ENPC Pre Course Exam Questions & Answers
1. A 5-year-old child presents to the emergency department after being hit by a
car. The patient complains of left upper quadrant pain, and the focused
assessment with sonography for trauma (FAST) exam shows fluid around
her spleen. Which of the following findings would be an early indication of
ongoing blood loss?
a. widening pulse pressure
b. bradycardia
c. decreasing diastolic BP
d. weak peripheral pulses
Answer: D.
Early signs of hypovolemic shock include tachycardia and delayed
capillary refill. The nurse may note a strong central pulse but weaker
peripheral pulses, indicating the child is compensating by shunting
blood to their core.
2.What is the priority intervention for symptomatic bradycardia in
a four-year-old child?
a. IV atropine
b. IV epinephrine
c. bag-mask ventilation
d. transcutaneous pacing
Answer: C.
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13
, Identifying and treating other causes, chest compressions, and
epinephrine are interventions for pediatric bradycardia with signs of
poor perfusion that are not improved by adequate oxygenation and
ventilation. Atropine and pacing may be considered if there is no
response to the other interventions.
3.Which of the following patients should be evaluated first?
a. 3 yo with dislodged G-tube
b. 18m with bilious emesis
c. 12 you with vomiting after handlebar injury
d. 3m with periods of inconsolable crying
Answer: B.
The presence of bilious emesis is especially concerning because it may
be indicative of an immediately life-threatening bowel obstruction. A
dislodged gastrostomy tube should be reinserted within 4-6 hours to
prevent stoma closure. Vomiting following a handlebar injury may be
indicative of many possible injuries, but does not take precedence
unless other symptoms are present. Infantile colic is described as
inconsolable crying in infants, 2 weeks to 4 months old, for up to 3 hours
per day, more than 3 days per week, and lasting for more than 3 weeks.
4.You need to draw blood from a 2-year-old. Which of the following is the
best approach for this patient?
a. allow them to hold the blood tubes before drawing
b. have them watch a cartoon on an ipad or cellphone
2/
13
1. A 5-year-old child presents to the emergency department after being hit by a
car. The patient complains of left upper quadrant pain, and the focused
assessment with sonography for trauma (FAST) exam shows fluid around
her spleen. Which of the following findings would be an early indication of
ongoing blood loss?
a. widening pulse pressure
b. bradycardia
c. decreasing diastolic BP
d. weak peripheral pulses
Answer: D.
Early signs of hypovolemic shock include tachycardia and delayed
capillary refill. The nurse may note a strong central pulse but weaker
peripheral pulses, indicating the child is compensating by shunting
blood to their core.
2.What is the priority intervention for symptomatic bradycardia in
a four-year-old child?
a. IV atropine
b. IV epinephrine
c. bag-mask ventilation
d. transcutaneous pacing
Answer: C.
1/
13
, Identifying and treating other causes, chest compressions, and
epinephrine are interventions for pediatric bradycardia with signs of
poor perfusion that are not improved by adequate oxygenation and
ventilation. Atropine and pacing may be considered if there is no
response to the other interventions.
3.Which of the following patients should be evaluated first?
a. 3 yo with dislodged G-tube
b. 18m with bilious emesis
c. 12 you with vomiting after handlebar injury
d. 3m with periods of inconsolable crying
Answer: B.
The presence of bilious emesis is especially concerning because it may
be indicative of an immediately life-threatening bowel obstruction. A
dislodged gastrostomy tube should be reinserted within 4-6 hours to
prevent stoma closure. Vomiting following a handlebar injury may be
indicative of many possible injuries, but does not take precedence
unless other symptoms are present. Infantile colic is described as
inconsolable crying in infants, 2 weeks to 4 months old, for up to 3 hours
per day, more than 3 days per week, and lasting for more than 3 weeks.
4.You need to draw blood from a 2-year-old. Which of the following is the
best approach for this patient?
a. allow them to hold the blood tubes before drawing
b. have them watch a cartoon on an ipad or cellphone
2/
13
