ENPC 6th Ed Exam Questions & Answers,
Rated 100%
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 - A. Administer intramuscular epinephrine
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 - A. SpO2 of 94 % on room air
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 - B. Administration of nebulized
epinephrine
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 - D. Use a nonsteroidal
anti-inflammatory for pain control
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 - A. Pulse oximetry reading of 96%
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 - A. Anaphylaxis
An 8-year-old trauma patient suddenly develops increased respiratory distress 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 - D. Needle decompression
A 4-week-old infant born prematurely is brought to the emergency department due
to the rapid onset of abdominal distention, vomiting, bloody stools, and exhibiting
signs of shock. Based on these findings, what condition should the nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
Rated 100%
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 - A. Administer intramuscular epinephrine
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 - A. SpO2 of 94 % on room air
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 - B. Administration of nebulized
epinephrine
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 - D. Use a nonsteroidal
anti-inflammatory for pain control
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 - A. Pulse oximetry reading of 96%
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 - A. Anaphylaxis
An 8-year-old trauma patient suddenly develops increased respiratory distress 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 - D. Needle decompression
A 4-week-old infant born prematurely is brought to the emergency department due
to the rapid onset of abdominal distention, vomiting, bloody stools, and exhibiting
signs of shock. Based on these findings, what condition should the nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
