ENPC TEST QUESTIONS 6TH EDITION
Questions & Answers
1.An unresponsive 2-year-old child was found by his mother with a bottle
labeled "Elavil 50 mg" by his side. Which piece of information is important
to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe.
Answer: C. The number of pills left in the bottle.
2.A nurse providing crisis intervention to the family of a seriously ill child
can best keep the family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them.
Answer: D. Appointing one staff member to communicate with them.
3.A 16-month-old child was an unrestrained front seat passenger in a
motor vehicle crash. The chest x-ray reveals multiple rib fractures. These
findings suggest what type of injury?
A. Minor surface injury.
,B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
Answer: B. Significant underlying injury.
4.Which piece of information is most important to know prior to
transferring a patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
Answer: C. Confirmation of acceptance from the receiving hospital.
5.A 10-year-old child who was struck by a car has a distended, tense
abdomen. The child's heart rate is 144 beats/minute, respirations 24
breaths/minute, and blood pressure 120/80 mm Hg. Capillary refill is more
than 3 seconds, and skin is pale and cool. The patient's signs and symptoms
suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock.
Answer: C. Hypovolemic shock.
6.A school-aged child is about to receive stitches. To evaluate his
,understand- ing of the procedure, you tell him:
A. "Young people your age have questions about getting stitches. What
are your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions
before we restrain you?"
D. "Does your cut hurt? Would you like your mommy to hold you?"
Answer: A. "Young people your age have questions about getting
stitches. What are your questions?"
7.What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia
Answer: D. Anteromedial tibia
8.An important consideration in the assessment of pain for an adolescent
patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing contro
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong.
Answer: A. May deny or minimize their pain when friends visit for fear
of losing control.
, 9.An 8-month-old infant with pneumonia has severe intercostal and
subster- nal retractions, weak muscle tone, lethargy, and gray skin color.
The infant's condition does not improve after bag-mask ventilation. The next
step in treat- ment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol.
Answer: C. Rapid sequence intubation.
10.Which combination of medications is best to have prepared for a
pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium.
Answer: B. Epinephrine and glucose.
11.A 20-day-old infant has a 1-week history of not eating well. The infant
has a weak cry and is jittery. Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen.
Questions & Answers
1.An unresponsive 2-year-old child was found by his mother with a bottle
labeled "Elavil 50 mg" by his side. Which piece of information is important
to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe.
Answer: C. The number of pills left in the bottle.
2.A nurse providing crisis intervention to the family of a seriously ill child
can best keep the family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them.
Answer: D. Appointing one staff member to communicate with them.
3.A 16-month-old child was an unrestrained front seat passenger in a
motor vehicle crash. The chest x-ray reveals multiple rib fractures. These
findings suggest what type of injury?
A. Minor surface injury.
,B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
Answer: B. Significant underlying injury.
4.Which piece of information is most important to know prior to
transferring a patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
Answer: C. Confirmation of acceptance from the receiving hospital.
5.A 10-year-old child who was struck by a car has a distended, tense
abdomen. The child's heart rate is 144 beats/minute, respirations 24
breaths/minute, and blood pressure 120/80 mm Hg. Capillary refill is more
than 3 seconds, and skin is pale and cool. The patient's signs and symptoms
suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock.
Answer: C. Hypovolemic shock.
6.A school-aged child is about to receive stitches. To evaluate his
,understand- ing of the procedure, you tell him:
A. "Young people your age have questions about getting stitches. What
are your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions
before we restrain you?"
D. "Does your cut hurt? Would you like your mommy to hold you?"
Answer: A. "Young people your age have questions about getting
stitches. What are your questions?"
7.What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia
Answer: D. Anteromedial tibia
8.An important consideration in the assessment of pain for an adolescent
patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing contro
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong.
Answer: A. May deny or minimize their pain when friends visit for fear
of losing control.
, 9.An 8-month-old infant with pneumonia has severe intercostal and
subster- nal retractions, weak muscle tone, lethargy, and gray skin color.
The infant's condition does not improve after bag-mask ventilation. The next
step in treat- ment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol.
Answer: C. Rapid sequence intubation.
10.Which combination of medications is best to have prepared for a
pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium.
Answer: B. Epinephrine and glucose.
11.A 20-day-old infant has a 1-week history of not eating well. The infant
has a weak cry and is jittery. Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen.
