ENPC Exam 6th Edition Questions and
Answers
1. 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?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol
Answer A. Administer intramuscular epinephrine
2. An adolescent is awaiting ICU admission for pneumonia. During reassessment,
which of the following findings would be most indicative that respiratory failure is
developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill
Answer A. SpO2 of 94 % on room air
3. A 3-year-old has a two-day history of runny nose, low-grade fever, and a
"barky" cough at night. The child is awake and alert with noted stridor. Pulse
oximetry is 96% on room air. Which of the following interventions would be the most
appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer
, Answer B. Administration of nebulized epinephrine
4. A 14-year-old patient had a reduction of a temporomandibular joint
dislocation in the ED. Which of the following should be included in the discharge
instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control
Answer D. Use a nonsteroidal anti-in- flammatory for pain control
5. Which of the following parameters would indicate that appropriate post
resuscitation interventions were successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg
Answer A. Pulse oximetry reading of 96%
6. An anxious 12-year-old child presents to the emergency department with a
sudden onset of nausea, diarrhea, abdominal cramping, flushing, and hypotension.
Symptoms started about 60 minutes after lunch. Which of the following
conditions is the most likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche
Answer A. Anaphylaxis
7. An 8-year-old trauma patient suddenly develops increased respiratory dis- tress
, with a rise in heart rate from 112 beats/minute to 142 beats/minute associated with
an abrupt hypotensive event. Distention of the jugular veins is noted. Which of the
following emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression
Answer D. Needle decompression
8. A 4-week-old infant born prematurely is brought to the emergency depart-
ment due to the rapid onset of abdominal distention, vomiting, bloody stools, and
exhibiting signs of shock. Based on these findings, what condition should the nurse
suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia
Answer A. Necrotizing enterocolitis
9. A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry
mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of
70/44 mm Hg, and HR of 144 beats per minute. Which of the
following laboratory values would be most expected in this child?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate
Answer C. Low pH level
10. Which of the following pathologic processes would most likely be attributed
Answers
1. 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?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol
Answer A. Administer intramuscular epinephrine
2. An adolescent is awaiting ICU admission for pneumonia. During reassessment,
which of the following findings would be most indicative that respiratory failure is
developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill
Answer A. SpO2 of 94 % on room air
3. A 3-year-old has a two-day history of runny nose, low-grade fever, and a
"barky" cough at night. The child is awake and alert with noted stridor. Pulse
oximetry is 96% on room air. Which of the following interventions would be the most
appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer
, Answer B. Administration of nebulized epinephrine
4. A 14-year-old patient had a reduction of a temporomandibular joint
dislocation in the ED. Which of the following should be included in the discharge
instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control
Answer D. Use a nonsteroidal anti-in- flammatory for pain control
5. Which of the following parameters would indicate that appropriate post
resuscitation interventions were successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg
Answer A. Pulse oximetry reading of 96%
6. An anxious 12-year-old child presents to the emergency department with a
sudden onset of nausea, diarrhea, abdominal cramping, flushing, and hypotension.
Symptoms started about 60 minutes after lunch. Which of the following
conditions is the most likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche
Answer A. Anaphylaxis
7. An 8-year-old trauma patient suddenly develops increased respiratory dis- tress
, with a rise in heart rate from 112 beats/minute to 142 beats/minute associated with
an abrupt hypotensive event. Distention of the jugular veins is noted. Which of the
following emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression
Answer D. Needle decompression
8. A 4-week-old infant born prematurely is brought to the emergency depart-
ment due to the rapid onset of abdominal distention, vomiting, bloody stools, and
exhibiting signs of shock. Based on these findings, what condition should the nurse
suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia
Answer A. Necrotizing enterocolitis
9. A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry
mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of
70/44 mm Hg, and HR of 144 beats per minute. Which of the
following laboratory values would be most expected in this child?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate
Answer C. Low pH level
10. Which of the following pathologic processes would most likely be attributed
