ULTIMATE ENPC EXAM LATEST 2023-2024 ACTUAL
EXAM QUESTIONS WITH CORRECT DETAILED
ANSWERS (RANKED) ALREADY GRADED A+
A preschooler has a small laceration that required 2
stitches. The nurse covers the wound with a
bandage knowing that it will comfort the child to
have it covered. What is the developmental reason
for this intervention?
A. Preschoolers are magical thinkers and imagine
bandages keep their insides from coming out
B. Preschoolers fear physical disability and believe a
bandage will prevent disability
C. Preschoolers explore orally and will likely chew or
suck on the stitches if left uncovered
D. Preschoolers are concerned with body image and
don't want to appear different than peers - answer-
A. Magical thinkers
,An 11-year-old presents to the emergency
department with a complaint of hitting his head
while playing soccer. The nurse enters the room and
performs an across-the-room assessment. He is
staring at the wall. He has no increased work of
breathing, and his color is pink. Using the pediatric
assessment triangle (PAT), what classification will
the nurse assign?
A. Well
B. Sick
C. Sicker
D. Sickest - answer-B. Sicker
A 2-year-old has a suspected cervical spinal injury.
In order to ensure neutral spinal alignment, padding
should be placed under which area?
A. Shoulders
,B. Head
C. Neck
D. Waist - answer-A. Shoulders
The nurse is planning to begin oral rehydration
therapy for a 9-month-old with mild dehydration.
She provides the caregivers with a glucose and
sodium solution and instructs them to administer
small amounts:
A. Every 2 to 5 minutes
B. Every 10 to 12 minutes
C. Every 15 minutes
D. Every 30 minutes - answer-A. 2-5
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? - answer-Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in
diabetic ketoacidosis. Manifestations include signs
of dehydration ( dry mucous membranes,
hypotension, tachycardia), incontinence (polyuria),
vomiting, abdominal pain, Kussmaul respirations (to
counter the acidosis), polydipsia, anorexia, and
weight loss. Expected laboratory values would
reveal an acidotic state with a pH level below 7.3,
an elevated serum bIcarbonate level, and an
elevated blood glucose level > 200 mg.dL.
EXAM QUESTIONS WITH CORRECT DETAILED
ANSWERS (RANKED) ALREADY GRADED A+
A preschooler has a small laceration that required 2
stitches. The nurse covers the wound with a
bandage knowing that it will comfort the child to
have it covered. What is the developmental reason
for this intervention?
A. Preschoolers are magical thinkers and imagine
bandages keep their insides from coming out
B. Preschoolers fear physical disability and believe a
bandage will prevent disability
C. Preschoolers explore orally and will likely chew or
suck on the stitches if left uncovered
D. Preschoolers are concerned with body image and
don't want to appear different than peers - answer-
A. Magical thinkers
,An 11-year-old presents to the emergency
department with a complaint of hitting his head
while playing soccer. The nurse enters the room and
performs an across-the-room assessment. He is
staring at the wall. He has no increased work of
breathing, and his color is pink. Using the pediatric
assessment triangle (PAT), what classification will
the nurse assign?
A. Well
B. Sick
C. Sicker
D. Sickest - answer-B. Sicker
A 2-year-old has a suspected cervical spinal injury.
In order to ensure neutral spinal alignment, padding
should be placed under which area?
A. Shoulders
,B. Head
C. Neck
D. Waist - answer-A. Shoulders
The nurse is planning to begin oral rehydration
therapy for a 9-month-old with mild dehydration.
She provides the caregivers with a glucose and
sodium solution and instructs them to administer
small amounts:
A. Every 2 to 5 minutes
B. Every 10 to 12 minutes
C. Every 15 minutes
D. Every 30 minutes - answer-A. 2-5
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? - answer-Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in
diabetic ketoacidosis. Manifestations include signs
of dehydration ( dry mucous membranes,
hypotension, tachycardia), incontinence (polyuria),
vomiting, abdominal pain, Kussmaul respirations (to
counter the acidosis), polydipsia, anorexia, and
weight loss. Expected laboratory values would
reveal an acidotic state with a pH level below 7.3,
an elevated serum bIcarbonate level, and an
elevated blood glucose level > 200 mg.dL.
