ENPC Exam 6th Ed Questions and Answers | Latest Version | 2024/2025 | Already Passed

ENPC Exam 6th Ed Questions and Answers | Latest Version | 2024/2025 | Already Passed 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 discussion 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 12-year-old involved in a house fire has full thickness, circumferential burns to bilateral lower extremities. Fluid resuscitation is in progress on arrival at the ED. On assessment the left pedal and posterior tibialis pulses are absent, with delayed capillary refill. Which of the following is the priority intervention? A. Application of compression dressings B. Elevation of left lower extremity C. Assist with escharotomy D. Preparation for thrombectomy C. Assist with escharotomy A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the following intravenous medication orders should the nurse question? A. Morphine B. Acetaminophen C. Hydromorphone D. Ketorolac D. Ketorolac 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 A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted to the left, decreased sensation to the extremities, and urinary incontinence. The patient has no history of trauma. Which of the following diagnostics is the priority for this patient? A. Lumbar spine magnetic resonance imaging B. Complete neurologic exam C. Urinalysis by straight catheterization D. Cervical spine radiographs D. Cervical spine radiographs A 15-year-old presents alone requesting care. Which of the following chief complaints would most likely be considered legal or appropriate to treat without parental consent? A. Lower back pain B. Itching rash to arms C. Possible pregnancy D. Dental pain C. Possible pregnancy A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. After several attempts, your team has been unsuccessful at establishing vascular access. Of the following, which is the next best option for establishing access quickly? A. Intraosseous in the patient's medial tibia. B. Peripherally inserted central catheter C. Assisting with central line placement. D. Intraosseous in the patient's scapula. A. Intraosseous in the patient's medial tibia. A 2-year-old arrives with parents stating the child may have ingested a button battery. The patient initially choked and coughed and is now drooling with bloody sputum. Which of the following is the priority intervention? A. Prepare the patient for hospitalization B. Administer 5 -10 ml of honey orally C. Discharge with specific return instructions D. Offer the child sips of water intermittently A. Prepare the patient for hospitalization A 2-year-old child is seen with acute respiratory distress after playing alone. Caregiver statements indicate the child was found playing with irregular, 1⁄2 - 3⁄4 inch sized pieces of a game. Which of the following assessment findings would most likely be expected for this situation? A. Audible wheezing and retractions