ENPC EXAM LATEST 2024 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+ A 10-year-old arrives at the ED post motor vehicle crash. The following assessment is noted: hypotension, tachycardia, absent breath sounds from the left chest with an increased

ENPC EXAM LATEST 2024 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+ A 10 -year -old arrives at the ED post motor vehicle crash. The following assessment is noted: hypotension, tachycardia, absent breath sounds from the left chest with an increased respiratory rate, pain on palpation of the pelvis, tinge of blood noted at the urinary meatus, moderate active bleeding from a laceration to left thigh, pulse oximetry of 86% without supplemental oxygen, deformity to the left upper leg, and a Glasgow Coma Score of 7. Which of the following orders will prompt the nurse to have a disc ussion with the provider before initiating? A. Insert urinary catheter B. Prepare for intubation C. Assist with chest tube insertion D. Place orogastric tube - ✔️✔️✔️-A. Insert urinary catheter A six -week -old infant presents to the emergency department with seizures. The infant is afebrile with a normal glucose level ,and caregivers report no signs of illness other than formula intolerance, which they treated by adding extra water to the formula. The nurse would expect to find which of the following laboratory abnormalities? A. Hypokalemia B. Hyponatremia C. Hyperkalemia D. Hypernatremia - -B. Hyponatremia 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 - -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 - -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 ca use of these symptoms? A. Anaphylaxis B. Renal colic C. Crohn's Disease D. Menarche - -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 - -D. Needle decompression