2024 ENPC EXAM 6TH ED WITH
CORRECT ANSWERS 100%
VERIFIED SOLUTIONS
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 - CORRECT-ANSWERSA. 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 - CORRECT-ANSWERSA. SpO2 of 94 % on room air
A child with an electrical injury is seen 1 hour post event. Which of the
following types of specimen samples would provide visual information
regarding a potential complication of this injury?
A. Serum
B. Urine
C. Stool
D. Sputum - CORRECT-ANSWERSB. Urine
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-ANSWERSA.
Intraosseous in the patient's medial tibia.
, A child has a nondisplaced fracture of the radius that has been splinted, with
a sling in place and NSAIDs given for pain. Prior to discharge home with
follow-up at a pediatric facility, what actions must be completed?
A. Discharge instructions including follow-up contact information.
B. Ensure the receiving facility has space and qualified personnel.
C. Certify that medical benefits of discharge outweigh risks.
D. Complete doctor-to-doctor communication with receiving facility. -
CORRECT-ANSWERSA. Discharge instructions including follow-up contact
information.
The nurse is triaging an infant brought to the emergency department by
their caregiver. Which finding by the nurse leads the infant to be placed in
isolation?
A. Barking cough
B. Purpuric rash
C. High-pitched cry
D. Mottled skin - CORRECT-ANSWERSB. Purpuric rash
Parents with an infant requiring multiple laboratory tests, radiographic
studies, and invasive procedures appear to be distressed and withdrawn.
Which of the following interventions would best ensure a sense of comfort
and control for these parents?
A. Taking the child to the radiographic studies while the parents rest in the
room
B. Providing frequent updates and re-educating them on the care that is
being provided
C. Ensuring adequate lighting and keeping the door closed to provide privacy
D. Answering questions only when the parents ask them in order to reduce
information overload - CORRECT-ANSWERSB. Providing frequent updates and
re-educating them on the care that is being provided
An infant presents to the emergency department with difficulty breathing.
The patient is pale and respirations appear rapid and shallow. Which location
on the torso is the most effective site for assessing bilateral breath sounds?
A. Bilateral posterior back
B. Over the epigastrium
C. Bilateral midaxillary
D. Bilateral anterior chest - CORRECT-ANSWERSC. Bilateral midaxillary
A child was found unresponsive under the monkey bars during recess and
arrives with the following assessment: eyes open only with supraorbital
pressure stimulus, no verbal response is elicited, and withdraws arms and
legs when a swab is inserted in the nose. Which of the following is the
priority intervention for this child?
A. Infuse a bolus of crystalloid solution
B. Expose the child's body for full exam
CORRECT ANSWERS 100%
VERIFIED SOLUTIONS
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 - CORRECT-ANSWERSA. 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 - CORRECT-ANSWERSA. SpO2 of 94 % on room air
A child with an electrical injury is seen 1 hour post event. Which of the
following types of specimen samples would provide visual information
regarding a potential complication of this injury?
A. Serum
B. Urine
C. Stool
D. Sputum - CORRECT-ANSWERSB. Urine
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-ANSWERSA.
Intraosseous in the patient's medial tibia.
, A child has a nondisplaced fracture of the radius that has been splinted, with
a sling in place and NSAIDs given for pain. Prior to discharge home with
follow-up at a pediatric facility, what actions must be completed?
A. Discharge instructions including follow-up contact information.
B. Ensure the receiving facility has space and qualified personnel.
C. Certify that medical benefits of discharge outweigh risks.
D. Complete doctor-to-doctor communication with receiving facility. -
CORRECT-ANSWERSA. Discharge instructions including follow-up contact
information.
The nurse is triaging an infant brought to the emergency department by
their caregiver. Which finding by the nurse leads the infant to be placed in
isolation?
A. Barking cough
B. Purpuric rash
C. High-pitched cry
D. Mottled skin - CORRECT-ANSWERSB. Purpuric rash
Parents with an infant requiring multiple laboratory tests, radiographic
studies, and invasive procedures appear to be distressed and withdrawn.
Which of the following interventions would best ensure a sense of comfort
and control for these parents?
A. Taking the child to the radiographic studies while the parents rest in the
room
B. Providing frequent updates and re-educating them on the care that is
being provided
C. Ensuring adequate lighting and keeping the door closed to provide privacy
D. Answering questions only when the parents ask them in order to reduce
information overload - CORRECT-ANSWERSB. Providing frequent updates and
re-educating them on the care that is being provided
An infant presents to the emergency department with difficulty breathing.
The patient is pale and respirations appear rapid and shallow. Which location
on the torso is the most effective site for assessing bilateral breath sounds?
A. Bilateral posterior back
B. Over the epigastrium
C. Bilateral midaxillary
D. Bilateral anterior chest - CORRECT-ANSWERSC. Bilateral midaxillary
A child was found unresponsive under the monkey bars during recess and
arrives with the following assessment: eyes open only with supraorbital
pressure stimulus, no verbal response is elicited, and withdraws arms and
legs when a swab is inserted in the nose. Which of the following is the
priority intervention for this child?
A. Infuse a bolus of crystalloid solution
B. Expose the child's body for full exam
