ENPC EXAM ACTUAL EXAM DETAILED
QUESTIONS AND CORRECT VERIFIED
ANSWERS 2024 UPDATE ALREADY A GRADE.
A 12-year-old involved in a house fire has full thickness, circumferential burns to
bilateral lower extremities. Fluid resuscitation is in progress on arrival at the ED. On
assessment the left pedal and posterior tibialis pulses are absent, with delayed capillary
refill. Which of the following is the priority intervention?
A. Application of compression dressings
B. Elevation of left lower extremity
C. Assist with escharotomy
D. Preparation for thrombectomy - ANSWER- C. Assist with escharotomy
A 2-year-old arrives with parents stating the child may have ingested a button battery.
The patient initially choked and coughed and is now drooling with bloody sputum. Which
of the following is the priority intervention?
A. Prepare the patient for hospitalization
B. Administer 5 -10 ml of honey orally
C. Discharge with specific return instructions
D. Offer the child sips of water intermittently - ANSWER- A. Prepare the patient for
hospitalization
When caring for a potential crime victim, what evidence collection principle is
imperative?
A. Evidence collection is prioritized over nursing assessment.
B. Suspicious clothing should be placed in separate, clean, clearly marked plastic bags.
C. Clothing should always be cut along seam lines to preserve evidence.
D. Clothing should not be placed on the floor in order to prevent contamination. -
ANSWER- D. Clothing should not be placed on the floor in order to prevent
contamination.
,A patient fell two weeks ago, striking their head. Today, the patient presented with a
persistent headache and nausea and was diagnosed with a small subdural hematoma.
The patient has been in the ED for 24 hours awaiting an inpatient bed. The night shift
nurse reports the patient has been anxious, restless, shaky, and vomited twice during
the night. The patient states they couldn't sleep because a young child kept coming into
the room. What is the most likely cause for these signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
d. pulmonary embolus - ANSWER- b. alcohol withdrawal
Treatment for frostbite can include which of the following interventions?
a. warm the affected part over 30-60 minutes
b. use gentle friction to improve circulation
c. administer tissue plasminogen activator
d. leave all of the blisters intact - ANSWER- c. administer tissue plasminogen activator
A patient with a spinal cord injury at C5 is being cared for in the emergency department
while awaiting transport to a trauma center. Which of the following represents the
highest priority for ongoing assessment and management for this patient?
a. maintain adequate respiratory status.
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
d. maintain core temperature - ANSWER- a. maintain adequate respiratory status
Following a bomb explosion, fragmentation injuries from the bomb or objects in the
environment are examples of which phase of injury?
a. primary
b. secondary
, c. tertiary
d. quaternary - ANSWER- b. secondary
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse
called in sick for a couple of days and is now back working on the team. Which of the
following behaviors would indicate this nurse is coping well?
a. They are talking about taking the emergency nursing certification examination.
b. They keep requesting to be assigned to the walk-in/ambulatory area
c. They are impatient and snap at their coworkers.
d. They are thinking about transferring out of the emergency department. - ANSWER-
a. They are talking about taking the emergency nursing certification examination.
Which of the following accurately describes ventilation principles associated with use of
a bag-mask device for an adult?
a. Compress the bag-mask device at a rate of one breath every 6 seconds.
b. Delivers 100% oxygen.
c. Squeeze the bag-mask device completely for each breath.
d. Maintain the oxygen saturation levels between 92% and 94%. - ANSWER- a.
Compress the bag-mask device at a rate of one breath every 6 seconds.
The general impression step in the initial assessment provides the opportunity to do
which of the following?
a. Assess for uncontrolled internal hemorrhage
b. Accurately triage the patient
c. Reprioritize circulation before airway or breathing.
d. Activate the trauma team - ANSWER- c. Reprioritize circulation before airway or
breathing.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of
94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
QUESTIONS AND CORRECT VERIFIED
ANSWERS 2024 UPDATE ALREADY A GRADE.
A 12-year-old involved in a house fire has full thickness, circumferential burns to
bilateral lower extremities. Fluid resuscitation is in progress on arrival at the ED. On
assessment the left pedal and posterior tibialis pulses are absent, with delayed capillary
refill. Which of the following is the priority intervention?
A. Application of compression dressings
B. Elevation of left lower extremity
C. Assist with escharotomy
D. Preparation for thrombectomy - ANSWER- C. Assist with escharotomy
A 2-year-old arrives with parents stating the child may have ingested a button battery.
The patient initially choked and coughed and is now drooling with bloody sputum. Which
of the following is the priority intervention?
A. Prepare the patient for hospitalization
B. Administer 5 -10 ml of honey orally
C. Discharge with specific return instructions
D. Offer the child sips of water intermittently - ANSWER- A. Prepare the patient for
hospitalization
When caring for a potential crime victim, what evidence collection principle is
imperative?
A. Evidence collection is prioritized over nursing assessment.
B. Suspicious clothing should be placed in separate, clean, clearly marked plastic bags.
C. Clothing should always be cut along seam lines to preserve evidence.
D. Clothing should not be placed on the floor in order to prevent contamination. -
ANSWER- D. Clothing should not be placed on the floor in order to prevent
contamination.
,A patient fell two weeks ago, striking their head. Today, the patient presented with a
persistent headache and nausea and was diagnosed with a small subdural hematoma.
The patient has been in the ED for 24 hours awaiting an inpatient bed. The night shift
nurse reports the patient has been anxious, restless, shaky, and vomited twice during
the night. The patient states they couldn't sleep because a young child kept coming into
the room. What is the most likely cause for these signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
d. pulmonary embolus - ANSWER- b. alcohol withdrawal
Treatment for frostbite can include which of the following interventions?
a. warm the affected part over 30-60 minutes
b. use gentle friction to improve circulation
c. administer tissue plasminogen activator
d. leave all of the blisters intact - ANSWER- c. administer tissue plasminogen activator
A patient with a spinal cord injury at C5 is being cared for in the emergency department
while awaiting transport to a trauma center. Which of the following represents the
highest priority for ongoing assessment and management for this patient?
a. maintain adequate respiratory status.
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
d. maintain core temperature - ANSWER- a. maintain adequate respiratory status
Following a bomb explosion, fragmentation injuries from the bomb or objects in the
environment are examples of which phase of injury?
a. primary
b. secondary
, c. tertiary
d. quaternary - ANSWER- b. secondary
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse
called in sick for a couple of days and is now back working on the team. Which of the
following behaviors would indicate this nurse is coping well?
a. They are talking about taking the emergency nursing certification examination.
b. They keep requesting to be assigned to the walk-in/ambulatory area
c. They are impatient and snap at their coworkers.
d. They are thinking about transferring out of the emergency department. - ANSWER-
a. They are talking about taking the emergency nursing certification examination.
Which of the following accurately describes ventilation principles associated with use of
a bag-mask device for an adult?
a. Compress the bag-mask device at a rate of one breath every 6 seconds.
b. Delivers 100% oxygen.
c. Squeeze the bag-mask device completely for each breath.
d. Maintain the oxygen saturation levels between 92% and 94%. - ANSWER- a.
Compress the bag-mask device at a rate of one breath every 6 seconds.
The general impression step in the initial assessment provides the opportunity to do
which of the following?
a. Assess for uncontrolled internal hemorrhage
b. Accurately triage the patient
c. Reprioritize circulation before airway or breathing.
d. Activate the trauma team - ANSWER- c. Reprioritize circulation before airway or
breathing.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of
94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
