ENPC EXAM 6TH ED QUESTIONS WITH CORRECT ANSWERS

ENPC EXAM 6TH ED QUESTIONS WITH
CORRECT ANSWERS


A65-year-
old6child6presents6with6hives,6swelling6of6the6lips6and6face,6and6stridor6that6developed6ab
out6an6hour6after6eating6lunch.6The6child6has6no6known6allergies.6Which6of6the6following6i
s6the6priority6intervention?6
A.6Administer6intramuscular6epinephrine6
B.6Auscultate6bilateral6breath6sounds6
C.6Insert6an6intravenous6catheter6
D.6Administer6inhaled6albuterol6-6ans--A.6Administer6intramuscular6epinephrine

An6adolescent6is6awaiting6ICU6admission6for6pneumonia.6During6reassessment,6which6of
6the6following6findings6would6be6most6indicative6that6respiratory6failure6is6developing?6

A.6SpO26of6946%6on6room6air6
B.6Widened6pulse6pressure6
C.6Extreme6lethargy6
D.6Flash6capillary6refill6-6ans--A.6SpO26of6946%6on6room6air

A63-year-old6has6a6two-day6history6of6runny6nose,6low-
grade6fever,6and6a6"barky"6cough6at6night.6The6child6is6awake6and6alert6with6noted6stridor
.6Pulse6oximetry6is696%6on6room6air.6Which6of6the6following6interventions6would6be6the6
most6appropriated6for6this6child?6
A.6Delivery6of6humidified6oxygen6by6nasal6cannula6
B.6Administration6of6nebulized6epinephrine6
C.6Suctioning6secretions6from6the6oropharynx6
D.6Administration6of6albuterol6with6a6spacer6-6ans--
B.6Administration6of6nebulized6epinephrine

A614-year-
old6patient6had6a6reduction6of6a6temporomandibular6joint6dislocation6in6the6ED.6Which6of6
the6following6should6be6included6in6the6discharge6instructions?6
A.6Practice6yawning6three6to6four6times6a6day6
B.6Resume6eating6a6regular6diet6later6today6
C.6Apply6hot6packs6to6the6joint6area6for6pain6control6
D.6Use6a6nonsteroidal6anti-inflammatory6for6pain6control6-6ans--
D.6Use6a6nonsteroidal6anti-inflammatory6for6pain6control

Which6of6the6following6parameters6would6indicate6that6appropriate6post6resuscitation6inte
rventions6were6successfully6carried6out6in6the6pediatric6patient?6

, A.6Pulse6oximetry6reading6of696%6
B.6Temperature6of699.8°F6(37.6°C)6
C.6Capillary6refill6of6<616second6
D.6Capnography6reading6of6606mm6Hg6-6ans--A.6Pulse6oximetry6reading6of696%

An6anxious612-year-
old6child6presents6to6the6emergency6department6with6a6sudden6onset6of6nausea,6diarrhe
a,6abdominal6cramping,6flushing,6and6hypotension.6Symptoms6started6about6606minutes6
after6lunch.6Which6of6the6following6conditions6is6the6most6likely6cause6of6these6symptoms
?6
A.6Anaphylaxis6
B.6Renal6colic6
C.6Crohn's6Disease6
D.6Menarche6-6ans--A.6Anaphylaxis

An68-year-
old6trauma6patient6suddenly6develops6increased6respiratory6distress6with6a6rise6in6heart6r
ate6from61126beats/minute6to61426beats/
minute6associated6with6an6abrupt6hypotensive6event.6Distention6of6the6jugular6veins6is6n
oted.6Which6of6the6following6emergent6interventions6should6be6anticipated6first?6
A.6High6flow6oxygen6
B.6Drug6assisted6intubation6
C.6Chest6tube6insertion6
D.6Needle6decompression6-6ans--D.6Needle6decompression

A64-week-
old6infant6born6prematurely6is6brought6to6the6emergency6department6due6to6the6rapid6on
set6of6abdominal6distention,6vomiting,6bloody6stools,6and6exhibiting6signs6of6shock.6Base
d6on6these6findings,6what6condition6should6the6nurse6suspect?6
A.6Necrotizing6enterocolitis6
B.6Pyloric6stenosis6
C.6Megacolon6
D.6Congenital6diaphragmatic6hernia6-6ans--A.6Necrotizing6enterocolitis

A64-year-
old6presents6with6vomiting,6lethargy,6frequent6urination,6weight6loss,6and6dry6mucous6me
mbranes.6Vital6signs6reveal6deep6respirations6at6446breaths6per6minute,6BP6of670/446mm
6Hg,6and6HR6of61446beats6per6minute.6Which6of6the6following6laboratory6values6would6be

6most6expected6in6this6child?6

A.6Hypoglycemia6
B.6Severe6anemia6
C.6Low6pH6level6
D.6Elevated6serum6bicarbonate6-6ans--C.6Low6pH6level

Which6of6the6following6pathologic6processes6would6most6likely6be6attributed6to6a6primary6
diagnosis6of6cystic6fibrosis?6