ENPC QUESTIONS | TESTED AND PROVEN ANSWERS
| LATEST UPDATE 2024/2025 100% (GRADE A+)
A 4-day-old who is brought to the emergency department with the parental complaint of "not
acting right" is found to be hypoglycemic. What is the appropriate glucose concentration to
administer to this neonate?
A.Dextrose 5%
B.Dextrose 10%
C.Dextrose 25%
D.Dextrose 50%
Ans>> B
Dextrose 10% is the preferred concentration for neonates with hypoglycemia to protect their
fragile vasculature while providing needed glucose. Dextrose 5% is not used to treat
hypoglycemia in children. Dextrose 25% is used for children above the age of 5 years. Dextrose
50% is not recommended for use in pediatrics unless it is diluted.
Assessment of the fontanelle provides the most useful information for which two components of the
primary survey?
A.Circulation and disability
1
,B.Breathing and circulation
C.Disability and exposure
D.Circulation and exposure
Ans>> A
A sunken fontanelle is a red flag for circulation assessment in pediatric triage and may indicate
dehydration . A bulging fontanel is a red flag for disability assessment in pediatric triage and
can indicate increased intracranial pressure.
Which of the following indicates the need for additional caregiver education regarding a urinary
tract infection?
A.I should encourage my child to drink extra fluids.
B.I need to make a follow-up appointment with child's physician.
C.My child will grow out of their frequent urinary tract infections.
D.My child should complete all of their antibiotic medication.
Ans>> C
2
,A nurse providing trauma informed care to the family of a seriously ill child should be doing which
of the following?
A.Placing the family in a quiet, secluded room
B.Referring to their child as "the patient"
C.Making sure the family does not stay at the bedside.
D.Appointing one staff member to stay with the family
Ans>> D
Caregivers experiencing the crisis of a critically ill child have low attentiveness and increased
stress so would benefit from having a member of the healthcare team to stay with them as much
as possible and communicate updates on the plan of care. Caregivers should be allowed to stay
with their child as much as possible and not placed in a secluded room away for them.
The caregiver of a 7-year old reports witnessing a seizure at home, but no seizure history. 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 caregiver states the burns accidentally occurred three days ago, but
was afraid to bring the patient in due to an ongoing child welfare investigation.Which of the
following groups of interventions are the priority for this patient?
3
, A.Call police and child welfare authorities and have security detain the caregiver
B.Administer intravenous analgesics and obtain a point of care glucose
C.Draw a metabolic panel, point of care glucose, and administer a fluid bolus
D.Administer lorazepam and a fluid bolus and place on seizure precautions
Ans>> C
Burn injuries result in fluid and electrolyte shifts leading to hypovolemia and electrolyte
imbalances. Early identification and treatment of electrolyte imbalances can help prevent further
seizures. Contacting child protective services and other authorities can wait. The patient is post-
ictal so does not require lorazepam medication at this time. Pain medication can and should be
considered with significant burns, but is not a priority.
What is the priority intervention for symptomatic bradycardia in a four-year-old child?
A.Administer intravenous atropine
B.Administer intravenous epinephrine
C.Initiate bag-mask ventilation
D.Initiate transcutaneous pacing
Ans>> C
4
| LATEST UPDATE 2024/2025 100% (GRADE A+)
A 4-day-old who is brought to the emergency department with the parental complaint of "not
acting right" is found to be hypoglycemic. What is the appropriate glucose concentration to
administer to this neonate?
A.Dextrose 5%
B.Dextrose 10%
C.Dextrose 25%
D.Dextrose 50%
Ans>> B
Dextrose 10% is the preferred concentration for neonates with hypoglycemia to protect their
fragile vasculature while providing needed glucose. Dextrose 5% is not used to treat
hypoglycemia in children. Dextrose 25% is used for children above the age of 5 years. Dextrose
50% is not recommended for use in pediatrics unless it is diluted.
Assessment of the fontanelle provides the most useful information for which two components of the
primary survey?
A.Circulation and disability
1
,B.Breathing and circulation
C.Disability and exposure
D.Circulation and exposure
Ans>> A
A sunken fontanelle is a red flag for circulation assessment in pediatric triage and may indicate
dehydration . A bulging fontanel is a red flag for disability assessment in pediatric triage and
can indicate increased intracranial pressure.
Which of the following indicates the need for additional caregiver education regarding a urinary
tract infection?
A.I should encourage my child to drink extra fluids.
B.I need to make a follow-up appointment with child's physician.
C.My child will grow out of their frequent urinary tract infections.
D.My child should complete all of their antibiotic medication.
Ans>> C
2
,A nurse providing trauma informed care to the family of a seriously ill child should be doing which
of the following?
A.Placing the family in a quiet, secluded room
B.Referring to their child as "the patient"
C.Making sure the family does not stay at the bedside.
D.Appointing one staff member to stay with the family
Ans>> D
Caregivers experiencing the crisis of a critically ill child have low attentiveness and increased
stress so would benefit from having a member of the healthcare team to stay with them as much
as possible and communicate updates on the plan of care. Caregivers should be allowed to stay
with their child as much as possible and not placed in a secluded room away for them.
The caregiver of a 7-year old reports witnessing a seizure at home, but no seizure history. 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 caregiver states the burns accidentally occurred three days ago, but
was afraid to bring the patient in due to an ongoing child welfare investigation.Which of the
following groups of interventions are the priority for this patient?
3
, A.Call police and child welfare authorities and have security detain the caregiver
B.Administer intravenous analgesics and obtain a point of care glucose
C.Draw a metabolic panel, point of care glucose, and administer a fluid bolus
D.Administer lorazepam and a fluid bolus and place on seizure precautions
Ans>> C
Burn injuries result in fluid and electrolyte shifts leading to hypovolemia and electrolyte
imbalances. Early identification and treatment of electrolyte imbalances can help prevent further
seizures. Contacting child protective services and other authorities can wait. The patient is post-
ictal so does not require lorazepam medication at this time. Pain medication can and should be
considered with significant burns, but is not a priority.
What is the priority intervention for symptomatic bradycardia in a four-year-old child?
A.Administer intravenous atropine
B.Administer intravenous epinephrine
C.Initiate bag-mask ventilation
D.Initiate transcutaneous pacing
Ans>> C
4
