ENPC 6th Edition Provider Course
Exam review questions and answers
well illustrated.
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 ANSWER. Sick
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 ANSWER. Pneumothorax
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? - CORRECT ANSWER. Low pH level
You are discharging a patient home who has a history of depression.
Discharge teaching should include which of the following? - CORRECT ANSWER.
Ensuring all firearms in the home are locked in a safe place with no access
by the patient
The triage nurse is assessing a 14 year old male who was brought in by
ambulance. The patient reports he was playing his video games at home
when he had a sudden onset of groin pain that was so severe he became
nauseated and vomited. Further
, assessment 2reveals 2a 2swollen 2scrotum. 2What 2is 2the 2priority 2intervention 2for
2this 2patient?
- 2 CORRECT 2ANSWER. Preparing 2the 2patient 2for 2ultrasound
Which 2of 2the 2following 2is 2a 2first-line 2treatment 2for 2atopic 2dermatitis? 2- 2 CORRECT
2ANSWER .
Skin 2Hydration 2therapy
2 page 2202
A 22-year-old 2child 2is 2seen 2with 2acute 2respiratory 2distress 2after 2playing
2alone. 2Caregiver 2statements 2indicate 2the 2child 2was 2found 2playing 2with
2irregular, 2½ 2- 2¾ 2inch 2sized 2pieces 2of 2a 2game. 2Which 2of 2the 2following
2assessment 2findings 2would 2most 2likely 2be 2expected 2for 2this 2situation? 2-
2 CORRECT 2ANSWER. Audible 2wheeing 2and 2retractions
page 2118
The 2nurse 2is 2triaging 2an 2infant 2brought 2to 2the 2emergency 2department 2by
2their 2caregiver. 2Which 2finding 2by 2the 2nurse 2leads 2the 2infant 2to 2be 2placed
2in 2isolation? 2- 2 CORRECT 2ANSWER . 2Purpuric 2rash
A 2child 2was 2found 2unresponsive 2under 2the 2monkey 2bars 2during 2recess 2and
2arrives 2with 2the 2following 2assessment: 2eyes 2open 2only 2with 2supraorbital
2pressure 2stimulus, 2no 2verbal 2response 2is 2elicited, 2and 2withdraws 2arms 2and
2legs 2when 2a 2swab 2is 2inserted 2in 2the 2nose. 2Which 2of 2the 2following 2is 2the
2priority 2intervention 2for 2this 2child? 2- 2 CORRECT 2ANSWER .
Prepare 2for 2immediate 2intubation
A 26-week-old 2is 2brought 2to 2the 2emergency 2department 2by 2the 2caregivers
2for 2poor 2feeding, 2listlessness, 2and 2fever. 2Assessment 2reveals 2a 2crying
2infant, 2HR 2160 2beats/minute, 2RR 252 2breaths/minute, 2rectal 2temperature
2of 296.0 2F 2(35.5 2C), 2and 2a 2bulging 2anterior 2fontanel. 2Capillary 2refill 2is 24
2seconds. 2Based 2on 2these 2findings 2what 2is 2the 2most 2likely 2diagnostic 2test
2the 2nurse 2should 2anticipate? 2- 2 CORRECT 2ANSWER .
Lumbar 2puncture
The 2neurosurgeon 2has 2decided 2to 2perform 2an 2invasive 2procedure 2in 2the
2emergency 2department 2to 2monitor 2the 2intracranial 2pressure 2on 2a 25-year-
old 2patient. 2The 2family 2does 2not 2speak 2the 2local 2language. 2Which 2of 2the
2following 2interventions 2is 2most 2supportive 2of 2the 2family 2during 2the
2procedure? 2- 2 CORRECT 2ANSWER . Dedicating 2a 2healthcare 2team
2member 2witha 2qualified 2interpreter 2to 2be 2with 2the 2family
The 2caregivers 2of 2a 26-year-old 2report 2the 2child 2developed 2a 2cough 2with
2nasal 2congestion 2and 2"pink-eye" 2that 2started 2two 2days 2ago. 2Today 2they
2noticed 2a 2raised, 2red 2rash 2on 2the 2face, 2and 2grey 2papules 2in 2the 2mouth.
2Which 2of 2the 2following 2is 2the 2priority 2intervention 2for 2this 2patient? 2-
2 CORRECT 2ANSWER. Place 2in 2airborne 2percautions
Exam review questions and answers
well illustrated.
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 ANSWER. Sick
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 ANSWER. Pneumothorax
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? - CORRECT ANSWER. Low pH level
You are discharging a patient home who has a history of depression.
Discharge teaching should include which of the following? - CORRECT ANSWER.
Ensuring all firearms in the home are locked in a safe place with no access
by the patient
The triage nurse is assessing a 14 year old male who was brought in by
ambulance. The patient reports he was playing his video games at home
when he had a sudden onset of groin pain that was so severe he became
nauseated and vomited. Further
, assessment 2reveals 2a 2swollen 2scrotum. 2What 2is 2the 2priority 2intervention 2for
2this 2patient?
- 2 CORRECT 2ANSWER. Preparing 2the 2patient 2for 2ultrasound
Which 2of 2the 2following 2is 2a 2first-line 2treatment 2for 2atopic 2dermatitis? 2- 2 CORRECT
2ANSWER .
Skin 2Hydration 2therapy
2 page 2202
A 22-year-old 2child 2is 2seen 2with 2acute 2respiratory 2distress 2after 2playing
2alone. 2Caregiver 2statements 2indicate 2the 2child 2was 2found 2playing 2with
2irregular, 2½ 2- 2¾ 2inch 2sized 2pieces 2of 2a 2game. 2Which 2of 2the 2following
2assessment 2findings 2would 2most 2likely 2be 2expected 2for 2this 2situation? 2-
2 CORRECT 2ANSWER. Audible 2wheeing 2and 2retractions
page 2118
The 2nurse 2is 2triaging 2an 2infant 2brought 2to 2the 2emergency 2department 2by
2their 2caregiver. 2Which 2finding 2by 2the 2nurse 2leads 2the 2infant 2to 2be 2placed
2in 2isolation? 2- 2 CORRECT 2ANSWER . 2Purpuric 2rash
A 2child 2was 2found 2unresponsive 2under 2the 2monkey 2bars 2during 2recess 2and
2arrives 2with 2the 2following 2assessment: 2eyes 2open 2only 2with 2supraorbital
2pressure 2stimulus, 2no 2verbal 2response 2is 2elicited, 2and 2withdraws 2arms 2and
2legs 2when 2a 2swab 2is 2inserted 2in 2the 2nose. 2Which 2of 2the 2following 2is 2the
2priority 2intervention 2for 2this 2child? 2- 2 CORRECT 2ANSWER .
Prepare 2for 2immediate 2intubation
A 26-week-old 2is 2brought 2to 2the 2emergency 2department 2by 2the 2caregivers
2for 2poor 2feeding, 2listlessness, 2and 2fever. 2Assessment 2reveals 2a 2crying
2infant, 2HR 2160 2beats/minute, 2RR 252 2breaths/minute, 2rectal 2temperature
2of 296.0 2F 2(35.5 2C), 2and 2a 2bulging 2anterior 2fontanel. 2Capillary 2refill 2is 24
2seconds. 2Based 2on 2these 2findings 2what 2is 2the 2most 2likely 2diagnostic 2test
2the 2nurse 2should 2anticipate? 2- 2 CORRECT 2ANSWER .
Lumbar 2puncture
The 2neurosurgeon 2has 2decided 2to 2perform 2an 2invasive 2procedure 2in 2the
2emergency 2department 2to 2monitor 2the 2intracranial 2pressure 2on 2a 25-year-
old 2patient. 2The 2family 2does 2not 2speak 2the 2local 2language. 2Which 2of 2the
2following 2interventions 2is 2most 2supportive 2of 2the 2family 2during 2the
2procedure? 2- 2 CORRECT 2ANSWER . Dedicating 2a 2healthcare 2team
2member 2witha 2qualified 2interpreter 2to 2be 2with 2the 2family
The 2caregivers 2of 2a 26-year-old 2report 2the 2child 2developed 2a 2cough 2with
2nasal 2congestion 2and 2"pink-eye" 2that 2started 2two 2days 2ago. 2Today 2they
2noticed 2a 2raised, 2red 2rash 2on 2the 2face, 2and 2grey 2papules 2in 2the 2mouth.
2Which 2of 2the 2following 2is 2the 2priority 2intervention 2for 2this 2patient? 2-
2 CORRECT 2ANSWER. Place 2in 2airborne 2percautions
