ENPC Examination Questions and
Complete Solutions Graded A+
A 3 year old is rescued after being submerged in a residential pool for several minutes. On arrival at the
ED he is responsive to painful stimuli, has slow respirations with diminished breath sounds throughout,
and has an occasional cough. What is the initial management priority? - Answer: ET intubation with
positive pressure ventilation
Which of the following patient presentations should increase suspicion of potential child maltreatment?
- Answer: Bruising to the left ear of a newborn from sleeping on his side
A 6 month old is brought to the ED for recurrent respiratory infections. When gathering a history from
the care giver, the emergency nurse learns that in addition to respiratory symptoms, the infant has had
fatty stools. The emergency nurse should be concerned about which of the following disease processes?
- Answer: Cystic fibrosis
A toddler has a chemical eye injury. Which of the following is a priority intervention? - Answer: Copious
eye irrigation with an isotonic solution
Which of these is the priority intervention for a pediatric patient with DKA? - Answer: Insulin infusion
During the tertiary survey, the emergency nurse should continue to conduct reevaluations of the
Pediatric Assessment Triangle (PAT), abnormal findings, and which of the following other assessment
components? - Answer: Primary survey, vital signs, pain management, and effectiveness of therapeutic
interventions
Which of the following patients should be evaluated first? - Answer: 18 month old with bilious emesis
Which of the following describes a neonates normal position? - Answer: Flexion with extremities close to
the body
, You are discharging a patient home with a history of depression. Discharge teaching should include
which of the following? - Answer: Ensuring all firearms in the house are locked up in a safe place with no
access by the patient
An ambulance arrives with a 16 year old male who was involved in a dirt bike crash who was intubated
prior to arrival. Which of the following is the priority assessment or intervention? - Answer: Assess the
ET tube placement and patency
All of the vaccine administrations are appropriate EXCEPT which of the following? - Answer: Fifth
Disease at 6 months
A 4 day old who is brought to the ED with the parental complaint of "not acting right' is found to be
hypoglycemic. The appropriate glucose concentration to administer to this neonate is which of the
following? - Answer: D10
The neurosurgeon has decided to perform an invasive procedure in the emergency department to
monitor the ICP on a 5 year old pt. The family does not speak English and has identified their religion as
Muslim. Which of the following interventions is most supportive of the family? - Answer: A. allowing
caregivers to remain with the pediatric pt
B. allow the extended family members to serve as interpreters during the procedure
c. dedicate a healthcare team member with a qualified interpreter to be with the family during the
procedure
d. provide access to a quiet area
IDK MAYBE A
A 16 year old is noted to have external rotation and shortening of the left lower extremity and pain with
palpation of the pelvis after being ejected from a motorcycle. Which of the following assessment
findings is most concerning for a potentially life threatening condition? - Answer: Bony crepitus and
instability with gentle anterior posterior compression
During the assessment of a 16 year old male patient the ED nurse identifies him as a possible sex
trafficking victim. The trauma informed approach to care emphasizes certain principles in caring for
these types of patients. Which of the following care principles has the highest priority? - Answer:
Physical and psychological safety
Complete Solutions Graded A+
A 3 year old is rescued after being submerged in a residential pool for several minutes. On arrival at the
ED he is responsive to painful stimuli, has slow respirations with diminished breath sounds throughout,
and has an occasional cough. What is the initial management priority? - Answer: ET intubation with
positive pressure ventilation
Which of the following patient presentations should increase suspicion of potential child maltreatment?
- Answer: Bruising to the left ear of a newborn from sleeping on his side
A 6 month old is brought to the ED for recurrent respiratory infections. When gathering a history from
the care giver, the emergency nurse learns that in addition to respiratory symptoms, the infant has had
fatty stools. The emergency nurse should be concerned about which of the following disease processes?
- Answer: Cystic fibrosis
A toddler has a chemical eye injury. Which of the following is a priority intervention? - Answer: Copious
eye irrigation with an isotonic solution
Which of these is the priority intervention for a pediatric patient with DKA? - Answer: Insulin infusion
During the tertiary survey, the emergency nurse should continue to conduct reevaluations of the
Pediatric Assessment Triangle (PAT), abnormal findings, and which of the following other assessment
components? - Answer: Primary survey, vital signs, pain management, and effectiveness of therapeutic
interventions
Which of the following patients should be evaluated first? - Answer: 18 month old with bilious emesis
Which of the following describes a neonates normal position? - Answer: Flexion with extremities close to
the body
, You are discharging a patient home with a history of depression. Discharge teaching should include
which of the following? - Answer: Ensuring all firearms in the house are locked up in a safe place with no
access by the patient
An ambulance arrives with a 16 year old male who was involved in a dirt bike crash who was intubated
prior to arrival. Which of the following is the priority assessment or intervention? - Answer: Assess the
ET tube placement and patency
All of the vaccine administrations are appropriate EXCEPT which of the following? - Answer: Fifth
Disease at 6 months
A 4 day old who is brought to the ED with the parental complaint of "not acting right' is found to be
hypoglycemic. The appropriate glucose concentration to administer to this neonate is which of the
following? - Answer: D10
The neurosurgeon has decided to perform an invasive procedure in the emergency department to
monitor the ICP on a 5 year old pt. The family does not speak English and has identified their religion as
Muslim. Which of the following interventions is most supportive of the family? - Answer: A. allowing
caregivers to remain with the pediatric pt
B. allow the extended family members to serve as interpreters during the procedure
c. dedicate a healthcare team member with a qualified interpreter to be with the family during the
procedure
d. provide access to a quiet area
IDK MAYBE A
A 16 year old is noted to have external rotation and shortening of the left lower extremity and pain with
palpation of the pelvis after being ejected from a motorcycle. Which of the following assessment
findings is most concerning for a potentially life threatening condition? - Answer: Bony crepitus and
instability with gentle anterior posterior compression
During the assessment of a 16 year old male patient the ED nurse identifies him as a possible sex
trafficking victim. The trauma informed approach to care emphasizes certain principles in caring for
these types of patients. Which of the following care principles has the highest priority? - Answer:
Physical and psychological safety
