ENPC Exam 6th ed Questions and
Answers
A 5-year-old child presents with hives, swelling of the lips and face, and stridor that
developed about an hour after eating lunch. The child has no known allergies. Which of
the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - Answer- A. Administer intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of
the following findings would be most indicative that respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - Answer- A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-grade fever, and a "barky" cough
at night. The child is awake and alert with noted stridor. Pulse oximetry is 96% on room
air. Which of the following interventions would be the most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer - Answer- B. Administration of nebulized
epinephrine
A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the
ED. Which of the following should be included in the discharge instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control - Answer- D. Use a nonsteroidal
anti-inflammatory for pain control
Which of the following parameters would indicate that appropriate post resuscitation
interventions were successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - Answer- A. Pulse oximetry reading of 96%
, 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?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche - Answer- A. Anaphylaxis
An 8-year-old trauma patient suddenly develops increased respiratory distress with a
rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted. Which of the following
emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression - Answer- D. Needle decompression
A 4-week-old infant born prematurely is brought to the emergency department due to
the rapid onset of abdominal distention, vomiting, bloody stools, and exhibiting signs of
shock. Based on these findings, what condition should the nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia - Answer- A. Necrotizing enterocolitis
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry
mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP
of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory
values would be most expected in this child?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate - Answer- C. Low pH level
Which of the following pathologic processes would most likely be attributed to a primary
diagnosis of cystic fibrosis?
A. Hypernatremia
B. Constipation
C. Obesity
D. Epiglottitis - Answer- B. Constipation
Which of the following is the highest priority intervention for a well-appearing 2-month-
old with a fever?
A. Lumbar puncture
Answers
A 5-year-old child presents with hives, swelling of the lips and face, and stridor that
developed about an hour after eating lunch. The child has no known allergies. Which of
the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - Answer- A. Administer intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of
the following findings would be most indicative that respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - Answer- A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-grade fever, and a "barky" cough
at night. The child is awake and alert with noted stridor. Pulse oximetry is 96% on room
air. Which of the following interventions would be the most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer - Answer- B. Administration of nebulized
epinephrine
A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the
ED. Which of the following should be included in the discharge instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control - Answer- D. Use a nonsteroidal
anti-inflammatory for pain control
Which of the following parameters would indicate that appropriate post resuscitation
interventions were successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - Answer- A. Pulse oximetry reading of 96%
, 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?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche - Answer- A. Anaphylaxis
An 8-year-old trauma patient suddenly develops increased respiratory distress with a
rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted. Which of the following
emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression - Answer- D. Needle decompression
A 4-week-old infant born prematurely is brought to the emergency department due to
the rapid onset of abdominal distention, vomiting, bloody stools, and exhibiting signs of
shock. Based on these findings, what condition should the nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia - Answer- A. Necrotizing enterocolitis
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry
mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP
of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory
values would be most expected in this child?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate - Answer- C. Low pH level
Which of the following pathologic processes would most likely be attributed to a primary
diagnosis of cystic fibrosis?
A. Hypernatremia
B. Constipation
C. Obesity
D. Epiglottitis - Answer- B. Constipation
Which of the following is the highest priority intervention for a well-appearing 2-month-
old with a fever?
A. Lumbar puncture
