ENPC Test Questions 2023 Correctly Solved Graded A+ (verified)

ENPC Test 2023/2024 A preschooler has a small laceration that required 2 stitches. The nurse covers the wound with a bandage knowing that it will comfort the child to have it covered. What is the developmental reason for this intervention? A. Preschoolers are magical thinkers and imagine bandages keep their insides from coming out B. Preschoolers fear physical disability and believe a bandage will prevent disability C. Preschoolers explore orally and will likely chew or suck on the stitches if left uncovered D. Preschoolers are concerned with body image and don't want to appear different than peers - Answer A 7-month-old presents to the emergency department with a complaint of fever. Assessment reveals a patent airway and slight cyanosis around his lips and nail beds. He is alert and interactive. His vital signs are 38.5 °C (101.3 °F), HR 134, RR 32, BP 78/54 mm Hg, and SpO2 84%. The nurse notes a healed surgical scar on his chest. Based on this assessment, what is the nurse's priority? A. Administer ibuprofen to treat the fever B. Begin oxygen via a nonrebreather mask C. Obtain a surgical history D. Ask if the SpO2 is normal for him - Answer An 11-year-old presents to the emergency department with a complaint of hitting his head while playing soccer. The nurse enters the room and performs an across-the-room assessment. He is staring at the wall. He has no increased work of breathing, and his color is pink. Using the pediatric assessment triangle (PAT), what classification will the nurse assign? A. Well B. Sick C. Sicker D. Sickest - Answer The pediatric prioritization process components include the focused assessment, focused history, acuity rating decision and: A. the pediatric assessment triangle (PAT). B. developmental characteristics. C. head-to-toe assessment. D. life-saving interventions. - Answer A 2-year-old is brought to the emergency department by her father when he found her face down in the pool. She remains unresponsive and is breathing shallowly and slowly. Her color is pale. What is the priority? A. Administer 100% oxygen B. Immobilize the cervical spine C. Begin bag-mask ventilation D. Insert an oral airway - Answer A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment, padding should be placed under which area? A. Shoulders B. Head C. Neck D. Waist - Answer The nurse is preparing to administer a feeding through a nasogastric feeding tube. The tube position was verified by radiograph after insertion 2 hours ago. How will the nurse verify placement before feeding? A. Instill air and listen over the epigastrium B. Test the pH of the gastric contents C. Observe color of a gastric aspirate sample. D. Repeat the radiograph - Answer What is the best method to rapidly administer a 20 mL/kg bolus of 0.9% normal saline to a pediatric patient weighing 16 kg? A. A 20-mL syringe with a stopcock B. An infusion pump C. A rapid infuser D. A pressure bag - Answer Immediately after intraosseous insertion the nurse assesses the infusion and notes that the fluid is not dripping. How should the nurse respond? A. Use an infusion pump to deliver the fluids B. Remove the device and insert in another site C. Advance the device and reassess the flow D. Attempt to aspirate bone marrow - Answer A 13-month-old presents to the emergency department with a 2-day history of a low-grade fever, increased work of breathing, and tonight developed a barking cough and inspiratory stridor. What condition does the nurse suspect? A. Epiglottitis B. Foreign body aspiration C. Tracheomalacia D. Croup - Answer In providing education to a family regarding obtaining baseline peak airway flow for a child with asthma, the nurse will recommend what time of day? A. At bedtime B. Before exercise C. In the morning D. After meals - Answer The nurse is planning to begin oral rehydration therapy for a 9-month-old with mild dehydration. She provides the caregivers with a glucose and sodium solution and instructs them to administer small amounts: A. Every 2 to 5 minutes B. Every 10 to 12 minutes C. Every 15 minutes D. Every 30 minutes - Answer Caregivers bring in their 3-week-old neonate and describe nonbilious vomiting after every feeding that is becoming more forceful over the past 24 hours. The last time he vomited the vomitus hit a chair 2 feet away. They say he cries, roots, and sucks vigorously on his pacifier right after vomiting as though still hungry. He is not experiencing any diarrhea. What condition is the most likely cause of these signs and symptoms? A. Intussusception B. Volvulus C. Gastroenteritis D. Pyloric stenosis - Answer