ENPC 6TH EDITION ACTUAL EXAM | COMPLETE QUESTIONS WITH 100% RATED
EXPERT SOLUTIONS |2026 LATEST UPDATED
1. when taking vital signs on a stable infant, which of the following should
be done first?: respiratory rate
2. A term infant is delivered in the emergency department. which
assessment finding is most concerning?: central cyanosis
3. A 10-year-old arrives at the ED post motor vehicle crash. The following
assessment is noted: hypotension, tachycardia, absent breath sounds from
the left chest with an increased respiratory rate, pain on palpation of the
pelvis, tinge of blood noted at the urinary meatus, moderate active bleeding
from a laceration to left thigh, pulse oximetry of 86% without supplemental
oxygen, deformity to the left upper leg, and a Glasgow Coma Score of 7.
Which
of the following orders will prompt the nurse to have a discussion with the
provider before initiating?: insert urinary catheter
,4. a teenager presents to the ED for evaluation of pain with deep
inspiration. the pain was a sudden onset after running track at school. while
obtaining the history, the patient states that they have Marfan Syndrome.
what would be a priority triage question based on this information?: "have
you ever had a pneumothorax" 5. An 8-year-old arrives following a bicycle
crash with swelling and bleeding from the right side of his face, deformities
to the jawline, nasal swelling, and epistaxis. He is unresponsive with snoring
respirations and an absent gag reflex. Which of the following airway adjuncts
would be most appropriate for this patient?: oropharyngeal airway (OPA)
6. a child presents with a history of poor oral intake. the patient is pale,
lethargic, and has shallow, rapid respirations. central pulses are weak and
capillary refill time is four seconds. which of the following interventions has
the highest priority?: initiate an intravenous fluid bolus
7. a 5-year-old presents with decreased level of consciousness and a wide
complex and rapid rate on the electrocardiogram. which of the following
, characteristics would indicate ventricular tachycardia as opposed to other
tachydysrhythmias?: heart rate between 120 to 200 beats/minute
8. an 8-year-old male presents to the emergency department with
incoherent speech, hallucinations, and violent behavior. what is the priority
in caring for this patient?: ensure the safety of the patient and staff
9. an 8th-month-old arrives with a 12-hour history of intermittent
abdominal pain, non-bilious vomiting, and a low grade fever. on assessment
the child is intermittent inconsolable followed by periods of normal activity.
a sausage-shaped mass is noted during palpitation of the abdomen. the
nurse should prepare for which of the following?: enema with air
10. a 6-week-old is brought to the emergency department by the caregivers
for poor feeding, listlessness, and fever. assessment reveals a crying infant,
HR 160 beats/minute, RR 52 breaths/min, rectal temperature of 96.0 F (35.5
C), and a bulging anterior fontanel. capillary refill is 4 seconds. based on these
findings what is the most likely diagnostic test the nurse should anticipate?:
lumbar puncture
EXPERT SOLUTIONS |2026 LATEST UPDATED
1. when taking vital signs on a stable infant, which of the following should
be done first?: respiratory rate
2. A term infant is delivered in the emergency department. which
assessment finding is most concerning?: central cyanosis
3. A 10-year-old arrives at the ED post motor vehicle crash. The following
assessment is noted: hypotension, tachycardia, absent breath sounds from
the left chest with an increased respiratory rate, pain on palpation of the
pelvis, tinge of blood noted at the urinary meatus, moderate active bleeding
from a laceration to left thigh, pulse oximetry of 86% without supplemental
oxygen, deformity to the left upper leg, and a Glasgow Coma Score of 7.
Which
of the following orders will prompt the nurse to have a discussion with the
provider before initiating?: insert urinary catheter
,4. a teenager presents to the ED for evaluation of pain with deep
inspiration. the pain was a sudden onset after running track at school. while
obtaining the history, the patient states that they have Marfan Syndrome.
what would be a priority triage question based on this information?: "have
you ever had a pneumothorax" 5. An 8-year-old arrives following a bicycle
crash with swelling and bleeding from the right side of his face, deformities
to the jawline, nasal swelling, and epistaxis. He is unresponsive with snoring
respirations and an absent gag reflex. Which of the following airway adjuncts
would be most appropriate for this patient?: oropharyngeal airway (OPA)
6. a child presents with a history of poor oral intake. the patient is pale,
lethargic, and has shallow, rapid respirations. central pulses are weak and
capillary refill time is four seconds. which of the following interventions has
the highest priority?: initiate an intravenous fluid bolus
7. a 5-year-old presents with decreased level of consciousness and a wide
complex and rapid rate on the electrocardiogram. which of the following
, characteristics would indicate ventricular tachycardia as opposed to other
tachydysrhythmias?: heart rate between 120 to 200 beats/minute
8. an 8-year-old male presents to the emergency department with
incoherent speech, hallucinations, and violent behavior. what is the priority
in caring for this patient?: ensure the safety of the patient and staff
9. an 8th-month-old arrives with a 12-hour history of intermittent
abdominal pain, non-bilious vomiting, and a low grade fever. on assessment
the child is intermittent inconsolable followed by periods of normal activity.
a sausage-shaped mass is noted during palpitation of the abdomen. the
nurse should prepare for which of the following?: enema with air
10. a 6-week-old is brought to the emergency department by the caregivers
for poor feeding, listlessness, and fever. assessment reveals a crying infant,
HR 160 beats/minute, RR 52 breaths/min, rectal temperature of 96.0 F (35.5
C), and a bulging anterior fontanel. capillary refill is 4 seconds. based on these
findings what is the most likely diagnostic test the nurse should anticipate?:
lumbar puncture
