Exam
ENPC EXAM 100 QUESTIONS AND
CORRECT ANSWERS 2023-2024
VERSION/A+ GRADE GUARANTEED PASS
A 2-month-old infant is brought to the emergency
department. The mother states he has had trouble breathing
for the past two days. The PAT reveals an age-appropriate
general appearance, rapid breathing with mild distress, and
pink skin. Mucous is noted to both nares. Which of the
following is the best next step?
- ANSWER-Suction the nares with a bulb syringe Infants are
preferential nose breathers and can have respiratory distress
when the nares are occluded. Suctioning the nares is the
priority intervention to open the airway.
During the tertiary survey, the emergency nurse should
continue to conduct reevaluations of the Pediatric Assessment
Triangle (PAT), abnormal findings, and which of the following
other assessment components?
- ANSWER-Primary survey, vital signs, pain management, and
effectiveness of therapeutic interventions The additional
components of the reevaluation in the tertiary survey include
the primary survey, vital signs, pain management, and
effectiveness of therapeutic interventions.
Which of the following interventions would the nurse anticipate
for a pediatric patient with a fever and a history of a
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hematologic or oncologic condition? –
ANSWER- Intravenous antibiotics This patient population is at
risk for life-threatening sepsis, and treatment with intravenous
antibiotics is indicated.
Prioritizing pediatric patients presenting with fever is often
difficult. Which of the following patients is at greatest risk of
serious illness?
- ANSWER-A 7-year old boy with a history of sickle cell anemia
and an oral temperature of 38.3°C (101°F) Children with chronic
illnesses such as sickle cell disease are at greatest risk for life-
threatening fever-related illnesses.
Which of the following indicates the need for additional
parent/guardian education regarding a UTI?
- ANSWER-My child will grow out of their frequent urinary tract
infections UTIs are not a normal occurrence in children and may
require additional investigation and follow up.
A 4-day-old who is brought to the emergency department with
the parental complaint of "not acting right" is found to be
hypoglycemic. The appropriate glucose concentration to
administer to this neonate is which of the following?
- ANSWER-D10 D10 is the preferred concentration for neonates
to protect their fragile vasculature.
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Which of the following actions by the nurse promotes
pediatric patient safety?
- ANSWER-Preparing medications in a distraction-free area To
decrease errors, the nurse should be focused and systematic
in verifying patient identification, medication order, route,
time, and dose.
A 16-year-old trauma patient is noted to have external rotation
and shortening of the left lower extremity and pain with
palpation of the pelvis after being ejected from a
motorcycle. Which of the following assessment findings is most
concerning for a potentially life-threatening condition?
- ANSWER-Bony crepitus and instability with gentle
anteroposterior compression of the iliac crests Bony crepitus
and instability to palpation of the pelvis are common findings in
patients with unstable pelvic fractures. Unstable pelvic fractures
may be associated with injury to major blood vessels and
contribute to hypovolemic shock.
A 10-year-old patient was recently diagnosed with Marfan
syndrome. The emergency nurse understands that this patient
may be at risk for developing which of the following conditions?
- ANSWER-Aortic Aneurism Cardiovascular defects associated
with Marfan syndrome are mitral valve prolapse, heart failure,
and aortic dissection/aneurysm.
A 2-month-old child with intermittent irritability, poor feeding
and apneic episodes has a heart rate of 188 and an irregular