ENPC Test Questions 6th Edition, ENPC 6th Edition
Course Exam, ENPC 6th Edition Provider Exam
Questions 100% Answered 2025
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 after a choking event 4 days
ago. The white blood cell count is elevated and the patient noted to be tachypneic,
tachycardic, agitated, and has an increased respiratory effort. At the time of the
event, the patient was started on antibiotics with subsequent increasing
manifestations instead of improvement. Which of the following would be considered
to be definitive treatment for the suspected diagnosis? - ,,,answer,,,,..Computed
tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident with
subsequent failure to improve on antibiotics. Wheezing or decreased lung sounds in
one area of the pulmonary system is a high indicator for a foreign body along with
signs of hypoxia such as cyanosis, tachypnea, tachycardia, increased respiratory
effort, agitation or lethargy, and elevated white blood cell counts indicating an
infectious process. The definitive treatment would be a bronchoscopy in order to
retrieve the suspected foreign body instead of diagnostic tests to locate the foreign
body itself.
A child in cardiopulmonary arrest is receiving chest compressions and manual
ventilations with a bag-mask device. Once return of spontaneous circulation has
been confirmed, which of the following would be the priority intervention? -
,,,answer,,,,..Establishing a secure airway
Parents report their 3-year-old child has developed noisy breathing. On assessment,
high-pitched wheezes are audible and auscultated on inspiration and expiration.
What medication would be appropriate to administer first? -
,,,answer,,,,..Humidified oxygen (wrong)
Remediation feedback:
,Wheezing is most often identified with asthma in the pediatric population. Initial
medication intervention includes an inhaled short-acting beta agonist.
A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C), and a
bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings what
is the most likely diagnostic test the nurse should anticipate? - ,,,answer,,,,..Lumbar
puncture
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which
of the following intravenous medication orders should the nurse question? -
,,,answer,,,,..Hydromorphone (wrong)
Remediation feedback:
Ketorolac is an appropriate medication for moderate to severe pain, however, it
should not be used pre-operatively due to its potential to increase the bleeding risk.
A 17-year-old female arrives in the ED with her boyfriend who states she is pregnant
and having vaginal bleeding. The patient is unsure of the gestational age and has not
had any prenatal treatment. The patient is quiet and lets her boyfriend answer most
of the questions. Which of the following is the most appropriate action for the nurse
to take at this point? - ,,,answer,,,,..Have the boyfriend leave the room during the
pelvic exam.
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? - ,,,answer,,,,..Intraosseous in the patient's medial tibia.
A child with an electrical injury is seen 1 hour post event. Which of the following
types of specimen samples would provide visual information regarding a potential
complication of this injury? - ,,,answer,,,,..Sputum (wrong)
Remediation feedback:
,Electrical injuries, though they may appear to be small, can produce large amounts
of damage internally, including muscle damage. Myoglobin is excreted in the urine
and is evidenced by dark, red-tinged urine.
Parents with an infant requiring multiple laboratory tests, radiographic studies, and
invasive procedures appear to be distressed and withdrawn. Which of the following
interventions would best ensure a sense of comfort and control for these parents? -
,,,answer,,,,..Providing frequent updates and re-educating them on the care that is
being provided
When taking vital signs on a stable infant, which of the following should be done
first? - ,,,answer,,,,..Respiratory rate
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? -
,,,answer,,,,..LET (lidocaine/epinephrine/tetracaine)
Which of the following is appropriate administration of N-acetylcysteine (NAC) for an
acetaminophen overdose? - ,,,answer,,,,..A bolus infusion of 150 mg/kg NAC should
be administered.
A 10-year-old arrives at the ED post motor vehicle crash. The following assessment
is noted: hypotension, tachycardia, absent breath sounds from the left chest with an
increased respiratory rate, pain on palpation of the pelvis, tinge of blood noted at the
urinary meatus, moderate active bleeding from a laceration to left thigh, pulse
oximetry of 86% without supplemental oxygen, deformity to the left upper leg, and a
Glasgow Coma Score of 7. Which of the following orders will prompt the nurse to
have a discussion with the provider before initiating? - ,,,answer,,,,..Assist with chest
tube insertion (wrong)
Remediation feedback:
Urinary catheters are contraindicated for placement if pelvic injury is suspected or
blood is noted at the urinary meatus. Scrotal or perineal discolorations with edema
to the areas is also a contraindication for this adjunct.
A 2-year-old is seen with a 3-day history of irritability, vomiting, and the presence of
foul-smelling urine. The child is hypotensive and tachycardic. Which of the following
, methods for obtaining a urine sample is most appropriate in this circumstance? -
,,,answer,,,,..Urinary catherization
A child with bipolar disorder is brought to the emergency department for increasing
irritability, agitation, pressured speech, and a decreased need for sleep. What
should be included in the plan of care for this child? - ,,,answer,,,,..Performing a
suicide risk assessment
You are discharging a patient home who has a history of depression. Discharge
teaching should include which of the following? - ,,,answer,,,,..Ensuring all firearms
in the home are locked up with no access available by the patient.
A 5-year-old child presents with hives, swelling of the lips and face, and stridor that
developed about an hour after eating lunch. The child has no known allergies. Which
of the following is the priority intervention? - ,,,answer,,,,..Administer intramuscular
epinephrine
Which of the following pathologic processes would most likely be attributed to a
primary diagnosis of cystic fibrosis? - ,,,answer,,,,..Constipation
A 2-year-old arrives with a 2-day history of vomiting and diarrhea. The patient has a
fever of 38.4oC (101.2°F), resting HR of 152 beats/minute, RR of 34 breaths/minute,
and blood pressure of 94/ 56 mm Hg. Assessment reveals a capillary refill time of > 5
seconds. Which of the following would be most indicative of the need for
intravenous rehydration therapy for this patient? - ,,,answer,,,,..Capillary refill
An unresponsive 2-year-old child was found by his mother with a bottle labeled
"Elavil 50 mg" by his side. Which piece of information is important to obtain from his
mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe. - ,,,answer,,,,..C. The number
of pills left in the bottle.
Course Exam, ENPC 6th Edition Provider Exam
Questions 100% Answered 2025
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 after a choking event 4 days
ago. The white blood cell count is elevated and the patient noted to be tachypneic,
tachycardic, agitated, and has an increased respiratory effort. At the time of the
event, the patient was started on antibiotics with subsequent increasing
manifestations instead of improvement. Which of the following would be considered
to be definitive treatment for the suspected diagnosis? - ,,,answer,,,,..Computed
tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident with
subsequent failure to improve on antibiotics. Wheezing or decreased lung sounds in
one area of the pulmonary system is a high indicator for a foreign body along with
signs of hypoxia such as cyanosis, tachypnea, tachycardia, increased respiratory
effort, agitation or lethargy, and elevated white blood cell counts indicating an
infectious process. The definitive treatment would be a bronchoscopy in order to
retrieve the suspected foreign body instead of diagnostic tests to locate the foreign
body itself.
A child in cardiopulmonary arrest is receiving chest compressions and manual
ventilations with a bag-mask device. Once return of spontaneous circulation has
been confirmed, which of the following would be the priority intervention? -
,,,answer,,,,..Establishing a secure airway
Parents report their 3-year-old child has developed noisy breathing. On assessment,
high-pitched wheezes are audible and auscultated on inspiration and expiration.
What medication would be appropriate to administer first? -
,,,answer,,,,..Humidified oxygen (wrong)
Remediation feedback:
,Wheezing is most often identified with asthma in the pediatric population. Initial
medication intervention includes an inhaled short-acting beta agonist.
A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C), and a
bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings what
is the most likely diagnostic test the nurse should anticipate? - ,,,answer,,,,..Lumbar
puncture
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which
of the following intravenous medication orders should the nurse question? -
,,,answer,,,,..Hydromorphone (wrong)
Remediation feedback:
Ketorolac is an appropriate medication for moderate to severe pain, however, it
should not be used pre-operatively due to its potential to increase the bleeding risk.
A 17-year-old female arrives in the ED with her boyfriend who states she is pregnant
and having vaginal bleeding. The patient is unsure of the gestational age and has not
had any prenatal treatment. The patient is quiet and lets her boyfriend answer most
of the questions. Which of the following is the most appropriate action for the nurse
to take at this point? - ,,,answer,,,,..Have the boyfriend leave the room during the
pelvic exam.
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? - ,,,answer,,,,..Intraosseous in the patient's medial tibia.
A child with an electrical injury is seen 1 hour post event. Which of the following
types of specimen samples would provide visual information regarding a potential
complication of this injury? - ,,,answer,,,,..Sputum (wrong)
Remediation feedback:
,Electrical injuries, though they may appear to be small, can produce large amounts
of damage internally, including muscle damage. Myoglobin is excreted in the urine
and is evidenced by dark, red-tinged urine.
Parents with an infant requiring multiple laboratory tests, radiographic studies, and
invasive procedures appear to be distressed and withdrawn. Which of the following
interventions would best ensure a sense of comfort and control for these parents? -
,,,answer,,,,..Providing frequent updates and re-educating them on the care that is
being provided
When taking vital signs on a stable infant, which of the following should be done
first? - ,,,answer,,,,..Respiratory rate
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? -
,,,answer,,,,..LET (lidocaine/epinephrine/tetracaine)
Which of the following is appropriate administration of N-acetylcysteine (NAC) for an
acetaminophen overdose? - ,,,answer,,,,..A bolus infusion of 150 mg/kg NAC should
be administered.
A 10-year-old arrives at the ED post motor vehicle crash. The following assessment
is noted: hypotension, tachycardia, absent breath sounds from the left chest with an
increased respiratory rate, pain on palpation of the pelvis, tinge of blood noted at the
urinary meatus, moderate active bleeding from a laceration to left thigh, pulse
oximetry of 86% without supplemental oxygen, deformity to the left upper leg, and a
Glasgow Coma Score of 7. Which of the following orders will prompt the nurse to
have a discussion with the provider before initiating? - ,,,answer,,,,..Assist with chest
tube insertion (wrong)
Remediation feedback:
Urinary catheters are contraindicated for placement if pelvic injury is suspected or
blood is noted at the urinary meatus. Scrotal or perineal discolorations with edema
to the areas is also a contraindication for this adjunct.
A 2-year-old is seen with a 3-day history of irritability, vomiting, and the presence of
foul-smelling urine. The child is hypotensive and tachycardic. Which of the following
, methods for obtaining a urine sample is most appropriate in this circumstance? -
,,,answer,,,,..Urinary catherization
A child with bipolar disorder is brought to the emergency department for increasing
irritability, agitation, pressured speech, and a decreased need for sleep. What
should be included in the plan of care for this child? - ,,,answer,,,,..Performing a
suicide risk assessment
You are discharging a patient home who has a history of depression. Discharge
teaching should include which of the following? - ,,,answer,,,,..Ensuring all firearms
in the home are locked up with no access available by the patient.
A 5-year-old child presents with hives, swelling of the lips and face, and stridor that
developed about an hour after eating lunch. The child has no known allergies. Which
of the following is the priority intervention? - ,,,answer,,,,..Administer intramuscular
epinephrine
Which of the following pathologic processes would most likely be attributed to a
primary diagnosis of cystic fibrosis? - ,,,answer,,,,..Constipation
A 2-year-old arrives with a 2-day history of vomiting and diarrhea. The patient has a
fever of 38.4oC (101.2°F), resting HR of 152 beats/minute, RR of 34 breaths/minute,
and blood pressure of 94/ 56 mm Hg. Assessment reveals a capillary refill time of > 5
seconds. Which of the following would be most indicative of the need for
intravenous rehydration therapy for this patient? - ,,,answer,,,,..Capillary refill
An unresponsive 2-year-old child was found by his mother with a bottle labeled
"Elavil 50 mg" by his side. Which piece of information is important to obtain from his
mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe. - ,,,answer,,,,..C. The number
of pills left in the bottle.
