ENPCEXAM 6TH ED//ENPCEXAM LATEST2025 n n n n n n
ACTUAL EXAM QUESTIONS WITH CORRECT
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DETAILED ANSWERS (ALREADY GRADED A+)
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A 5-year-
n
old child presents with hives, swelling of the lips and face, and stridor that developed about an hour aft er
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eating lunch. The child has no known allergies. Which of the following is the priority intervention?
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A. Administer intramuscular epinephrine
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B. Auscultate bilateral breath sounds
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C. Insert an intravenous catheter
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D. Administer inhaled albuterol - correct answer-A. Administer intramuscular epinephrine
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An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the following f
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indings would be most indicative that respiratory failure is developing?
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A. SpO2 of 94 % on room air
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B. Widened pulse pressure
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C. Extreme lethargy
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D. Flash capillary refill - correct answer-A. SpO2 of 94 % on room air
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A 3-year-old has a two-day history of runny nose, low-
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grade fever, and a "barky" cough at night. The child is awake and alert with noted stridor. Pulse oximetr y is
n n n n n n n n n n n n n n n n n n n n
96% on room air. Which of the following interventions would be the most appropriated for this chil d?
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A. Delivery of humidified oxygen by nasal cannula
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B. Administration of nebulized epinephrine
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C. Suctioning secretions from the oropharynx
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D. Administration of albuterol with a spacer - correct answer-
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B. Administration of nebulized epinephrine
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A 14-year-
n
old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of the following
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should be included in the discharge instructions?
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A. Practice yawning three to four times a day
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, B. Resume eating a regular diet later today
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C. Apply hot packs to the joint area for pain control
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D. Use a nonsteroidal anti-inflammatory for pain control - correct answer-D. Use a nonsteroidal anti-
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inflammatory forRpain control
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Which of the following parameters would indicate that appropriate post resuscitation interventions were
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successfully carried out in the pediatric patient?
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A. Pulse oximetry reading of 96%
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B. Temperature of 99.8°F (37.6°C)
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C. Capillary refill of < 1 second
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D. Capnography reading of 60 mm Hg - correct answer-A. Pulse oximetry reading of 96%
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An anxious 12-year-
n n
old child presents to the emergency department with a sudden onset of nausea, diarrhea, abdominal cra
n n n n n n n n n n n n n n n
mping, flushing, and hypotension. Symptoms started about 60 minutes after lunch. Which of the followi ng
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conditions is the most likely cause of these symptoms?
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A. Anaphylaxis
n
B. Renal colic
n n
C. Crohn's Disease
n n
D. Menarche - correct answer-A. Anaphylaxis
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An 8-year- n
old trauma patient suddenly develops increased respiratory distress with a rise in heart rate from 112 be
n n n n n n n n n n n n n n n n
ats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of the jugularRve ins is
n n n n n n n n n n n n n n n n
noted. Which of the following emergent interventions should be anticipated first?
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A. High flow oxygen
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B. Drug assisted intubation
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C. Chest tube insertion
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D. Needle decompression - correct answer-D. Needle decompression
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A 4-week-
n
old infant born prematurely is brought to the emergency department due to the rapid onset of abdominal
n n n n n n n n n n n n n n n n
distention, vomiting, bloody stools, and exhibiting signs of shock. Based on these findings, what condit ion
n n n n n n n n n n n n n n n n
should the nurse suspect?
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ACTUAL EXAM QUESTIONS WITH CORRECT
n n n n n
DETAILED ANSWERS (ALREADY GRADED A+)
n n n n n
A 5-year-
n
old child presents with hives, swelling of the lips and face, and stridor that developed about an hour aft er
n n n n n n n n n n n n n n n n n n n
eating lunch. The child has no known allergies. Which of the following is the priority intervention?
n n n n n n n n n n n n n n n n
A. Administer intramuscular epinephrine
n n n
B. Auscultate bilateral breath sounds
n n n n
C. Insert an intravenous catheter
n n n n
D. Administer inhaled albuterol - correct answer-A. Administer intramuscular epinephrine
n n n n n n n n n
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the following f
n n n n n n n n n n n n n n
indings would be most indicative that respiratory failure is developing?
n n n n n n n n n n
A. SpO2 of 94 % on room air
n n n n n n n
B. Widened pulse pressure
n n n
C. Extreme lethargy
n n
D. Flash capillary refill - correct answer-A. SpO2 of 94 % on room air
n n n n n n n n n n n n n
A 3-year-old has a two-day history of runny nose, low-
n n n n n n n n n
grade fever, and a "barky" cough at night. The child is awake and alert with noted stridor. Pulse oximetr y is
n n n n n n n n n n n n n n n n n n n n
96% on room air. Which of the following interventions would be the most appropriated for this chil d?
n n n n n n n n n n n n n n n n n n
A. Delivery of humidified oxygen by nasal cannula
n n n n n n n
B. Administration of nebulized epinephrine
n n n n
C. Suctioning secretions from the oropharynx
n n n n n
D. Administration of albuterol with a spacer - correct answer-
n n n n n n n n n
B. Administration of nebulized epinephrine
n n n n
A 14-year-
n
old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of the following
n n n n n n n n n n n n n n n n
should be included in the discharge instructions?
n n n n n n n
A. Practice yawning three to four times a day
n n n n n n n n
, B. Resume eating a regular diet later today
n n n n n n n
C. Apply hot packs to the joint area for pain control
n n n n n n n n n n
D. Use a nonsteroidal anti-inflammatory for pain control - correct answer-D. Use a nonsteroidal anti-
n n n n n n n n n n n n n n
inflammatory forRpain control
n n n
Which of the following parameters would indicate that appropriate post resuscitation interventions were
n n n n n n n n n n n n
successfully carried out in the pediatric patient?
n n n n n n n
A. Pulse oximetry reading of 96%
n n n n n
B. Temperature of 99.8°F (37.6°C)
n n n n
C. Capillary refill of < 1 second
n n n n n n
D. Capnography reading of 60 mm Hg - correct answer-A. Pulse oximetry reading of 96%
n n n n n n n n n n n n n n
An anxious 12-year-
n n
old child presents to the emergency department with a sudden onset of nausea, diarrhea, abdominal cra
n n n n n n n n n n n n n n n
mping, flushing, and hypotension. Symptoms started about 60 minutes after lunch. Which of the followi ng
n n n n n n n n n n n n n n n n
conditions is the most likely cause of these symptoms?
n n n n n n n n n
A. Anaphylaxis
n
B. Renal colic
n n
C. Crohn's Disease
n n
D. Menarche - correct answer-A. Anaphylaxis
n n n n n
An 8-year- n
old trauma patient suddenly develops increased respiratory distress with a rise in heart rate from 112 be
n n n n n n n n n n n n n n n n
ats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of the jugularRve ins is
n n n n n n n n n n n n n n n n
noted. Which of the following emergent interventions should be anticipated first?
n n n n n n n n n n n
A. High flow oxygen
n n n
B. Drug assisted intubation
n n n
C. Chest tube insertion
n n n
D. Needle decompression - correct answer-D. Needle decompression
n n n n n n n
A 4-week-
n
old infant born prematurely is brought to the emergency department due to the rapid onset of abdominal
n n n n n n n n n n n n n n n n
distention, vomiting, bloody stools, and exhibiting signs of shock. Based on these findings, what condit ion
n n n n n n n n n n n n n n n n
should the nurse suspect?
n n n n
