ENPC Exam Prep / Exam Questions and verified answers 2022
Which of the following would be an abnormal finding in a patient with
glomerulonephritis? - correct answer Clear urine There is a decrease in urine output for
patients with glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored.
Clear urine There is a decrease in urine output for patients with glomerulonephritis.
Urine would be concentrated and dark brown/tea-colored. - correct answer
Administration of nebulized epinephrine Moderate to severe croup is treated with
dexamethasone and nebulized epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the emergency
department to monitor the intracranial pressure on a 5-year-old patient. The family does
not speak English and has identified their religion as Muslim. Which of the following
interventions is most supportive of the family? - correct answer 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? - correct answer 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 months (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 months (TEN-4) are cause for suspicion of abuse - correct answer 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 rigidity and hyperthermia.
These symptoms are most likely caused by which of the following? - correct answer
Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant
syndrome, which is a rare reaction to antipsychotic medications.
Which of the following patients should be evaluated first - correct answer 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? - correct answer 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 diseases? - correct answer 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 informed approach to care emphasizes
certain principles in caring for these types of patients. Which of the following care
principles has the highest priority? - correct answer 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 history from the caregiver, the emergency nurse learns that,
in addition to the respiratory symptoms, the infant has had fatty stools. The emergency
nurse should be concerned about which of the following disease processes? - correct
answer Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results
in the fatty stools seen with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a
suspected globe rupture. Which of the following medication orders would the nurse
question? - correct answer 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 no 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 pressure of 86/72 mm Hg. Significant burns are noted to the patient's back and
lower extremities. The mother states the burns accidentally occurred 3 days ago, but
she was afraid to bring patient in due to an ongoing child welfare investigation. Which of
the following are the MOST appropriate immediate interventions? - correct answer Draw
and send a metabolic panel, administer a fluid bolus, and obtain a point of care glucose
Significant burns can cause electrolyte imbalances. Electrolyte imbalances may be the
cause of the patient's seizure. 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? - correct answer 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? - correct answer Increasing heart rate In pediatric
patients, tachycardia is the primary compensatory mechanism to increase cardiac
output.
Which of the following would be an abnormal finding in a patient with
glomerulonephritis? - correct answer Clear urine There is a decrease in urine output for
patients with glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored.
Clear urine There is a decrease in urine output for patients with glomerulonephritis.
Urine would be concentrated and dark brown/tea-colored. - correct answer
Administration of nebulized epinephrine Moderate to severe croup is treated with
dexamethasone and nebulized epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the emergency
department to monitor the intracranial pressure on a 5-year-old patient. The family does
not speak English and has identified their religion as Muslim. Which of the following
interventions is most supportive of the family? - correct answer 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? - correct answer 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 months (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 months (TEN-4) are cause for suspicion of abuse - correct answer 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 rigidity and hyperthermia.
These symptoms are most likely caused by which of the following? - correct answer
Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant
syndrome, which is a rare reaction to antipsychotic medications.
Which of the following patients should be evaluated first - correct answer 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? - correct answer 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 diseases? - correct answer 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 informed approach to care emphasizes
certain principles in caring for these types of patients. Which of the following care
principles has the highest priority? - correct answer 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 history from the caregiver, the emergency nurse learns that,
in addition to the respiratory symptoms, the infant has had fatty stools. The emergency
nurse should be concerned about which of the following disease processes? - correct
answer Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results
in the fatty stools seen with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a
suspected globe rupture. Which of the following medication orders would the nurse
question? - correct answer 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 no 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 pressure of 86/72 mm Hg. Significant burns are noted to the patient's back and
lower extremities. The mother states the burns accidentally occurred 3 days ago, but
she was afraid to bring patient in due to an ongoing child welfare investigation. Which of
the following are the MOST appropriate immediate interventions? - correct answer Draw
and send a metabolic panel, administer a fluid bolus, and obtain a point of care glucose
Significant burns can cause electrolyte imbalances. Electrolyte imbalances may be the
cause of the patient's seizure. 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? - correct answer 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? - correct answer Increasing heart rate In pediatric
patients, tachycardia is the primary compensatory mechanism to increase cardiac
output.
