2024 ENPC 6TH EDITION
PROVIDER COURSE EXAM REVIEW
WITH CORRECT ANSWERS
A caregiver presents to the emergency department with an 18-month-old
and reports the child is not using their left arm after playing a game with an
older sibling. The child is alert and curious, with regular, even respirations,
and skin color is appropriate. - CORRECT-ANSWERSSick
A 12-year-old restrained, back -seat passenger involved in a motor vehicle
crash is noted to have hypotension, tachycardia, and contusions and
discoloration across the lap area. On exam a splenic rupture is suspected.
Which of the following diagnoses should be suspected as a companion injury
with these findings and associated mechanism of injury? - CORRECT-
ANSWERSPneumothorax
An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking
the windshield. On arrival to the ED. the patient is minimally responsive with
active bleeding from the nose and mouth. The patient is vomiting. Which of
the following interventions would most likely be considered? - CORRECT-
ANSWERSEndotracheal intubation
After a seizure at home, a 9-month-old infant is awake and interacting
appropriately. Vital signs on arrival are HR 150 beats/minutes, RR 36
breaths/minute (unlabored), BP 80/52 mm Hg, SaO2 97% without
supplemental oxygen, and T 102.7°F (39.3°C) rectally. During re-evaluation
2 hours after arrival, which of the following assessments would indicate
appropriate measures were taken in treating this child? - CORRECT-
ANSWERSTemp 99.9F
A 5-year-old patient presents with severe dehydration and signs of shock due
to viral gastroenteritis. Which of the following physiologic responses by this
patient will have the greatest impact on improving their cardiac output? -
CORRECT-ANSWERSincrease heart rate
Parents with an infant requiring multiple laboratory tests, radiographic
studies, and invasive procedures appear to be distressed and withdrawn.
Which of the following interventions would best ensure a sense of comfort
and control for these parents? - CORRECT-ANSWERSProviding frequent
updates and re-educating them on the care that is being provided
, A 5-year-old presents with decreased level of consciousness and a wide
complex and rapid rate on the electrocardiogram. Which of the following
characteristics would indicate ventricular tachycardia as opposed to other
tachydysrhythmias? - CORRECT-ANSWERSHeart rate between 120 to 200
beats/minute
A 13-year -old male presents to the triage desk complaining of nausea and
vomiting. The patient looks distressed and pale. He complains of spasming
pain in his right scrotum which has now become constant and more severe.
Which of the following assessment findings would the nurse expect with this
patient? - CORRECT-ANSWERSElevated right resticle
A parent brings in a 4-month-old infant reporting seizure-like activity at
home. The parent denies a fever and reports that the infant is otherwise
healthy. Which of the following is most important for the nurse to inquire
about? - CORRECT-ANSWERSThe ratio of formula to water used when mixing
a bottle
An 8-year-old male presents to the emergency department with incoherent
speech, hallucinations, and violent behavior. What is the priority in caring for
this patient? - CORRECT-ANSWERSEnsure safety of the patient and staff
A 3-week old is brought to the emergency department with a history of
fussiness, spitting up, crying, and watery stools.Assessment reveals an alert
child with moist mucous membranes. Which of the following should be the
priority? - CORRECT-ANSWERSIdentify the type of formula the caregiver uses
The nurse is reevaluating the effectiveness of interventions for a 4-year-old
child with a suspected tension pneumothorax. Which assessment finding
indicates the interventions were effective? - CORRECT-ANSWERSBilateral
chest wall rise with assisted ventilations
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? - CORRECT-ANSWERShigh flow oxygen
Return of spontaneous circulation has been confirmed in a 5-year-old
following cardiopulmonary arrest after a 5-day history of vomiting and
diarrhea. Vital signs are BP 72/60 mm Hg, HR 140 beats/minute, RR assisted
at 30 breaths/minute via definitive airway, SpO2 97%, and T 36.8°C (98.4°F)
rectally. Which of the following would be the priority intervention at this
time? - CORRECT-ANSWERS
PROVIDER COURSE EXAM REVIEW
WITH CORRECT ANSWERS
A caregiver presents to the emergency department with an 18-month-old
and reports the child is not using their left arm after playing a game with an
older sibling. The child is alert and curious, with regular, even respirations,
and skin color is appropriate. - CORRECT-ANSWERSSick
A 12-year-old restrained, back -seat passenger involved in a motor vehicle
crash is noted to have hypotension, tachycardia, and contusions and
discoloration across the lap area. On exam a splenic rupture is suspected.
Which of the following diagnoses should be suspected as a companion injury
with these findings and associated mechanism of injury? - CORRECT-
ANSWERSPneumothorax
An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking
the windshield. On arrival to the ED. the patient is minimally responsive with
active bleeding from the nose and mouth. The patient is vomiting. Which of
the following interventions would most likely be considered? - CORRECT-
ANSWERSEndotracheal intubation
After a seizure at home, a 9-month-old infant is awake and interacting
appropriately. Vital signs on arrival are HR 150 beats/minutes, RR 36
breaths/minute (unlabored), BP 80/52 mm Hg, SaO2 97% without
supplemental oxygen, and T 102.7°F (39.3°C) rectally. During re-evaluation
2 hours after arrival, which of the following assessments would indicate
appropriate measures were taken in treating this child? - CORRECT-
ANSWERSTemp 99.9F
A 5-year-old patient presents with severe dehydration and signs of shock due
to viral gastroenteritis. Which of the following physiologic responses by this
patient will have the greatest impact on improving their cardiac output? -
CORRECT-ANSWERSincrease heart rate
Parents with an infant requiring multiple laboratory tests, radiographic
studies, and invasive procedures appear to be distressed and withdrawn.
Which of the following interventions would best ensure a sense of comfort
and control for these parents? - CORRECT-ANSWERSProviding frequent
updates and re-educating them on the care that is being provided
, A 5-year-old presents with decreased level of consciousness and a wide
complex and rapid rate on the electrocardiogram. Which of the following
characteristics would indicate ventricular tachycardia as opposed to other
tachydysrhythmias? - CORRECT-ANSWERSHeart rate between 120 to 200
beats/minute
A 13-year -old male presents to the triage desk complaining of nausea and
vomiting. The patient looks distressed and pale. He complains of spasming
pain in his right scrotum which has now become constant and more severe.
Which of the following assessment findings would the nurse expect with this
patient? - CORRECT-ANSWERSElevated right resticle
A parent brings in a 4-month-old infant reporting seizure-like activity at
home. The parent denies a fever and reports that the infant is otherwise
healthy. Which of the following is most important for the nurse to inquire
about? - CORRECT-ANSWERSThe ratio of formula to water used when mixing
a bottle
An 8-year-old male presents to the emergency department with incoherent
speech, hallucinations, and violent behavior. What is the priority in caring for
this patient? - CORRECT-ANSWERSEnsure safety of the patient and staff
A 3-week old is brought to the emergency department with a history of
fussiness, spitting up, crying, and watery stools.Assessment reveals an alert
child with moist mucous membranes. Which of the following should be the
priority? - CORRECT-ANSWERSIdentify the type of formula the caregiver uses
The nurse is reevaluating the effectiveness of interventions for a 4-year-old
child with a suspected tension pneumothorax. Which assessment finding
indicates the interventions were effective? - CORRECT-ANSWERSBilateral
chest wall rise with assisted ventilations
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? - CORRECT-ANSWERShigh flow oxygen
Return of spontaneous circulation has been confirmed in a 5-year-old
following cardiopulmonary arrest after a 5-day history of vomiting and
diarrhea. Vital signs are BP 72/60 mm Hg, HR 140 beats/minute, RR assisted
at 30 breaths/minute via definitive airway, SpO2 97%, and T 36.8°C (98.4°F)
rectally. Which of the following would be the priority intervention at this
time? - CORRECT-ANSWERS
