rate from 112
beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted. Which
of the following emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression
