ENPC EXAM PREP QUESTIONS ANSWERS STUDY GUIDE VERIFIED SOLUTION
Question:
A nurse begins making multiple errors in clinical decisions regarding the care of patients in the
pediatric emergency department. The nurse has worked many consecutive shifts caring for severely
ill and injured children and mentioned to a co-worker that they are not sleeping and feel anxious
about coming to work. What condition may this nurse be experiencing?
Answer:
Nurse traumatization Pediatric Traumatization Direct Traumatization *Vicarious Traumatization
Question:
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?
Answer:
Lumbar Spine MRI Complete Neurologic Exam Urinalysis by Straight Catheter *Cervical Spine
Radiograph
Question:
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?
Answer:
Obtain a nasopharyngeal swab *Airborne Isolation Contact Isolation Fingerstick Glucose
Question:
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the
following intravenous medication orders should the nurse question?
, Answer:
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?
Question:
Answer:
Increased rectal tone Increased urinary outcomes Decreased end-tidal CO2 *Decreased Respiratory
effort
Question:
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the
following findings would be most indicative that respiratory failure is developing?
Answer:
SpO2 of 94 % on room air Widened Pulse Pressure *Extreme Lethargy Flash Capillary Refill
Question:
A pediatric resuscitation has ended with the death of the child. Coroner notification has not been
made yet. In dealing with the family of this child, how can the nurse facilitate their grieving process
until legally required notification has been made?
Answer:
Defer all questions to the provider Allow family member to hold the pt *Provide simple, Straight
forward information Begin Memory making activities
Question:
Parents with an infant requiring multiple laboratory tests, radiographic studies, and invasive
procedures appear to be distressed and withdrawn. Which of the following interventions would best
ensure a sense of comfort and control for these parents?
Answer:
Question:
A nurse begins making multiple errors in clinical decisions regarding the care of patients in the
pediatric emergency department. The nurse has worked many consecutive shifts caring for severely
ill and injured children and mentioned to a co-worker that they are not sleeping and feel anxious
about coming to work. What condition may this nurse be experiencing?
Answer:
Nurse traumatization Pediatric Traumatization Direct Traumatization *Vicarious Traumatization
Question:
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?
Answer:
Lumbar Spine MRI Complete Neurologic Exam Urinalysis by Straight Catheter *Cervical Spine
Radiograph
Question:
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?
Answer:
Obtain a nasopharyngeal swab *Airborne Isolation Contact Isolation Fingerstick Glucose
Question:
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the
following intravenous medication orders should the nurse question?
, Answer:
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?
Question:
Answer:
Increased rectal tone Increased urinary outcomes Decreased end-tidal CO2 *Decreased Respiratory
effort
Question:
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the
following findings would be most indicative that respiratory failure is developing?
Answer:
SpO2 of 94 % on room air Widened Pulse Pressure *Extreme Lethargy Flash Capillary Refill
Question:
A pediatric resuscitation has ended with the death of the child. Coroner notification has not been
made yet. In dealing with the family of this child, how can the nurse facilitate their grieving process
until legally required notification has been made?
Answer:
Defer all questions to the provider Allow family member to hold the pt *Provide simple, Straight
forward information Begin Memory making activities
Question:
Parents with an infant requiring multiple laboratory tests, radiographic studies, and invasive
procedures appear to be distressed and withdrawn. Which of the following interventions would best
ensure a sense of comfort and control for these parents?
Answer:
