ENPC FINAL EXAM UPDATED 2025 WITH QUESTINS AND
ANSWERS (VERIFIED ANSWERS) GRADED A+
A 3 year-old patient presents following frequent emesis and diarrhea
over the past 12 hours. Which of the following assessment findings
indicate that the patient' body is compensating for the fluid loss?
VERIFIED ANSWER Increased diastolic blood pressure
A 5-year-old arrives in the ED with a 4 day history of vomiting. Vital
signs: HR 136 beats/minute, RR 36 breaths/minute, BP 92/56 mm Hg, T
38oC (100.4oF), and pulse oximetry 93% on room air. The child is pale
with warm, dry skin and a capillary refill of 3 seconds. A fluid bolus is
completed. Which of the following reassessment findings indicate that a
second fluid bolus is necessary? VERIFIED ANSWER Blood pressure
of 92/78
A 14-year-old patient presents to the emergency department with her
aunt after being assaulted. The patient has multiple bruises inconsistent
with the assault history and seems guarded with her answers. A urine test
is positive for pregnancy, although the patient denies being sexually
active. The aunt repeatedly asks when they will be discharged. The ED
nurse recognizes these finding as red flags for which of the following?
VERIFIED ANSWER Sex trafficking
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? VERIFIED ANSWER
Intraosseous in the patient's medial tibia
,A neonate presents to the emergency department with irritability, weak
cry, and hypotonia. Which of the following is a priority intervention?
VERIFIED ANSWER Serum blood glucose
A term infant is delivered in the emergency department. Which
assessment finding is most concerning? VERIFIED ANSWER Central
cyanosis
A caregiver presents to the emergency department with an 18-month-old
and reports the child is not using their left arm after playing a game with
an older sibling. The child is alert and curious, with regular, even
respirations, and skin color is appropriate.Using the Pediatric
Assessment Triangle (PAT), how would you categorize this patient?
VERIFIED ANSWER Sick
A six-week-old infant presents to the emergency department with
seizures. The infant is afebrile with a normal glucose level ,and
caregivers report no signs of illness other than formula intolerance,
which they treated by adding extra water to the formula. The nurse
would expect to find which of the following laboratory abnormalities?
VERIFIED ANSWER hyponatremia
An adolescent is awaiting ICU admission for pneumonia. During
reassessment, which of the following findings would be most indicative
that respiratory failure is developing? VERIFIED ANSWER Extreme
lethargy
,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? VERIFIED ANSWER Bilateral midaxillary
A 13-year -old male presents to the triage desk complaining of nausea
and vomiting. The patient looks distressed and pale. He complains of
spasming pain in his right scrotum which has now become constant and
more severe. Which of the following assessment findings would the
nurse expect with this patient? VERIFIED ANSWER Elevated right
testicle
What is the first step in the care of the newly born infant? VERIFIED
ANSWER Warm, dry, and stimulate
A laceration on a toddler's arm is prepared for suturing. Which of the
following preparations for topical anesthesia would be the best choice
for this procedure? VERIFIED ANSWER LET (lidocaine, epinephrine,
tetracaine)
A fertilizer silo exploded during a school tour of a working farm. The
children are able to manage their own secretions but all are incontinent
and salivating, with excess tearing. Which of the following is the priority
intervention? VERIFIED ANSWER Removal of clothing and
decontamination
The triage nurse is assessing a 14 year old male who was brought in by
ambulance. The patient reports he was playing his video games at home
, when he had a sudden onset of groin pain that was so severe he became
nauseated and vomited. Further assessment reveals a swollen scrotum.
What is the priority intervention for this patient? VERIFIED ANSWER
Preparing the patient for ultrasound
EMS is transporting a 12-year-old restrained passenger involved in a
high-speed motor vehicle collision. The patient complains of increasing
dyspnea. Breath sounds are clear and equal, and heart sounds are
difficult to auscultate. Vitals include HR 132 beats/minute, RR 36
breaths/minute, and BP 80/55 mm Hg. Which of the following is the
priority intervention? VERIFIED ANSWER Pericardiocentesis
An anxious 12-year-old child presents to the emergency department with
a sudden onset of nausea, diarrhea, abdominal cramping, flushing, and
hypotension. Symptoms started about 60 minutes after lunch. Which of
the following conditions is the most likely cause of these symptoms?
VERIFIED ANSWER Anaphylaxis
Which of the following is considered a "red flag" when triaging a
pediatric patient? VERIFIED ANSWER A 3-week-old with a
temperature of 38.2C (100.7F)
Which of the following is the recommended method of insulin
administration for a pediatric patient with diabetic ketoacidosis?
VERIFIED ANSWER Insulin infusion
An 18-month-old is seen for fever, slight circumoral cyanosis, and
wheezing noted on auscultation in the right upper lobe of the lung field
ANSWERS (VERIFIED ANSWERS) GRADED A+
A 3 year-old patient presents following frequent emesis and diarrhea
over the past 12 hours. Which of the following assessment findings
indicate that the patient' body is compensating for the fluid loss?
VERIFIED ANSWER Increased diastolic blood pressure
A 5-year-old arrives in the ED with a 4 day history of vomiting. Vital
signs: HR 136 beats/minute, RR 36 breaths/minute, BP 92/56 mm Hg, T
38oC (100.4oF), and pulse oximetry 93% on room air. The child is pale
with warm, dry skin and a capillary refill of 3 seconds. A fluid bolus is
completed. Which of the following reassessment findings indicate that a
second fluid bolus is necessary? VERIFIED ANSWER Blood pressure
of 92/78
A 14-year-old patient presents to the emergency department with her
aunt after being assaulted. The patient has multiple bruises inconsistent
with the assault history and seems guarded with her answers. A urine test
is positive for pregnancy, although the patient denies being sexually
active. The aunt repeatedly asks when they will be discharged. The ED
nurse recognizes these finding as red flags for which of the following?
VERIFIED ANSWER Sex trafficking
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? VERIFIED ANSWER
Intraosseous in the patient's medial tibia
,A neonate presents to the emergency department with irritability, weak
cry, and hypotonia. Which of the following is a priority intervention?
VERIFIED ANSWER Serum blood glucose
A term infant is delivered in the emergency department. Which
assessment finding is most concerning? VERIFIED ANSWER Central
cyanosis
A caregiver presents to the emergency department with an 18-month-old
and reports the child is not using their left arm after playing a game with
an older sibling. The child is alert and curious, with regular, even
respirations, and skin color is appropriate.Using the Pediatric
Assessment Triangle (PAT), how would you categorize this patient?
VERIFIED ANSWER Sick
A six-week-old infant presents to the emergency department with
seizures. The infant is afebrile with a normal glucose level ,and
caregivers report no signs of illness other than formula intolerance,
which they treated by adding extra water to the formula. The nurse
would expect to find which of the following laboratory abnormalities?
VERIFIED ANSWER hyponatremia
An adolescent is awaiting ICU admission for pneumonia. During
reassessment, which of the following findings would be most indicative
that respiratory failure is developing? VERIFIED ANSWER Extreme
lethargy
,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? VERIFIED ANSWER Bilateral midaxillary
A 13-year -old male presents to the triage desk complaining of nausea
and vomiting. The patient looks distressed and pale. He complains of
spasming pain in his right scrotum which has now become constant and
more severe. Which of the following assessment findings would the
nurse expect with this patient? VERIFIED ANSWER Elevated right
testicle
What is the first step in the care of the newly born infant? VERIFIED
ANSWER Warm, dry, and stimulate
A laceration on a toddler's arm is prepared for suturing. Which of the
following preparations for topical anesthesia would be the best choice
for this procedure? VERIFIED ANSWER LET (lidocaine, epinephrine,
tetracaine)
A fertilizer silo exploded during a school tour of a working farm. The
children are able to manage their own secretions but all are incontinent
and salivating, with excess tearing. Which of the following is the priority
intervention? VERIFIED ANSWER Removal of clothing and
decontamination
The triage nurse is assessing a 14 year old male who was brought in by
ambulance. The patient reports he was playing his video games at home
, when he had a sudden onset of groin pain that was so severe he became
nauseated and vomited. Further assessment reveals a swollen scrotum.
What is the priority intervention for this patient? VERIFIED ANSWER
Preparing the patient for ultrasound
EMS is transporting a 12-year-old restrained passenger involved in a
high-speed motor vehicle collision. The patient complains of increasing
dyspnea. Breath sounds are clear and equal, and heart sounds are
difficult to auscultate. Vitals include HR 132 beats/minute, RR 36
breaths/minute, and BP 80/55 mm Hg. Which of the following is the
priority intervention? VERIFIED ANSWER Pericardiocentesis
An anxious 12-year-old child presents to the emergency department with
a sudden onset of nausea, diarrhea, abdominal cramping, flushing, and
hypotension. Symptoms started about 60 minutes after lunch. Which of
the following conditions is the most likely cause of these symptoms?
VERIFIED ANSWER Anaphylaxis
Which of the following is considered a "red flag" when triaging a
pediatric patient? VERIFIED ANSWER A 3-week-old with a
temperature of 38.2C (100.7F)
Which of the following is the recommended method of insulin
administration for a pediatric patient with diabetic ketoacidosis?
VERIFIED ANSWER Insulin infusion
An 18-month-old is seen for fever, slight circumoral cyanosis, and
wheezing noted on auscultation in the right upper lobe of the lung field
