Lenoir-Rhyne University NURS MISC ENPC
exam questions and answers New Update
2022/2023 Rated A+
1. Which of the following would be an abnormal finding in a patient
with glomerulonephritis?
Clear urine There is a decrease in urine output for
patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Decreased energy
Hypertension
Nausea, vomiting
2. A 3-year-old is brought to the emergency department with a
2-day history of a runny nose, low- grade fever, and a "barky"
cough at night. The caregiver tells the emergency department
nurse the coughing is getting worse. The child is awake and
alert, with stridor. The nurse should anticipate which of the
following?
Administration of nebulized epinephrine
Moderate to severe croup is treated with
Lenoir-Rhyne University NURS MISC ENPC
exam questions and answers New Update
2022/2023 Rated A+
,Lenoir-Rhyne University NURS MISC ENPC
exam questions and answers New Update
2022/2023 Rated A+
dexamethasone and nebulized epinephrine.
Delivery of humidified oxygen
Bag-valve-mask ventilations
Suctioning secretions from the oropharynx
3. 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?
Allow the extended to family members to serve as
interpreters during the procedure.
Dedicate a healthcare team member to be with the family
during the procedure.
Lenoir-Rhyne University NURS MISC ENPC
exam questions and answers New Update
2022/2023 Rated A+
, Allowing caregivers to remain with the pediatric patient
is more supportive in this situation. Allow family members
to serve as interpreters during the procedure
Provide access to nondenominational clergy in a quiet
area
4. Which of the following patient presentations should
increase suspicion of potential child maltreatment?
Right radial spiral fracture in a 10-year-old practicing
martial arts
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.
Closed greenstick wrist fracture in a 4 year old who fell off
Lenoir-Rhyne University NURS MISC ENPC
exam questions and answers New Update
2022/2023 Rated A+
, his bicycle
Bruises in various stages of healing to the lower
extremities of a 2-year-old
5. A 14-year-old high school student who was pitching for his
baseball team was hit in the chest by the ball and had a
sudden cardiac arrest. Of the following, which is the most
likely cause of the cardiac arrest?
Aortic Dissection
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.
Pericardial Tamponade
Lenoir-Rhyne University NURS MISC ENPC
exam questions and answers New Update
2022/2023 Rated A+
exam questions and answers New Update
2022/2023 Rated A+
1. Which of the following would be an abnormal finding in a patient
with glomerulonephritis?
Clear urine There is a decrease in urine output for
patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Decreased energy
Hypertension
Nausea, vomiting
2. A 3-year-old is brought to the emergency department with a
2-day history of a runny nose, low- grade fever, and a "barky"
cough at night. The caregiver tells the emergency department
nurse the coughing is getting worse. The child is awake and
alert, with stridor. The nurse should anticipate which of the
following?
Administration of nebulized epinephrine
Moderate to severe croup is treated with
Lenoir-Rhyne University NURS MISC ENPC
exam questions and answers New Update
2022/2023 Rated A+
,Lenoir-Rhyne University NURS MISC ENPC
exam questions and answers New Update
2022/2023 Rated A+
dexamethasone and nebulized epinephrine.
Delivery of humidified oxygen
Bag-valve-mask ventilations
Suctioning secretions from the oropharynx
3. 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?
Allow the extended to family members to serve as
interpreters during the procedure.
Dedicate a healthcare team member to be with the family
during the procedure.
Lenoir-Rhyne University NURS MISC ENPC
exam questions and answers New Update
2022/2023 Rated A+
, Allowing caregivers to remain with the pediatric patient
is more supportive in this situation. Allow family members
to serve as interpreters during the procedure
Provide access to nondenominational clergy in a quiet
area
4. Which of the following patient presentations should
increase suspicion of potential child maltreatment?
Right radial spiral fracture in a 10-year-old practicing
martial arts
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.
Closed greenstick wrist fracture in a 4 year old who fell off
Lenoir-Rhyne University NURS MISC ENPC
exam questions and answers New Update
2022/2023 Rated A+
, his bicycle
Bruises in various stages of healing to the lower
extremities of a 2-year-old
5. A 14-year-old high school student who was pitching for his
baseball team was hit in the chest by the ball and had a
sudden cardiac arrest. Of the following, which is the most
likely cause of the cardiac arrest?
Aortic Dissection
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.
Pericardial Tamponade
Lenoir-Rhyne University NURS MISC ENPC
exam questions and answers New Update
2022/2023 Rated A+
