ENPC 6th Edition Provider Actual Exam
Questions and Answers
A 3 year-old patient presents following frequent emesis and diarrhea over the past 12
hours. Which of the following assessment findings indicate that the patient' body is
compensating for the fluid loss? - CORRECT ANSWER-A.Increased diastolic blood
pressure
B.Bounding peripheral pulses
C.Prolonged capillary refill
D.Increased urine output
You are discharging a patient home who has a history of depression. Discharge
teaching should include which of the following? - CORRECT ANSWER-A.Discussing
the importance of stopping all current psychiatric medications.
B.Providing the family a list of behavioral health facilities to call for follow-up.
C.Explaining that the family should not call authorities for escalations in the patient's
behavior.
D.Ensuring all firearms in the home are locked up with no access available by the
patient.
A child with an electrical injury is seen 1 hour post event. Which of the following
specimen samples would provide visual information regarding a potential complication
of this injury? - CORRECT ANSWER-A.Serum
B.Urine
C.Stool
D.Sputum
A 4-year-old patient is being assessed for a foreign body in the nose. The child is awake
and alert and watching a video on the caregivers phone. Vitals include HR of 110
beats/minute, RR of 26 breaths per minute, BP of 138/90 mm Hg, and T of 37.3oC
(99.3oF) orally. Which of the following interventions should the nurse perform next? -
CORRECT ANSWER-A.Check the size of the blood pressure cuff
B.Recheck the temperature rectally
C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
A 10-year-old playing baseball is hit in the chest with a ball. He immediately
demonstrates loss of consciousness with no pulses. Which of the following is the priority
intervention? - CORRECT ANSWER-A.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
, The triage nurse is assessing a 14 year old male who was brought in by ambulance.
The patient reports he was playing his video games at home when he had a sudden
onset of groin pain that was so severe he became nauseated and vomited. Further
assessment reveals a swollen scrotum. What is the priority intervention for this patient?
- CORRECT ANSWER-A.Obtaining a sterile urine sample
B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
A caregiver reports their one-month-old has had a yellowish color to their eyes and skin
over the last two weeks. If left untreated, which body system can this affect? -
CORRECT ANSWER-A.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
An infant presents to the emergency department with difficulty breathing. The patient is
pale and respirations appear rapid and shallow. Which location on the torso is the most
effective site for assessing bilateral breath sounds? - CORRECT ANSWER-A.Bilateral
posterior back
B.Over the epigastrium
C.Bilateral midaxillary
D.Bilateral anterior chest
A 5-year-old presents with sudden onset nausea, vomiting, abdominal cramping, hives,
and hypotension after eating lunch. Which of the following is the priority intervention? -
CORRECT ANSWER-A.Intramuscular epinephrine
B.Inhaled albuterol
C.Oral diphenhydramine
D.Intravenous ondansetron
A 3-year-old is assessed for the presence of increasing amounts of serosanguineous
drainage from his left nares over the past 6 hours. Which of the following foreign bodies
is the most likely etiology? - CORRECT ANSWER-A.Magnet
B.Button battery
C.Dried bean
D.Fishing weight
Caregivers state an 18-month-old child had a harsh, barky cough, low-grade fever, and
irritability throughout the night. On assessment this morning, the child appears alert, is
interactive, their present cough is quiet, and their temperature is 98.8°F (37.1°C)
axillary. Which of the following diagnoses is the highest probablity for this child? -
CORRECT ANSWER-A.Asthma
B.Croup
C.Epiglottitis
D.Pneumonia
Questions and Answers
A 3 year-old patient presents following frequent emesis and diarrhea over the past 12
hours. Which of the following assessment findings indicate that the patient' body is
compensating for the fluid loss? - CORRECT ANSWER-A.Increased diastolic blood
pressure
B.Bounding peripheral pulses
C.Prolonged capillary refill
D.Increased urine output
You are discharging a patient home who has a history of depression. Discharge
teaching should include which of the following? - CORRECT ANSWER-A.Discussing
the importance of stopping all current psychiatric medications.
B.Providing the family a list of behavioral health facilities to call for follow-up.
C.Explaining that the family should not call authorities for escalations in the patient's
behavior.
D.Ensuring all firearms in the home are locked up with no access available by the
patient.
A child with an electrical injury is seen 1 hour post event. Which of the following
specimen samples would provide visual information regarding a potential complication
of this injury? - CORRECT ANSWER-A.Serum
B.Urine
C.Stool
D.Sputum
A 4-year-old patient is being assessed for a foreign body in the nose. The child is awake
and alert and watching a video on the caregivers phone. Vitals include HR of 110
beats/minute, RR of 26 breaths per minute, BP of 138/90 mm Hg, and T of 37.3oC
(99.3oF) orally. Which of the following interventions should the nurse perform next? -
CORRECT ANSWER-A.Check the size of the blood pressure cuff
B.Recheck the temperature rectally
C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
A 10-year-old playing baseball is hit in the chest with a ball. He immediately
demonstrates loss of consciousness with no pulses. Which of the following is the priority
intervention? - CORRECT ANSWER-A.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
, The triage nurse is assessing a 14 year old male who was brought in by ambulance.
The patient reports he was playing his video games at home when he had a sudden
onset of groin pain that was so severe he became nauseated and vomited. Further
assessment reveals a swollen scrotum. What is the priority intervention for this patient?
- CORRECT ANSWER-A.Obtaining a sterile urine sample
B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
A caregiver reports their one-month-old has had a yellowish color to their eyes and skin
over the last two weeks. If left untreated, which body system can this affect? -
CORRECT ANSWER-A.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
An infant presents to the emergency department with difficulty breathing. The patient is
pale and respirations appear rapid and shallow. Which location on the torso is the most
effective site for assessing bilateral breath sounds? - CORRECT ANSWER-A.Bilateral
posterior back
B.Over the epigastrium
C.Bilateral midaxillary
D.Bilateral anterior chest
A 5-year-old presents with sudden onset nausea, vomiting, abdominal cramping, hives,
and hypotension after eating lunch. Which of the following is the priority intervention? -
CORRECT ANSWER-A.Intramuscular epinephrine
B.Inhaled albuterol
C.Oral diphenhydramine
D.Intravenous ondansetron
A 3-year-old is assessed for the presence of increasing amounts of serosanguineous
drainage from his left nares over the past 6 hours. Which of the following foreign bodies
is the most likely etiology? - CORRECT ANSWER-A.Magnet
B.Button battery
C.Dried bean
D.Fishing weight
Caregivers state an 18-month-old child had a harsh, barky cough, low-grade fever, and
irritability throughout the night. On assessment this morning, the child appears alert, is
interactive, their present cough is quiet, and their temperature is 98.8°F (37.1°C)
axillary. Which of the following diagnoses is the highest probablity for this child? -
CORRECT ANSWER-A.Asthma
B.Croup
C.Epiglottitis
D.Pneumonia
