ENPC EXAM QUESTIONS AND ANSWERS
1. 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 patient's with glomerulonephritis. Urine
would be concentrated and dark brown/tea-colored.
2. Clear urine There is a decrease in urine output for patient's 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.
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? --*correct answer*--Allow the extended to
family members to serve as interpreters during the procedure.
4. 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
5. 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
6. 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.
7. 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
1. 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 patient's with glomerulonephritis. Urine
would be concentrated and dark brown/tea-colored.
2. Clear urine There is a decrease in urine output for patient's 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.
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? --*correct answer*--Allow the extended to
family members to serve as interpreters during the procedure.
4. 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
5. 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
6. 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.
7. 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
