ENPC EXAM PREP QUESTIONS WITH
CORRECT ANSWERS 2026-2027
Which of the following would be an abnormal finding in a patient with glomerulonephritis? -
VCORRECTVANSWERV-
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be co
ncentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be co
ncentrated and dark brown/tea-colored. -VCORRECTVANSWERV-
Administration of nebulized epinephrine Moderate to severe croup is treated with dexamethasone and n
ebulized epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the emergency department to monit
or the intracranial pressure on a 5-year-
old patient. The family does not speak English and has identified their religion as Muslim. Which of th
e following interventions is most supportive of the family? -VCORRECTVANSWERV-
Allow the extended to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of potential child maltreatment?
-VCORRECTVANSWERV-
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
exploratory location in children younger than 4 years and any bruising in a child younger than 4 month
s (TEN-4) are cause for suspicion of abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
exploratory location in children younger than 4 years and any bruising in a child younger than 4 month
s (TEN-4) are cause for suspicion of abuse -VCORRECTVANSWERV-
Commotio cordis Commotio cordis occurs when the chest is struck during the refractory period of the
cardiac conduction cycle, resulting in a ventricular dysrhythmia or asystole. This type of injury usually
occurs in recreational sports such as baseball or ice hockey
A 12-year-old who was recently started on anti-
psychotic medication for schizophrenia is brought to the emergency department with severe muscle rigi
dity and hyperthermia. These symptoms are most likely caused by which of the following? -
VCORRECTVANSWERV-
Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant syndrome, whic
h is a rare reaction to antipsychotic medications.
Which of the following patients should be evaluated first -VCORRECTVANSWERV-An 18-month-
old with bilious emesis Bilious emesis in an 18-month-
old is always considered an emergent symptom indicative of a life-threatening bowel obstruction.
1. Which of the following tasks can the nurse do to decrease adverse medication events? -
VCORRECTVANSWERV-
Obtain the patient's weight in kilograms This is the preferred measurement for medication calculations
for pediatric and adult patients
, Acute chest syndrome, stroke, and splenic sequestration are complications of which of the following di
seases? -VCORRECTVANSWERV-Sickle cell anemia These are all complications of sickle cell anemia.
During the assessment of a 16-year-
old male patient, the ED nurse identifies him as a potential sex trafficking victim. The trauma informe
d approach to care emphasizes certain principles in caring for these types of patients. Which of the foll
owing care principles has the highest priority? -VCORRECTVANSWERV-
Physical and psychological safety Create an environment where patients feel safe, both physically and
psychologically. Increase awareness of the patient's interpersonal interactions with others to screen for
risk of harm. Prioritize the patient being in a safe location
A 6-month-
old is brought to the emergency department for a recurrent respiratory infection. When gathering a hist
ory from the caregiver, the emergency nurse learns that, in addition to the respiratory symptoms, the in
fant has had fatty stools. The emergency nurse should be concerned about which of the following disea
se processes? -VCORRECTVANSWERV-
Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results in the fatty stools see
n with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a suspected globe ruptur
e. Which of the following medication orders would the nurse question? -VCORRECTVANSWERV-
Succinylcholine Succinylcholine may increase intraocular pressure and should be avoided.
A 7-year-
old arrives via ambulance. The patient's mother reports witnessing a seizure at home. The patient has n
o seizure history. Upon examination, the patient is post-
ictal with a heart rate of 142 beats per minute, respiratory rate of 36 breaths per minute, and blood pre
ssure of 86/72 mm Hg. Significant burns are noted to the patient's back and lower extremities. The mot
her states the burns accidentally occurred 3 days ago, but she was afraid to bring patient in due to an o
ngoing child welfare investigation. Which of the following are the MOST appropriate immediate interv
entions? -VCORRECTVANSWERV-
Draw and send a metabolic panel, administer a fluid bolus, and obtain a point of care glucose Significa
nt burns can cause electrolyte imbalances. Electrolyte imbalances may be the cause of the patient's seiz
ure. Electrolyte imbalances need to be identified and treated.
In which of the following primary survey components can assessment of the fontanel provide the most
useful information? -VCORRECTVANSWERV-
Circulation and disability A sunken fontanel may indicate dehydration; a bulging fontanel can indicate
increased intracranial pressure.
A 5-year-
old patient presents to the emergency department with severe dehydration due to viral gastroenteritis.
He has signs of shock due to his hypovolemia. Which of the following physiologic responses to shock
has the greatest impact on improving cardiac output in the pediatric patient? -VCORRECTVANSWERV-
Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism to incre
ase cardiac output.
A toddler has a chemical eye injury. Which of the following is the priority intervention? -
VCORRECTVANSWERV-
Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism to incre
CORRECT ANSWERS 2026-2027
Which of the following would be an abnormal finding in a patient with glomerulonephritis? -
VCORRECTVANSWERV-
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be co
ncentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be co
ncentrated and dark brown/tea-colored. -VCORRECTVANSWERV-
Administration of nebulized epinephrine Moderate to severe croup is treated with dexamethasone and n
ebulized epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the emergency department to monit
or the intracranial pressure on a 5-year-
old patient. The family does not speak English and has identified their religion as Muslim. Which of th
e following interventions is most supportive of the family? -VCORRECTVANSWERV-
Allow the extended to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of potential child maltreatment?
-VCORRECTVANSWERV-
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
exploratory location in children younger than 4 years and any bruising in a child younger than 4 month
s (TEN-4) are cause for suspicion of abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
exploratory location in children younger than 4 years and any bruising in a child younger than 4 month
s (TEN-4) are cause for suspicion of abuse -VCORRECTVANSWERV-
Commotio cordis Commotio cordis occurs when the chest is struck during the refractory period of the
cardiac conduction cycle, resulting in a ventricular dysrhythmia or asystole. This type of injury usually
occurs in recreational sports such as baseball or ice hockey
A 12-year-old who was recently started on anti-
psychotic medication for schizophrenia is brought to the emergency department with severe muscle rigi
dity and hyperthermia. These symptoms are most likely caused by which of the following? -
VCORRECTVANSWERV-
Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant syndrome, whic
h is a rare reaction to antipsychotic medications.
Which of the following patients should be evaluated first -VCORRECTVANSWERV-An 18-month-
old with bilious emesis Bilious emesis in an 18-month-
old is always considered an emergent symptom indicative of a life-threatening bowel obstruction.
1. Which of the following tasks can the nurse do to decrease adverse medication events? -
VCORRECTVANSWERV-
Obtain the patient's weight in kilograms This is the preferred measurement for medication calculations
for pediatric and adult patients
, Acute chest syndrome, stroke, and splenic sequestration are complications of which of the following di
seases? -VCORRECTVANSWERV-Sickle cell anemia These are all complications of sickle cell anemia.
During the assessment of a 16-year-
old male patient, the ED nurse identifies him as a potential sex trafficking victim. The trauma informe
d approach to care emphasizes certain principles in caring for these types of patients. Which of the foll
owing care principles has the highest priority? -VCORRECTVANSWERV-
Physical and psychological safety Create an environment where patients feel safe, both physically and
psychologically. Increase awareness of the patient's interpersonal interactions with others to screen for
risk of harm. Prioritize the patient being in a safe location
A 6-month-
old is brought to the emergency department for a recurrent respiratory infection. When gathering a hist
ory from the caregiver, the emergency nurse learns that, in addition to the respiratory symptoms, the in
fant has had fatty stools. The emergency nurse should be concerned about which of the following disea
se processes? -VCORRECTVANSWERV-
Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results in the fatty stools see
n with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a suspected globe ruptur
e. Which of the following medication orders would the nurse question? -VCORRECTVANSWERV-
Succinylcholine Succinylcholine may increase intraocular pressure and should be avoided.
A 7-year-
old arrives via ambulance. The patient's mother reports witnessing a seizure at home. The patient has n
o seizure history. Upon examination, the patient is post-
ictal with a heart rate of 142 beats per minute, respiratory rate of 36 breaths per minute, and blood pre
ssure of 86/72 mm Hg. Significant burns are noted to the patient's back and lower extremities. The mot
her states the burns accidentally occurred 3 days ago, but she was afraid to bring patient in due to an o
ngoing child welfare investigation. Which of the following are the MOST appropriate immediate interv
entions? -VCORRECTVANSWERV-
Draw and send a metabolic panel, administer a fluid bolus, and obtain a point of care glucose Significa
nt burns can cause electrolyte imbalances. Electrolyte imbalances may be the cause of the patient's seiz
ure. Electrolyte imbalances need to be identified and treated.
In which of the following primary survey components can assessment of the fontanel provide the most
useful information? -VCORRECTVANSWERV-
Circulation and disability A sunken fontanel may indicate dehydration; a bulging fontanel can indicate
increased intracranial pressure.
A 5-year-
old patient presents to the emergency department with severe dehydration due to viral gastroenteritis.
He has signs of shock due to his hypovolemia. Which of the following physiologic responses to shock
has the greatest impact on improving cardiac output in the pediatric patient? -VCORRECTVANSWERV-
Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism to incre
ase cardiac output.
A toddler has a chemical eye injury. Which of the following is the priority intervention? -
VCORRECTVANSWERV-
Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism to incre
