FULL ENPC LATEST VERSION EXAM CURRENTLY TESTING
QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+
A pediatric resuscitation has ended with the death of the child. Coroner notification has
not been made yet. In dealing with the family of this child, how can the nurse facilitate their
grieving process until legally required notification has been made?
Provide simple, straightforward information
A 3-week old is brought to the emergency department with a history of fussiness, spitting
up, crying, and watery stools. Assessment reveals an alert child with moist mucous
membranes. Which of the following should be the priority?
Identify the type of feeding the caregiver uses
Which of the following would be an abnormal finding in a patient with glomerulonephritis?
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.
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?
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?
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
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
Do concussions show up in CT?
No- determined by s/s
Normal pediatric temps
97.2-100.4
,Typically fevers are okay and viral in pediatric pts, when should you be concerned about a
fever?>
if they are immunocompromised
ill-appearing
the higher the fever, the higher chance ___ will occur
febrile seizures
Meningitis diagnosis and tx
diagnosed with cultures, labs, CT to rule out inc ICP prior to LP
tx ABX
Kawasaki disease
(inflammation of blood vessles, hence the strawberry tongue) causes coronary artery
aneurysms.
s/s higher fever, rash
tx IVIG, high dose aspirin
scarlet fever s/s
fever, sore throat, strawberry tongue, rash on trunk that spreads to limbs
, tx ABX
signs of bad dehydration (lost 5% of body weight)
prolonged cap refill, skin turgor abnormal, abnormal resp pattern, cool extrems, weak
pulses, no tears
How much to ORT to replace fluid loss
50-100 ml/kg over 2-4 hours
give 5-10 ml every 5 min
monitor for signs fluid overload
Examples of surgical abdomen and keep NPO
appendicitis, pyloric stenosis, intussception, malrotation and volvus,
s/s appendicitis
Persistent RLQ Pain, pain in umbilical region, rupture of appendix: sudden severe pain
pyloric stenosis
inadequate stomach emptying after feeding
QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+
A pediatric resuscitation has ended with the death of the child. Coroner notification has
not been made yet. In dealing with the family of this child, how can the nurse facilitate their
grieving process until legally required notification has been made?
Provide simple, straightforward information
A 3-week old is brought to the emergency department with a history of fussiness, spitting
up, crying, and watery stools. Assessment reveals an alert child with moist mucous
membranes. Which of the following should be the priority?
Identify the type of feeding the caregiver uses
Which of the following would be an abnormal finding in a patient with glomerulonephritis?
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.
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?
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?
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
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
Do concussions show up in CT?
No- determined by s/s
Normal pediatric temps
97.2-100.4
,Typically fevers are okay and viral in pediatric pts, when should you be concerned about a
fever?>
if they are immunocompromised
ill-appearing
the higher the fever, the higher chance ___ will occur
febrile seizures
Meningitis diagnosis and tx
diagnosed with cultures, labs, CT to rule out inc ICP prior to LP
tx ABX
Kawasaki disease
(inflammation of blood vessles, hence the strawberry tongue) causes coronary artery
aneurysms.
s/s higher fever, rash
tx IVIG, high dose aspirin
scarlet fever s/s
fever, sore throat, strawberry tongue, rash on trunk that spreads to limbs
, tx ABX
signs of bad dehydration (lost 5% of body weight)
prolonged cap refill, skin turgor abnormal, abnormal resp pattern, cool extrems, weak
pulses, no tears
How much to ORT to replace fluid loss
50-100 ml/kg over 2-4 hours
give 5-10 ml every 5 min
monitor for signs fluid overload
Examples of surgical abdomen and keep NPO
appendicitis, pyloric stenosis, intussception, malrotation and volvus,
s/s appendicitis
Persistent RLQ Pain, pain in umbilical region, rupture of appendix: sudden severe pain
pyloric stenosis
inadequate stomach emptying after feeding
