ENPC Exam Prep / Exam Questions – Absolutely
100% Correct.
Which of the following would be an abnormal finding in a patient with
glomerulonephritis? Correct ans - Clear urine There is a decrease in
urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored. Correct ans - 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? Correct ans - 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? Correct ans - 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
Correct ans - 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? Correct ans - 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 Correct ans -
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? Correct ans - 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? Correct ans - Sickle cell anemia
These are all complications of sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies
him as a potential sex trafficking victim. The trauma informed approach to
care emphasizes certain principles in caring for these types of patients.
Which of the following care principles has the highest priority? Correct
ans - Physical and psychological safety Create an environment where
patients feel safe, both physically and psychologically. Increase awareness of
the patient's interpersonal interactions with others to screen for risk of harm.
Prioritize the patient being in a safe location
A 6-month-old is brought to the emergency department for a recurrent
respiratory infection. When gathering a history from the caregiver, the
emergency nurse learns that, in addition to the respiratory symptoms, the
infant has had fatty stools. The emergency nurse should be concerned about
which of the following disease processes? Correct ans - Cystic Fibrosis
Pancreatic insufficiency leads to fat malabsorption, which results in the fatty
stools seen with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma
and a suspected globe rupture. Which of the following medication orders
would the nurse question? Correct ans - Succinylcholine
Succinylcholine may increase intraocular pressure and should be avoided.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing
a seizure at home. The patient has no seizure history. Upon examination, the
patient is post-ictal with a heart rate of 142 beats per minute, respiratory
rate of 36 breaths per minute, and blood pressure of 86/72 mm Hg.
Significant burns are noted to the patient's back and lower extremities. The
mother states the burns accidentally occurred 3 days ago, but she was afraid
to bring patient in due to an ongoing child welfare investigation. Which of the
following are the MOST appropriate immediate interventions? Correct
ans - Draw and send a metabolic panel, administer a fluid bolus, and obtain
a point of care glucose Significant burns can cause electrolyte imbalances.
Electrolyte imbalances may be the cause of the patient's seizure. Electrolyte
imbalances need to be identified and treated.
100% Correct.
Which of the following would be an abnormal finding in a patient with
glomerulonephritis? Correct ans - Clear urine There is a decrease in
urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored. Correct ans - 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? Correct ans - 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? Correct ans - 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
Correct ans - 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? Correct ans - 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 Correct ans -
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? Correct ans - 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? Correct ans - Sickle cell anemia
These are all complications of sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies
him as a potential sex trafficking victim. The trauma informed approach to
care emphasizes certain principles in caring for these types of patients.
Which of the following care principles has the highest priority? Correct
ans - Physical and psychological safety Create an environment where
patients feel safe, both physically and psychologically. Increase awareness of
the patient's interpersonal interactions with others to screen for risk of harm.
Prioritize the patient being in a safe location
A 6-month-old is brought to the emergency department for a recurrent
respiratory infection. When gathering a history from the caregiver, the
emergency nurse learns that, in addition to the respiratory symptoms, the
infant has had fatty stools. The emergency nurse should be concerned about
which of the following disease processes? Correct ans - Cystic Fibrosis
Pancreatic insufficiency leads to fat malabsorption, which results in the fatty
stools seen with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma
and a suspected globe rupture. Which of the following medication orders
would the nurse question? Correct ans - Succinylcholine
Succinylcholine may increase intraocular pressure and should be avoided.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing
a seizure at home. The patient has no seizure history. Upon examination, the
patient is post-ictal with a heart rate of 142 beats per minute, respiratory
rate of 36 breaths per minute, and blood pressure of 86/72 mm Hg.
Significant burns are noted to the patient's back and lower extremities. The
mother states the burns accidentally occurred 3 days ago, but she was afraid
to bring patient in due to an ongoing child welfare investigation. Which of the
following are the MOST appropriate immediate interventions? Correct
ans - Draw and send a metabolic panel, administer a fluid bolus, and obtain
a point of care glucose Significant burns can cause electrolyte imbalances.
Electrolyte imbalances may be the cause of the patient's seizure. Electrolyte
imbalances need to be identified and treated.
