ENPC 6TH EDITION EXAM Questions
with Correct Answers
1. A neonate presents to the emergency department with irritability,
weak cry, and hypotonia. Which of the following is a priority
intervention?: Serum blood glucose
Head compterized tomography
scan Prostaglandin infusion
Toxin Screening
2. Which of the following pathologic processes would most likely be
attributed to a primary diagnosis of cystic fibrosis?: Hypernatremia
*Constipation
Obesity
Epiglottitis
3. 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?: Nurse traumatization
,Pediatric Traumatization
Direct Traumatization
*Vicarious Traumatization
4. 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
5. 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
, 6. 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
7. 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
8. An adolescent is awaiting ICU admission for pneumonia. During
reassessment, which of the following findings would be most
indicative that respiratory
failure is developing?: SpO2 of 94 % on room
air Widened Pulse Pressure
*Extreme Lethargy
Flash Capillary Refill
with Correct Answers
1. A neonate presents to the emergency department with irritability,
weak cry, and hypotonia. Which of the following is a priority
intervention?: Serum blood glucose
Head compterized tomography
scan Prostaglandin infusion
Toxin Screening
2. Which of the following pathologic processes would most likely be
attributed to a primary diagnosis of cystic fibrosis?: Hypernatremia
*Constipation
Obesity
Epiglottitis
3. 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?: Nurse traumatization
,Pediatric Traumatization
Direct Traumatization
*Vicarious Traumatization
4. 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
5. 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
, 6. 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
7. 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
8. An adolescent is awaiting ICU admission for pneumonia. During
reassessment, which of the following findings would be most
indicative that respiratory
failure is developing?: SpO2 of 94 % on room
air Widened Pulse Pressure
*Extreme Lethargy
Flash Capillary Refill
