ENPC Exam 6th ed Questions
With Complete Solutions
A 10-year-old arrives at the ED post motor vehicle crash. The
following assessment is noted: hypotension, tachycardia, absent
breath sounds from the left chest with an increased respiratory
rate, pain on palpation of the pelvis, tinge of blood noted at the
urinary meatus, moderate active bleeding from a laceration to
left thigh, pulse oximetry of 86% without supplemental oxygen,
deformity to the left upper leg, and a Glasgow Coma Score of 7.
Which of the following orders will prompt the nurse to have a
discussion with the provider before initiating?
A. Insert urinary catheter
B. Prepare for intubation
C. Assist with chest tube insertion
D. Place orogastric tube Correct Answers A. Insert urinary
catheter
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 Correct Answers C. Assist
with escharotomy
,A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication
orders should the nurse question?
A. Morphine
B. Acetaminophen
C. Hydromorphone
D. Ketorolac Correct Answers D. Ketorolac
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
Correct Answers D. Use a nonsteroidal anti-inflammatory for
pain control
A 14-year-old patient with Down syndrome presents with an
abnormal gait, head tilted to the left, decreased sensation to the
extremities, and urinary incontinence. The patient has no history
of trauma. Which of the following diagnostics is the priority for
this patient?
A. Lumbar spine magnetic resonance imaging
B. Complete neurologic exam
C. Urinalysis by straight catheterization
D. Cervical spine radiographs Correct Answers D. Cervical
spine radiographs
, A 15-year-old presents alone requesting care. Which of the
following chief complaints would most likely be considered
legal or appropriate to treat without parental consent?
A. Lower back pain
B. Itching rash to arms
C. Possible pregnancy
D. Dental pain Correct Answers C. Possible pregnancy
A 2-year-old arrives at the ED in hypovolemic shock and needs
fluids immediately. After several attempts, your team has been
unsuccessful at establishing vascular access. Of the following,
which is the next best option for establishing access quickly?
A. Intraosseous in the patient's medial tibia.
B. Peripherally inserted central catheter
C. Assisting with central line placement.
D. Intraosseous in the patient's scapula. Correct Answers A.
Intraosseous in the patient's medial tibia.
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 Correct Answers
A. Prepare the patient for hospitalization
A 2-year-old child is seen with acute respiratory distress after
playing alone. Caregiver statements indicate the child was found
playing with irregular, ½ - ¾ inch sized pieces of a game. Which
With Complete Solutions
A 10-year-old arrives at the ED post motor vehicle crash. The
following assessment is noted: hypotension, tachycardia, absent
breath sounds from the left chest with an increased respiratory
rate, pain on palpation of the pelvis, tinge of blood noted at the
urinary meatus, moderate active bleeding from a laceration to
left thigh, pulse oximetry of 86% without supplemental oxygen,
deformity to the left upper leg, and a Glasgow Coma Score of 7.
Which of the following orders will prompt the nurse to have a
discussion with the provider before initiating?
A. Insert urinary catheter
B. Prepare for intubation
C. Assist with chest tube insertion
D. Place orogastric tube Correct Answers A. Insert urinary
catheter
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 Correct Answers C. Assist
with escharotomy
,A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication
orders should the nurse question?
A. Morphine
B. Acetaminophen
C. Hydromorphone
D. Ketorolac Correct Answers D. Ketorolac
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
Correct Answers D. Use a nonsteroidal anti-inflammatory for
pain control
A 14-year-old patient with Down syndrome presents with an
abnormal gait, head tilted to the left, decreased sensation to the
extremities, and urinary incontinence. The patient has no history
of trauma. Which of the following diagnostics is the priority for
this patient?
A. Lumbar spine magnetic resonance imaging
B. Complete neurologic exam
C. Urinalysis by straight catheterization
D. Cervical spine radiographs Correct Answers D. Cervical
spine radiographs
, A 15-year-old presents alone requesting care. Which of the
following chief complaints would most likely be considered
legal or appropriate to treat without parental consent?
A. Lower back pain
B. Itching rash to arms
C. Possible pregnancy
D. Dental pain Correct Answers C. Possible pregnancy
A 2-year-old arrives at the ED in hypovolemic shock and needs
fluids immediately. After several attempts, your team has been
unsuccessful at establishing vascular access. Of the following,
which is the next best option for establishing access quickly?
A. Intraosseous in the patient's medial tibia.
B. Peripherally inserted central catheter
C. Assisting with central line placement.
D. Intraosseous in the patient's scapula. Correct Answers A.
Intraosseous in the patient's medial tibia.
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 Correct Answers
A. Prepare the patient for hospitalization
A 2-year-old child is seen with acute respiratory distress after
playing alone. Caregiver statements indicate the child was found
playing with irregular, ½ - ¾ inch sized pieces of a game. Which
