ENPC Exam 6th ed
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1. A 5-year-old child presents with hives, swelling of the lips and face, and
stridor that developed about an hour after eating lunch. The child has no
known allergies. Which of the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol: A. Administer intramuscular epinephrine
2. An adolescent is awaiting ICU admission for pneumonia. During reassess-
ment, which of the following findings would be most indicative that respiratory
failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill: A. SpO2 of 94 % on room air
3. A 3-year-old has a two-day history of runny nose, low-grade fever, and a
"barky" cough at night. The child is awake and alert with noted stridor. Pulse
oximetry is 96% on room air. Which of the following interventions would be
the most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer: B. Administration of nebulized
epinephrine
4. A 14-year-old patient had a reduction of a temporomandibular joint dislo-
cation 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
5. Which of the following parameters would indicate that appropriate post
resuscitation interventions were successfully carried out in the pediatric
patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg: A. Pulse oximetry reading of 96%
, ENPC Exam 6th ed
Study online at https://quizlet.com/_e410tx
6. An anxious 12-year-old child presents to the emergency department with
a sudden onset of nausea, diarrhea, abdominal cramping, flushing, and hy-
potension. Symptoms started about 60 minutes after lunch. Which of the
following conditions is the most likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche: A. Anaphylaxis
7. An 8-year-old trauma patient suddenly develops increased respiratory dis-
tress 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?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression: D. Needle decompression
8. A 4-week-old infant born prematurely is brought to the emergency depart-
ment due to the rapid onset of abdominal distention, vomiting, bloody stools,
and exhibiting signs of shock. Based on these findings, what condition should
the nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia: A. Necrotizing enterocolitis
9. 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?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate: C. Low pH level
10. Which of the following pathologic processes would most likely be attrib-
uted to a primary diagnosis of cystic fibrosis?
A. Hypernatremia
B. Constipation
C. Obesity
D. Epiglottitis: B. Constipation
Study online at https://quizlet.com/_e410tx
1. A 5-year-old child presents with hives, swelling of the lips and face, and
stridor that developed about an hour after eating lunch. The child has no
known allergies. Which of the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol: A. Administer intramuscular epinephrine
2. An adolescent is awaiting ICU admission for pneumonia. During reassess-
ment, which of the following findings would be most indicative that respiratory
failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill: A. SpO2 of 94 % on room air
3. A 3-year-old has a two-day history of runny nose, low-grade fever, and a
"barky" cough at night. The child is awake and alert with noted stridor. Pulse
oximetry is 96% on room air. Which of the following interventions would be
the most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer: B. Administration of nebulized
epinephrine
4. A 14-year-old patient had a reduction of a temporomandibular joint dislo-
cation 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
5. Which of the following parameters would indicate that appropriate post
resuscitation interventions were successfully carried out in the pediatric
patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg: A. Pulse oximetry reading of 96%
, ENPC Exam 6th ed
Study online at https://quizlet.com/_e410tx
6. An anxious 12-year-old child presents to the emergency department with
a sudden onset of nausea, diarrhea, abdominal cramping, flushing, and hy-
potension. Symptoms started about 60 minutes after lunch. Which of the
following conditions is the most likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche: A. Anaphylaxis
7. An 8-year-old trauma patient suddenly develops increased respiratory dis-
tress 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?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression: D. Needle decompression
8. A 4-week-old infant born prematurely is brought to the emergency depart-
ment due to the rapid onset of abdominal distention, vomiting, bloody stools,
and exhibiting signs of shock. Based on these findings, what condition should
the nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia: A. Necrotizing enterocolitis
9. 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?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate: C. Low pH level
10. Which of the following pathologic processes would most likely be attrib-
uted to a primary diagnosis of cystic fibrosis?
A. Hypernatremia
B. Constipation
C. Obesity
D. Epiglottitis: B. Constipation
