ENPC ACTUAL EXAM (NEWLY UPDATED )COMPLETE
Q&A|GUARANTEED 100% PASS
1. Which of the following would be an abnormal finding in a patient with
glomerulonephritis?: Clear urine There is a decrease in urine output for patient's
with glomerulonephritis. Urine would be concentrated and dark brown/tea-colored.
2. Clear urine There is a decrease in urine output for patient's with glomeru-
lonephritis. Urine would be concentrated and dark brown/tea-colored.: Ad-
ministration of nebulized epinephrine Moderate to severe croup is treated with
dexamethasone and nebulized epinephrine.
3. 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?: Allow the extended to family members to serve as interpreters during the
procedure.
4. Which of the following patient presentations should increase suspicion of
potential child maltreatment?: 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
5. 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: 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
6. 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?: Neuroleptic malignant syndrome These are classic symptoms
of neuroleptic malignant syndrome, which is a rare reaction to antipsychotic med-
ications.
7. Which of the following patients should be evaluated first: 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.
8. 1. Which of the following tasks can the nurse do to decrease adverse
medication events?: Obtain the patient's weight in kilograms This is the preferred
measurement for medication calculations for pediatric and adult patients
, 9. Acute chest syndrome, stroke, and splenic sequestration are complica-
tions of which of the following diseases?: Sickle cell anemia These are all
complications of sickle cell anemia.
10. During the assessment of a 16-year-old male patient, the ED nurse identi-
fies 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?: 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
11. A 6-month-old is brought to the emergency department for a recurrent
respiratory infection. When gathering a history from the caregiver, the emer-
gency 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?: Cystic Fibrosis Pancreatic insufficiency
leads to fat malabsorption, which results in the fatty stools seen with cystic fibrosis.
12. 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?: Succinylcholine Succinylcholine may increase in-
traocular pressure and should be avoided.
13. A 7-year-old arrives via ambulance.The patient's mother reports witness-
ing 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?: 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.
14. In which of the following primary survey components can assessment of
the fontanel provide the most useful information?: Circulation and disability
A sunken fontanel may indicate dehydration; a bulging fontanel can indicate in-
creased intracranial pressure.
Q&A|GUARANTEED 100% PASS
1. Which of the following would be an abnormal finding in a patient with
glomerulonephritis?: Clear urine There is a decrease in urine output for patient's
with glomerulonephritis. Urine would be concentrated and dark brown/tea-colored.
2. Clear urine There is a decrease in urine output for patient's with glomeru-
lonephritis. Urine would be concentrated and dark brown/tea-colored.: Ad-
ministration of nebulized epinephrine Moderate to severe croup is treated with
dexamethasone and nebulized epinephrine.
3. 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?: Allow the extended to family members to serve as interpreters during the
procedure.
4. Which of the following patient presentations should increase suspicion of
potential child maltreatment?: 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
5. 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: 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
6. 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?: Neuroleptic malignant syndrome These are classic symptoms
of neuroleptic malignant syndrome, which is a rare reaction to antipsychotic med-
ications.
7. Which of the following patients should be evaluated first: 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.
8. 1. Which of the following tasks can the nurse do to decrease adverse
medication events?: Obtain the patient's weight in kilograms This is the preferred
measurement for medication calculations for pediatric and adult patients
, 9. Acute chest syndrome, stroke, and splenic sequestration are complica-
tions of which of the following diseases?: Sickle cell anemia These are all
complications of sickle cell anemia.
10. During the assessment of a 16-year-old male patient, the ED nurse identi-
fies 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?: 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
11. A 6-month-old is brought to the emergency department for a recurrent
respiratory infection. When gathering a history from the caregiver, the emer-
gency 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?: Cystic Fibrosis Pancreatic insufficiency
leads to fat malabsorption, which results in the fatty stools seen with cystic fibrosis.
12. 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?: Succinylcholine Succinylcholine may increase in-
traocular pressure and should be avoided.
13. A 7-year-old arrives via ambulance.The patient's mother reports witness-
ing 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?: 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.
14. In which of the following primary survey components can assessment of
the fontanel provide the most useful information?: Circulation and disability
A sunken fontanel may indicate dehydration; a bulging fontanel can indicate in-
creased intracranial pressure.
