ENPC 6th Edition Provider Real Exam
Questions with Correct Detailed
Answers || Already Graded A+
<Latest Version>
1. A caregiver states their 3-year-old child ate some marijuana gummies
approximately 3 hours prior to arrival. The PAT reveals the child is pink, difficult
to arouse, and work of breathing is normal. What is your initial intervention? -
ANSWER ✔ A.Administer activated charcoal
B.Check the child's blood glucose
C.Initiate intravenous access
D.Obtain a full set of vital signs
2. A 14-year-old patient presents to the emergency department with her aunt after
being assaulted. The patient has multiple bruises inconsistent with the assault
history and seems guarded with her answers. A urine test is positive for pregnancy,
although the patient denies being sexually active. The aunt repeatedly asks when
they will be discharged. The ED nurse recognizes these finding as red flags for
which of the following? - ANSWER ✔ A.Labor trafficking
B.Sex trafficking
C.Psychological abuse
D.Physical abuse
3. 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? - ANSWER ✔ A.Lumbar fracture
B.Pneumothorax
C.Subdural hematoma
D.Cardiac tamponade
,4. Which patient reflects an EMTALA compliant transfer? - ANSWER ✔ A.An
actively seizing toddler being transferred to a pediatric-specific facility. That
facility is checking on inpatient bed availability.
B.A post-ictal patient with status epilepticus being transferred to a higher level of
care with an accepting physician. All records are copied.
C.A teenager with abdominal trauma and critical labs being transferred to a
pediatric trauma center for surgery. The facility has not accepted the transfer yet.
D.An infant with respiratory difficulties being transferred to another hospital with
the same level of pediatric care. Parents are not present, and records are copied.
5. After an explosion at a school, you are helping triage patients. In your field
triage room you find a 5-year-old patient who is not breathing. What is the
appropriate initial intervention? - ANSWER ✔ A.Assign the patient as
black/expectant.
B.Open the airway and assess for breathing. - -
C.Check for capillary refill of < 2 seconds
D.Initiate cardiopulmonary resuscitation
6. 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? - ANSWER ✔ A.Obtain
a 12-lead electrocardiogram
B.Administer maintenance fluids
C.Obtain a chest radiograph
D.Administer an isotonic crystalloid bolus
7. A child in cardiopulmonary arrest is receiving chest compressions and manual
ventilations with a bag-mask device. Once return of spontaneous circulation has
been confirmed, which of the following would be the priority intervention? -
ANSWER ✔ A.Initiating targeted temperature management
B.Performing a capillary glucose level
C.Establishing a secure airway
D.Administering maintenance IV fluids
8. A child with bipolar disorder is brought to the emergency department for
increasing irritability, agitation, pressured speech, and a decreased need for sleep.
,What should be included in the plan of care for this child? - ANSWER ✔
A.Limiting caregiver presence in the room
B.Providing distraction using loud video games
C.Performing a suicide risk assessment
D.Allowing unrestricted movement throughout the department.
9. 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? - ANSWER ✔
A.Increased heart rate
B.Decreased preload
C.Increased afterload
D.Decreased contractility
10. An 8-month-old arrives with a 12-hour history of intermittent abdominal pain,
non-bilious vomiting, and a low grade fever. On assessment the child is
intermittently inconsolable followed by periods of normal activity. A sausage-
shaped mass is noted during palpation of the abdomen. The nurse should prepare
for which of the following? - ANSWER ✔ A.Gastric tube insertion
B.Enema with air
C.Surgical intervention
D.Computerized tomography
11. What is the first step in the care of the newly born infant? - ANSWER ✔
A.Suction the nose and mouth
B.Measure pulse oximetry
C.Calculate an APGAR score
D.Warm, dry, and stimulate
12. A 2-year-old arrives with a 2-day history of vomiting and diarrhea. The patient
has a fever of 38.4oC (101.2°F), resting HR of 152 beats/minute, RR of 34
breaths/minute, and blood pressure of 94/ 56 mm Hg. Assessment reveals a
capillary refill time of > 5 seconds. Which of the following would be most
indicative of the need for intravenous rehydration therapy for this patient? -
ANSWER ✔ A.Capillary refill
B.Blood pressure
C.Pulse rate
D.Respiratory rate
, 13. Which of the following is a family-centered care concept ? - ANSWER ✔
A.Information is shared with family only when medical decisions are made by the
provider.
B.Procedures are completed and then caregivers are brought to room to console the
patient.
C.Cultural backgrounds are assessed and incorporated into the plan of care.
D.Lounges and waiting rooms are the designated areas for caregivers until
emergency care is completed.
14. A school-aged child arrives in the emergency department with a 2-day history
of vomiting. The child is cool and pale, with weak pulses, elevated heart rate, and
capillary refill of 4 to 5 seconds. Which of the following is the priority intervention
for the child? - ANSWER ✔ A.Provide warming measures
B.Initiate a fluid bolus
C.Obtain a bedside glucose
D.Administer an antiemetic
15. 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? - ANSWER ✔
A.Application of compression dressings
B.Elevation of left lower extremity
C.Assist with escharotomy
D.Preparation for thrombectomy
16. An 11-year-old child presents with right arm pain after falling off a bicycle.
The child is tearful and holding his right arm. What pain scale would be the most
appropriate to use when assessing this child's pain? - ANSWER ✔ A.Faces scale
B.FLACC scale
C.Numbers scale
D.NIPS scale
17. When taking vital signs on a stable infant, which of the following should be
done first? - ANSWER ✔ A.Pulse rate
B.Blood pressure
C.Rectal temperature
D.Respiratory rate
Questions with Correct Detailed
Answers || Already Graded A+
<Latest Version>
1. A caregiver states their 3-year-old child ate some marijuana gummies
approximately 3 hours prior to arrival. The PAT reveals the child is pink, difficult
to arouse, and work of breathing is normal. What is your initial intervention? -
ANSWER ✔ A.Administer activated charcoal
B.Check the child's blood glucose
C.Initiate intravenous access
D.Obtain a full set of vital signs
2. A 14-year-old patient presents to the emergency department with her aunt after
being assaulted. The patient has multiple bruises inconsistent with the assault
history and seems guarded with her answers. A urine test is positive for pregnancy,
although the patient denies being sexually active. The aunt repeatedly asks when
they will be discharged. The ED nurse recognizes these finding as red flags for
which of the following? - ANSWER ✔ A.Labor trafficking
B.Sex trafficking
C.Psychological abuse
D.Physical abuse
3. 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? - ANSWER ✔ A.Lumbar fracture
B.Pneumothorax
C.Subdural hematoma
D.Cardiac tamponade
,4. Which patient reflects an EMTALA compliant transfer? - ANSWER ✔ A.An
actively seizing toddler being transferred to a pediatric-specific facility. That
facility is checking on inpatient bed availability.
B.A post-ictal patient with status epilepticus being transferred to a higher level of
care with an accepting physician. All records are copied.
C.A teenager with abdominal trauma and critical labs being transferred to a
pediatric trauma center for surgery. The facility has not accepted the transfer yet.
D.An infant with respiratory difficulties being transferred to another hospital with
the same level of pediatric care. Parents are not present, and records are copied.
5. After an explosion at a school, you are helping triage patients. In your field
triage room you find a 5-year-old patient who is not breathing. What is the
appropriate initial intervention? - ANSWER ✔ A.Assign the patient as
black/expectant.
B.Open the airway and assess for breathing. - -
C.Check for capillary refill of < 2 seconds
D.Initiate cardiopulmonary resuscitation
6. 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? - ANSWER ✔ A.Obtain
a 12-lead electrocardiogram
B.Administer maintenance fluids
C.Obtain a chest radiograph
D.Administer an isotonic crystalloid bolus
7. A child in cardiopulmonary arrest is receiving chest compressions and manual
ventilations with a bag-mask device. Once return of spontaneous circulation has
been confirmed, which of the following would be the priority intervention? -
ANSWER ✔ A.Initiating targeted temperature management
B.Performing a capillary glucose level
C.Establishing a secure airway
D.Administering maintenance IV fluids
8. A child with bipolar disorder is brought to the emergency department for
increasing irritability, agitation, pressured speech, and a decreased need for sleep.
,What should be included in the plan of care for this child? - ANSWER ✔
A.Limiting caregiver presence in the room
B.Providing distraction using loud video games
C.Performing a suicide risk assessment
D.Allowing unrestricted movement throughout the department.
9. 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? - ANSWER ✔
A.Increased heart rate
B.Decreased preload
C.Increased afterload
D.Decreased contractility
10. An 8-month-old arrives with a 12-hour history of intermittent abdominal pain,
non-bilious vomiting, and a low grade fever. On assessment the child is
intermittently inconsolable followed by periods of normal activity. A sausage-
shaped mass is noted during palpation of the abdomen. The nurse should prepare
for which of the following? - ANSWER ✔ A.Gastric tube insertion
B.Enema with air
C.Surgical intervention
D.Computerized tomography
11. What is the first step in the care of the newly born infant? - ANSWER ✔
A.Suction the nose and mouth
B.Measure pulse oximetry
C.Calculate an APGAR score
D.Warm, dry, and stimulate
12. A 2-year-old arrives with a 2-day history of vomiting and diarrhea. The patient
has a fever of 38.4oC (101.2°F), resting HR of 152 beats/minute, RR of 34
breaths/minute, and blood pressure of 94/ 56 mm Hg. Assessment reveals a
capillary refill time of > 5 seconds. Which of the following would be most
indicative of the need for intravenous rehydration therapy for this patient? -
ANSWER ✔ A.Capillary refill
B.Blood pressure
C.Pulse rate
D.Respiratory rate
, 13. Which of the following is a family-centered care concept ? - ANSWER ✔
A.Information is shared with family only when medical decisions are made by the
provider.
B.Procedures are completed and then caregivers are brought to room to console the
patient.
C.Cultural backgrounds are assessed and incorporated into the plan of care.
D.Lounges and waiting rooms are the designated areas for caregivers until
emergency care is completed.
14. A school-aged child arrives in the emergency department with a 2-day history
of vomiting. The child is cool and pale, with weak pulses, elevated heart rate, and
capillary refill of 4 to 5 seconds. Which of the following is the priority intervention
for the child? - ANSWER ✔ A.Provide warming measures
B.Initiate a fluid bolus
C.Obtain a bedside glucose
D.Administer an antiemetic
15. 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? - ANSWER ✔
A.Application of compression dressings
B.Elevation of left lower extremity
C.Assist with escharotomy
D.Preparation for thrombectomy
16. An 11-year-old child presents with right arm pain after falling off a bicycle.
The child is tearful and holding his right arm. What pain scale would be the most
appropriate to use when assessing this child's pain? - ANSWER ✔ A.Faces scale
B.FLACC scale
C.Numbers scale
D.NIPS scale
17. When taking vital signs on a stable infant, which of the following should be
done first? - ANSWER ✔ A.Pulse rate
B.Blood pressure
C.Rectal temperature
D.Respiratory rate
