ENPC EXAM LATEST 2025/ 2026 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||NEWEXAM!!!||
A 4-day-old who is brought to the emergency department with the
parental complaint of "not acting right" is found to be
hypoglycemic. What is the appropriate glucose concentration to
administer to this neonate?
A.Dextrose 5%
B.Dextrose 10%
C.Dextrose 25%
D.Dextrose 50% - ANSWER-B
Dextrose 10% is the preferred concentration for neonates
with hypoglycemia to protect their fragile vasculature while
providing needed glucose. Dextrose 5% is not used to treat
hypoglycemia in children. Dextrose 25% is used for children
above the age of 5 years. Dextrose 50% is not recommended
for use in pediatrics unless it is diluted.
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Assessment of the fontanelle provides the most useful information
for which two components of the primary survey?
A.Circulation and disability
B.Breathing and circulation
C.Disability and exposure
D.Circulation and exposure - ANSWER-A
A sunken fontanelle is a red flag for circulation assessment
in pediatric triage and may indicate dehydration . A bulging
fontanel is a red flag for disability assessment in pediatric
triage and can indicate increased intracranial pressure.
Which of the following indicates the need for additional caregiver
education regarding a urinary tract infection?
A.I should encourage my child to drink extra fluids.
B.I need to make a follow-up appointment with child's physician.
C.My child will grow out of their frequent urinary tract infections.
D.My child should complete all of their antibiotic medication. -
ANSWER-C
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A nurse providing trauma informed care to the family of a
seriously ill child should be doing which of the following?
A.Placing the family in a quiet, secluded room
B.Referring to their child as "the patient"
C.Making sure the family does not stay at the bedside.
D.Appointing one staff member to stay with the family - ANSWER-
D
Caregivers experiencing the crisis of a critically ill child have
low attentiveness and increased stress so would benefit from
having a member of the healthcare team to stay with them as
much as possible and communicate updates on the plan of
care. Caregivers should be allowed to stay with their child as
much as possible and not placed in a secluded room away
for them.
The caregiver of a 7-year old reports witnessing a seizure at
home, but no seizure history. 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 caregiver
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states the burns accidentally occurred three days ago, but was
afraid to bring the patient in due to an ongoing child welfare
investigation.Which of the following groups of interventions are
the priority for this patient?
A.Call police and child welfare authorities and have security
detain the caregiver
B.Administer intravenous analgesics and obtain a point of care
glucose
C.Draw a metabolic panel, point of care glucose, and administer a
fluid bolus
D.Administer lorazepam and a fluid bolus and place on seizure
precautions - ANSWER-C
Burn injuries result in fluid and electrolyte shifts leading to
hypovolemia and electrolyte imbalances. Early identification
and treatment of electrolyte imbalances can help prevent
further seizures. Contacting child protective services and
other authorities can wait. The patient is post-ictal so does
not require lorazepam medication at this time. Pain
medication can and should be considered with significant
burns, but is not a priority.