ENPC 6th Edition Exam Questions
With Correct Answers (100%
ACCURATE)
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? -
✔✔✔✔Anaphylaxis
A school-aged child arrives in the emergency department with a 2-day history of vomiting. The child is
cool and pale, with weak pulses, elevated heart rate, and capillary refill of 4 to 5 seconds. Which of the
following is the priority intervention for the child? - ✔✔✔✔Fluids
A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with a bag-
mask device. Once return of spontaneous circulation has been confirmed, which of the following would
be the priority intervention? - ✔✔✔✔Establishing Airway
An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the windshield. On arrival
to the ED. the patient is minimally responsive with active bleeding from the nose and mouth. The
patient is vomiting. Which of the following interventions would most likely be considered? -
✔✔✔✔Intubation
A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted to the left,
decreased sensation to the extremities, and urinary incontinence. The patient has no history of trauma.
Which of the following diagnostics is the priority for this patient? - ✔✔✔✔Lumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
*Cervical Spine Radiograph
, The caregivers of a 6-year-old report the child developed a cough with nasal congestion and "pink-eye"
that started two days ago. Today they noticed a raised, red rash on the face, and grey papules in the
mouth. Which of the following is the priority intervention for this patient? - ✔✔✔✔Obtain a
nasopharyngeal swab
*Airborne Isolation
Contact Isolation
Fingerstick Glucose
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the following
intravenous medication orders should the nurse question? - ✔✔✔✔Morphine
Acetaminophen
Hydromorphone
*Ketorolac
A child with an injury to the lower cervical spine with spinal cord involvment would most likely
demonstrate which of the following findings during assessment? - ✔✔✔✔Increased rectal tone
Increased urinary outcomes
Decreased end-tidal CO2
*Decreased Respiratory effort
With Correct Answers (100%
ACCURATE)
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? -
✔✔✔✔Anaphylaxis
A school-aged child arrives in the emergency department with a 2-day history of vomiting. The child is
cool and pale, with weak pulses, elevated heart rate, and capillary refill of 4 to 5 seconds. Which of the
following is the priority intervention for the child? - ✔✔✔✔Fluids
A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with a bag-
mask device. Once return of spontaneous circulation has been confirmed, which of the following would
be the priority intervention? - ✔✔✔✔Establishing Airway
An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the windshield. On arrival
to the ED. the patient is minimally responsive with active bleeding from the nose and mouth. The
patient is vomiting. Which of the following interventions would most likely be considered? -
✔✔✔✔Intubation
A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted to the left,
decreased sensation to the extremities, and urinary incontinence. The patient has no history of trauma.
Which of the following diagnostics is the priority for this patient? - ✔✔✔✔Lumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
*Cervical Spine Radiograph
, The caregivers of a 6-year-old report the child developed a cough with nasal congestion and "pink-eye"
that started two days ago. Today they noticed a raised, red rash on the face, and grey papules in the
mouth. Which of the following is the priority intervention for this patient? - ✔✔✔✔Obtain a
nasopharyngeal swab
*Airborne Isolation
Contact Isolation
Fingerstick Glucose
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the following
intravenous medication orders should the nurse question? - ✔✔✔✔Morphine
Acetaminophen
Hydromorphone
*Ketorolac
A child with an injury to the lower cervical spine with spinal cord involvment would most likely
demonstrate which of the following findings during assessment? - ✔✔✔✔Increased rectal tone
Increased urinary outcomes
Decreased end-tidal CO2
*Decreased Respiratory effort
