ENPC Exam Prep Exam Questions and
Complete Solutions Graded A+
Which of the following would be an abnormal finding in a patient with glomerulonephritis? - Answer:
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored. - Answer: Administration of nebulized epinephrine Moderate
to severe croup is treated with dexamethasone and nebulized epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the emergency department to
monitor the intracranial pressure on a 5-year-old patient. The family does not speak English and has
identified their religion as Muslim. Which of the following interventions is most supportive of the
family? - Answer: Allow the extended to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of potential child maltreatment?
- Answer: Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory
location in children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are
cause for suspicion of abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory location in
children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are cause for
suspicion of abuse - Answer: Commotio cordis Commotio cordis occurs when the chest is struck during
the refractory period of the cardiac conduction cycle, resulting in a ventricular dysrhythmia or asystole.
This type of injury usually occurs in recreational sports such as baseball or ice hockey
A 12-year-old who was recently started on anti-psychotic medication for schizophrenia is brought to the
emergency department with severe muscle rigidity and hyperthermia. These symptoms are most likely
caused by which of the following? - Answer: Neuroleptic malignant syndrome These are classic
symptoms of neuroleptic malignant syndrome, which is a rare reaction to antipsychotic medications.
Which of the following patients should be evaluated first - Answer: An 18-month-old with bilious emesis
Bilious emesis in an 18-month-old is always considered an emergent symptom indicative of a life-
threatening bowel obstruction.
, 1. Which of the following tasks can the nurse do to decrease adverse medication events? - Answer:
Obtain the patient's weight in kilograms This is the preferred measurement for medication calculations
for pediatric and adult patients
Acute chest syndrome, stroke, and splenic sequestration are complications of which of the following
diseases? - Answer: Sickle cell anemia These are all complications of sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential sex
trafficking victim. The trauma informed approach to care emphasizes certain principles in caring for
these types of patients. Which of the following care principles has the highest priority? - Answer:
Physical and psychological safety Create an environment where patients feel safe, both physically and
psychologically. Increase awareness of the patient's interpersonal interactions with others to screen for
risk of harm. Prioritize the patient being in a safe location
A 6-month-old is brought to the emergency department for a recurrent respiratory infection. When
gathering a history from the caregiver, the emergency nurse learns that, in addition to the respiratory
symptoms, the infant has had fatty stools. The emergency nurse should be concerned about which of
the following disease processes? - Answer: Cystic Fibrosis Pancreatic insufficiency leads to fat
malabsorption, which results in the fatty stools seen with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a suspected globe rupture.
Which of the following medication orders would the nurse question? - Answer: Succinylcholine
Succinylcholine may increase intraocular pressure and should be avoided.
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? - Answer: 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.
Complete Solutions Graded A+
Which of the following would be an abnormal finding in a patient with glomerulonephritis? - Answer:
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored. - Answer: Administration of nebulized epinephrine Moderate
to severe croup is treated with dexamethasone and nebulized epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the emergency department to
monitor the intracranial pressure on a 5-year-old patient. The family does not speak English and has
identified their religion as Muslim. Which of the following interventions is most supportive of the
family? - Answer: Allow the extended to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of potential child maltreatment?
- Answer: Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory
location in children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are
cause for suspicion of abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory location in
children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are cause for
suspicion of abuse - Answer: Commotio cordis Commotio cordis occurs when the chest is struck during
the refractory period of the cardiac conduction cycle, resulting in a ventricular dysrhythmia or asystole.
This type of injury usually occurs in recreational sports such as baseball or ice hockey
A 12-year-old who was recently started on anti-psychotic medication for schizophrenia is brought to the
emergency department with severe muscle rigidity and hyperthermia. These symptoms are most likely
caused by which of the following? - Answer: Neuroleptic malignant syndrome These are classic
symptoms of neuroleptic malignant syndrome, which is a rare reaction to antipsychotic medications.
Which of the following patients should be evaluated first - Answer: An 18-month-old with bilious emesis
Bilious emesis in an 18-month-old is always considered an emergent symptom indicative of a life-
threatening bowel obstruction.
, 1. Which of the following tasks can the nurse do to decrease adverse medication events? - Answer:
Obtain the patient's weight in kilograms This is the preferred measurement for medication calculations
for pediatric and adult patients
Acute chest syndrome, stroke, and splenic sequestration are complications of which of the following
diseases? - Answer: Sickle cell anemia These are all complications of sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential sex
trafficking victim. The trauma informed approach to care emphasizes certain principles in caring for
these types of patients. Which of the following care principles has the highest priority? - Answer:
Physical and psychological safety Create an environment where patients feel safe, both physically and
psychologically. Increase awareness of the patient's interpersonal interactions with others to screen for
risk of harm. Prioritize the patient being in a safe location
A 6-month-old is brought to the emergency department for a recurrent respiratory infection. When
gathering a history from the caregiver, the emergency nurse learns that, in addition to the respiratory
symptoms, the infant has had fatty stools. The emergency nurse should be concerned about which of
the following disease processes? - Answer: Cystic Fibrosis Pancreatic insufficiency leads to fat
malabsorption, which results in the fatty stools seen with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a suspected globe rupture.
Which of the following medication orders would the nurse question? - Answer: Succinylcholine
Succinylcholine may increase intraocular pressure and should be avoided.
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? - Answer: 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.
