ENPC PRACTICE Exam Questions and
Answers 100% Verified TOP RATED A+
A 7-year-old arrives via ambulance. The patient's mother reports witnessing
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? - correct
answers ✅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.
In which of the following primary survey components can assessment of the
fontanel provide the most useful information? - correct answers
✅Circulation and disability A sunken fontanel may indicate dehydration; a
bulging fontanel can indicate increased intracranial pressure.
,A 5-year-old patient presents to the emergency department with severe
dehydration due to viral gastroenteritis. He has signs of shock due to his
hypovolemia. Which of the following physiologic responses to shock has the
greatest impact on improving cardiac output in the pediatric patient? -
correct answers ✅Increasing heart rate In pediatric patients, tachycardia is
the primary compensatory mechanism to increase cardiac output.
A toddler has a chemical eye injury. Which of the following is the priority
intervention? - correct answers ✅Increasing heart rate In pediatric
patients, tachycardia is the primary compensatory mechanism to increase
cardiac output.
A 5 year-old with no health problems presents to the Emergency
Department with a sudden onset of chest pain and shortness of breath.
Parents state that the family was involved in a bad car crash one week ago. A
thorough assessment and workup has not revealed any abnormalities.
Which of the following steps is the best next step to take? - correct answers
✅Ask about any new bed-wetting or sleep disturbances Pediatric patients
with anxiety and PTSD may present with physical complaints. Assess for
other behavioral symptoms to facilitate appropriate care and follow-up.
, Which of the following is the most appropriate intervention for a child
experiencing a seizure? - correct answers ✅Prepare to administer
intranasal midazolam Midazolam has gained favor because of its ease of use
and quick onset of action.
An ambulance arrives with a 16-year-old male involved in a dirt bike crash
who was intubated prior to arrival. Which of the following is the priority
assessment or intervention? - correct answers ✅Assess the endotracheal
tube placement and patency If a patient arrives with an artificial airway
(endotracheal tube or tracheostomy) in place, assess its placement, tube
patency, and the oral airway (in that order) before moving to the next step of
the primary survey.
A three-year-old is rescued after being submerged in a residential pool for
several minutes. On arrival at the Emergency Department he is responsive to
painful stimuli, has shallow respirations with diminished breath sounds
throughout, and has an occasional cough. What is the initial management
priority? - correct answers ✅Endotracheal intubation with positive
pressure ventilation Airway control and positive pressure ventilation are the
priority interventions for this patient.
Answers 100% Verified TOP RATED A+
A 7-year-old arrives via ambulance. The patient's mother reports witnessing
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? - correct
answers ✅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.
In which of the following primary survey components can assessment of the
fontanel provide the most useful information? - correct answers
✅Circulation and disability A sunken fontanel may indicate dehydration; a
bulging fontanel can indicate increased intracranial pressure.
,A 5-year-old patient presents to the emergency department with severe
dehydration due to viral gastroenteritis. He has signs of shock due to his
hypovolemia. Which of the following physiologic responses to shock has the
greatest impact on improving cardiac output in the pediatric patient? -
correct answers ✅Increasing heart rate In pediatric patients, tachycardia is
the primary compensatory mechanism to increase cardiac output.
A toddler has a chemical eye injury. Which of the following is the priority
intervention? - correct answers ✅Increasing heart rate In pediatric
patients, tachycardia is the primary compensatory mechanism to increase
cardiac output.
A 5 year-old with no health problems presents to the Emergency
Department with a sudden onset of chest pain and shortness of breath.
Parents state that the family was involved in a bad car crash one week ago. A
thorough assessment and workup has not revealed any abnormalities.
Which of the following steps is the best next step to take? - correct answers
✅Ask about any new bed-wetting or sleep disturbances Pediatric patients
with anxiety and PTSD may present with physical complaints. Assess for
other behavioral symptoms to facilitate appropriate care and follow-up.
, Which of the following is the most appropriate intervention for a child
experiencing a seizure? - correct answers ✅Prepare to administer
intranasal midazolam Midazolam has gained favor because of its ease of use
and quick onset of action.
An ambulance arrives with a 16-year-old male involved in a dirt bike crash
who was intubated prior to arrival. Which of the following is the priority
assessment or intervention? - correct answers ✅Assess the endotracheal
tube placement and patency If a patient arrives with an artificial airway
(endotracheal tube or tracheostomy) in place, assess its placement, tube
patency, and the oral airway (in that order) before moving to the next step of
the primary survey.
A three-year-old is rescued after being submerged in a residential pool for
several minutes. On arrival at the Emergency Department he is responsive to
painful stimuli, has shallow respirations with diminished breath sounds
throughout, and has an occasional cough. What is the initial management
priority? - correct answers ✅Endotracheal intubation with positive
pressure ventilation Airway control and positive pressure ventilation are the
priority interventions for this patient.
