ENPC 6th Edition Provider Exam Questions
Latest Update with correct answers
A 3 year-
old patient presents following frequent emesis and diarrhea over the past 12 hours. Which of the follo
wing assessment findings indicate that the patient' body is compensating for the fluid loss?A.Increased
diastolic blood pressure
B.Bounding peripheral pulses
C.Prolonged capillary refill
D.Increased urine output
You are discharging a patient home who has a history of depression. Discharge teaching should includ
e which of the following?A.Discussing the importance of stopping all current psychiatric medications.
B.Providing the family a list of behavioral health facilities to call for follow-up.
C.Explaining that the family should not call authorities for escalations in the patient's behavior.
D.Ensuring all firearms in the home are locked up with no access available by the patient.
A child with an electrical injury is seen 1 hour post event. Which of the following specimen samples
would provide visual information regarding a potential complication of this injury?A.Serum
B.Urine
C.Stool
D.Sputum
A 4-year-
old patient is being assessed for a foreign body in the nose. The child is awake and alert and watching
a video on the caregivers phone. Vitals include HR of 110 beats/minute, RR of 26 breaths per minute,
BP of 138/90 mm Hg, and T of 37.3oC (99.3oF) orally. Which of the following interventions should t
he nurse perform next?A.Check the size of the blood pressure cuff
B.Recheck the temperature rectally
C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
A 10-year-
old playing baseball is hit in the chest with a ball. He immediately demonstrates loss of consciousness
with no pulses. Which of the following is the priority intervention?A.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
The triage nurse is assessing a 14 year old male who was brought in by ambulance. The patient reports
he was playing his video games at home when he had a sudden onset of groin pain that was so severe
he became nauseated and vomited. Further assessment reveals a swollen scrotum. What is the priority
intervention for this patient?A.Obtaining a sterile urine sample
B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
A caregiver reports their one-month-
,old has had a yellowish color to their eyes and skin over the last two weeks. If left untreated, which b
ody system can this affect?A.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
An infant presents to the emergency department with difficulty breathing. The patient is pale and respir
ations appear rapid and shallow. Which location on the torso is the most effective site for assessing bil
ateral breath sounds?A.Bilateral posterior back
B.Over the epigastrium
C.Bilateral midaxillary
D.Bilateral anterior chest
A 5-year-
old presents with sudden onset nausea, vomiting, abdominal cramping, hives, and hypotension afterVeat
ing lunch. Which of the following is the priority intervention?A.Intramuscular epinephrine
B.Inhaled albuterol
C.Oral diphenhydramine
D.Intravenous ondansetron
A 3-year-
old is assessed for the presence of increasing amounts of serosanguineous drainage from his left nares
over the past 6 hours. Which of the following foreign bodies is the most likely etiology?A.Magnet
B.Button battery
C.Dried bean
D.Fishing weight
Caregivers state an 18-month-old child had a harsh, barky cough, low-
grade fever, and irritability throughout the night. On assessment this morning, the child appears alert, i
s interactive, their present cough is quiet, and their temperature is 98.8°F (37.1°C) axillary. Which of t
he following diagnoses is the highest probablity for this child?A.Asthma
B.Croup
C.Epiglottitis
D.Pneumonia
A 12-year-
old female patient arrives awake and alert with an acute onset of abdominal pain on the right side, nau
sea, vomiting, and vaginal spotting. On palpation, the pain is localized to the right side and there is ten
derness to the breasts. Which of the following laboratory tests is the priority for this patient?A.Human
chorionic gonadotropin
B.Complete blood count
C.Vaginal cultures
D.Bedside glucose level
A fertilizer silo exploded during a school tour of a working farm. The children are able to manage thei
r own secretions but all are incontinent and salivating, with excess tearing. Which of the following is t
he priority intervention?A.Removal of clothing and decontamination
B.Establishing patient identification
C.Rapid administration of atropine
D.Providing supportive treatment
, A caregiver states their 3-year-
old child ate some marijuana gummies approximately 3 hours prior to arrival. The PAT reveals the chi
ld is pink, difficult to arouse, and work of breathing is normal. What is your initial intervention?A.Ad
minister activated charcoal
B.Check the child's blood glucose
C.Initiate intravenous access
D.Obtain a full set of vital signs
A 14-year-
old patient presents to the emergency department with her aunt after being assaulted. The patient has m
ultiple bruises inconsistent with the assault history and seems guarded with her answers. A urine test is
positive for pregnancy, although the patient denies being sexually active. The aunt repeatedly asks wh
en they will be discharged. The ED nurse recognizes these finding as red flags for which of the followi
ng?A.Labor trafficking
B.Sex trafficking
C.Psychological abuse
D.Physical abuse
A 12-year-old restrained, back -
seat passenger involved in a motor vehicle crash is noted to have hypotension, tachycardia, and contusi
ons and discoloration across the lap area. On exam a splenic rupture is suspected. Which of the followi
ng diagnoses should be suspected as a companion injury with these findings and associated mechanism
of injury?A.Lumbar fracture
B.Pneumothorax
C.Subdural hematoma
D.Cardiac tamponade
Which patient reflects an EMTALA compliant transfer?A.An actively seizing toddler being transferred
to a pediatric-specific facility. That facility is checking on inpatient bed availability.
B.A post-
ictal patient with status epilepticus being transferred to a higher level of care with an accepting physici
an. All records are copied.
C.A teenager with abdominal trauma and critical labs being transferred to a pediatric trauma center for
surgery. The facility has not accepted the transfer yet.
D.An infant with respiratory difficulties being transferred to another hospital with the same level of pe
diatric care. Parents are not present, and records are copied.
After an explosion at a school, you are helping triage patients. In your field triage room you find a 5-
year-
old patient who is not breathing. What is the appropriate initial intervention?A.Assign the patient as bl
ack/expectant.
B.Open the airway and assess for breathing. - -
C.Check for capillary refill of < 2 seconds
D.Initiate cardiopulmonary resuscitation
Return of spontaneous circulation has been confirmed in a 5-year-
old following cardiopulmonary arrest after a 5-
day history of vomiting and diarrhea. Vital signs are BP 72/60 mm Hg, HRV140 beats/minute, RRVassis
ted at 30 breaths/minute via definitive airway, SpO2 97%, and T 36.8°C (98.4°F) rectally. Which of th
e following would be the priority intervention at this time?A.Obtain a 12-lead electrocardiogram
B.Administer maintenance fluids
Latest Update with correct answers
A 3 year-
old patient presents following frequent emesis and diarrhea over the past 12 hours. Which of the follo
wing assessment findings indicate that the patient' body is compensating for the fluid loss?A.Increased
diastolic blood pressure
B.Bounding peripheral pulses
C.Prolonged capillary refill
D.Increased urine output
You are discharging a patient home who has a history of depression. Discharge teaching should includ
e which of the following?A.Discussing the importance of stopping all current psychiatric medications.
B.Providing the family a list of behavioral health facilities to call for follow-up.
C.Explaining that the family should not call authorities for escalations in the patient's behavior.
D.Ensuring all firearms in the home are locked up with no access available by the patient.
A child with an electrical injury is seen 1 hour post event. Which of the following specimen samples
would provide visual information regarding a potential complication of this injury?A.Serum
B.Urine
C.Stool
D.Sputum
A 4-year-
old patient is being assessed for a foreign body in the nose. The child is awake and alert and watching
a video on the caregivers phone. Vitals include HR of 110 beats/minute, RR of 26 breaths per minute,
BP of 138/90 mm Hg, and T of 37.3oC (99.3oF) orally. Which of the following interventions should t
he nurse perform next?A.Check the size of the blood pressure cuff
B.Recheck the temperature rectally
C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
A 10-year-
old playing baseball is hit in the chest with a ball. He immediately demonstrates loss of consciousness
with no pulses. Which of the following is the priority intervention?A.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
The triage nurse is assessing a 14 year old male who was brought in by ambulance. The patient reports
he was playing his video games at home when he had a sudden onset of groin pain that was so severe
he became nauseated and vomited. Further assessment reveals a swollen scrotum. What is the priority
intervention for this patient?A.Obtaining a sterile urine sample
B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
A caregiver reports their one-month-
,old has had a yellowish color to their eyes and skin over the last two weeks. If left untreated, which b
ody system can this affect?A.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
An infant presents to the emergency department with difficulty breathing. The patient is pale and respir
ations appear rapid and shallow. Which location on the torso is the most effective site for assessing bil
ateral breath sounds?A.Bilateral posterior back
B.Over the epigastrium
C.Bilateral midaxillary
D.Bilateral anterior chest
A 5-year-
old presents with sudden onset nausea, vomiting, abdominal cramping, hives, and hypotension afterVeat
ing lunch. Which of the following is the priority intervention?A.Intramuscular epinephrine
B.Inhaled albuterol
C.Oral diphenhydramine
D.Intravenous ondansetron
A 3-year-
old is assessed for the presence of increasing amounts of serosanguineous drainage from his left nares
over the past 6 hours. Which of the following foreign bodies is the most likely etiology?A.Magnet
B.Button battery
C.Dried bean
D.Fishing weight
Caregivers state an 18-month-old child had a harsh, barky cough, low-
grade fever, and irritability throughout the night. On assessment this morning, the child appears alert, i
s interactive, their present cough is quiet, and their temperature is 98.8°F (37.1°C) axillary. Which of t
he following diagnoses is the highest probablity for this child?A.Asthma
B.Croup
C.Epiglottitis
D.Pneumonia
A 12-year-
old female patient arrives awake and alert with an acute onset of abdominal pain on the right side, nau
sea, vomiting, and vaginal spotting. On palpation, the pain is localized to the right side and there is ten
derness to the breasts. Which of the following laboratory tests is the priority for this patient?A.Human
chorionic gonadotropin
B.Complete blood count
C.Vaginal cultures
D.Bedside glucose level
A fertilizer silo exploded during a school tour of a working farm. The children are able to manage thei
r own secretions but all are incontinent and salivating, with excess tearing. Which of the following is t
he priority intervention?A.Removal of clothing and decontamination
B.Establishing patient identification
C.Rapid administration of atropine
D.Providing supportive treatment
, A caregiver states their 3-year-
old child ate some marijuana gummies approximately 3 hours prior to arrival. The PAT reveals the chi
ld is pink, difficult to arouse, and work of breathing is normal. What is your initial intervention?A.Ad
minister activated charcoal
B.Check the child's blood glucose
C.Initiate intravenous access
D.Obtain a full set of vital signs
A 14-year-
old patient presents to the emergency department with her aunt after being assaulted. The patient has m
ultiple bruises inconsistent with the assault history and seems guarded with her answers. A urine test is
positive for pregnancy, although the patient denies being sexually active. The aunt repeatedly asks wh
en they will be discharged. The ED nurse recognizes these finding as red flags for which of the followi
ng?A.Labor trafficking
B.Sex trafficking
C.Psychological abuse
D.Physical abuse
A 12-year-old restrained, back -
seat passenger involved in a motor vehicle crash is noted to have hypotension, tachycardia, and contusi
ons and discoloration across the lap area. On exam a splenic rupture is suspected. Which of the followi
ng diagnoses should be suspected as a companion injury with these findings and associated mechanism
of injury?A.Lumbar fracture
B.Pneumothorax
C.Subdural hematoma
D.Cardiac tamponade
Which patient reflects an EMTALA compliant transfer?A.An actively seizing toddler being transferred
to a pediatric-specific facility. That facility is checking on inpatient bed availability.
B.A post-
ictal patient with status epilepticus being transferred to a higher level of care with an accepting physici
an. All records are copied.
C.A teenager with abdominal trauma and critical labs being transferred to a pediatric trauma center for
surgery. The facility has not accepted the transfer yet.
D.An infant with respiratory difficulties being transferred to another hospital with the same level of pe
diatric care. Parents are not present, and records are copied.
After an explosion at a school, you are helping triage patients. In your field triage room you find a 5-
year-
old patient who is not breathing. What is the appropriate initial intervention?A.Assign the patient as bl
ack/expectant.
B.Open the airway and assess for breathing. - -
C.Check for capillary refill of < 2 seconds
D.Initiate cardiopulmonary resuscitation
Return of spontaneous circulation has been confirmed in a 5-year-
old following cardiopulmonary arrest after a 5-
day history of vomiting and diarrhea. Vital signs are BP 72/60 mm Hg, HRV140 beats/minute, RRVassis
ted at 30 breaths/minute via definitive airway, SpO2 97%, and T 36.8°C (98.4°F) rectally. Which of th
e following would be the priority intervention at this time?A.Obtain a 12-lead electrocardiogram
B.Administer maintenance fluids
