2023 ENPC Prep Exam With 100% Correct Questions and Answers

2023 ENPC Prep Exam With 100% Correct Questions and Answers The emergency nurse is caring for a patient with significant facial trauma and asuspected globe rupture. Which of the following medication orders would the nurse question? - Answer Succinylcholine Succinylcholine may increase intraocular pressure and should be avoided. Which of the following would be an abnormal finding in a patient with glomerulonephritis? - Answer Clear urine Thereis a decreasein urineoutput forpatient'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. -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 thefollowing interventionsis mostsupportiveof thefamily? -Answer Allow the extended to family members to serve as interpreters duringthe 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 youngerthan 4months(TEN-4) are causeforsuspicion 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 youngerthan 4months(TEN-4) arecausefor 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 sportssuch as baseballorice 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. Thesesymptoms are most likely caused by which ofthe following? - Answer Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant syndrome, which is a rare reaction to antipsychoticmedications. Which of thefollowing patients should beevaluated first- Answer An 18-month-oldwith biliousemesis Biliousemesisin an 18-month-old is always considered an emergent symptom indicative of a life-threatening bowelobstruction. 1. Which of thefollowing taskscan the nurse doto decrease adverse medicationevents? - 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 ofwhich of the following diseases? - Answer Sickle cell anemia These are all complicationsofsicklecell anemia. During the assessmentof a 16-year-old male patient, theED nurseidentifies himas a potential sex trafficking victim. The trauma informed approach to care emphasizes certain principles in caring for these types of patients. Which of thefollowing care principles has the highest priority? - Answer 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 safelocation 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 infanthas had fattystools. Theemergency nurseshould beconcerned about which of the following disease processes? - Answer Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results in the fatty stools seen with cysticfibrosis. 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 pressureof 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 dueto anongoing child welfare investigation. Which of the following are the MOST appropriate immediate interventions? - Answer Draw and send a metabolic panel, administer a fluid bolus, and obtain a point of care glucose Significant burnscan causeelectrolyte