Page 1 of 168
ULTIMATE ENPC EXAM WITH COMPLETE 480
QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED
QUESTION: A preschooler has a small laceration that required 2 stitches. The nurse covers the
wound with a bandage knowing that it will comfort the child to have it covered. What is the
developmental reason for this intervention?
A. Preschoolers are magical thinkers and imagine bandages keep their insides from coming out
B. Preschoolers fear physical disability and believe a bandage will prevent disability
C. Preschoolers explore orally and will likely chew or suck on the stitches if left uncovered
D. Preschoolers are concerned with body image and don't want to appear different than peers -
ANSWER✔✔A. Magical thinkers
QUESTION: An 11-year-old presents to the emergency department with a complaint of hitting
his head while playing soccer. The nurse enters the room and performs an across-the-room
assessment. He is staring at the wall. He has no increased work of breathing, and his color is
pink. Using the pediatric assessment triangle (PAT), what classification will the nurse assign?
A. Well
B. Sick
C. Sicker
D. Sickest - ANSWER✔✔B. Sicker
, Page 2 of 168
QUESTION: A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal
alignment, padding should be placed under which area?
A. Shoulders
B. Head
C. Neck
D. Waist - ANSWER✔✔A. Shoulders
QUESTION: The nurse is planning to begin oral rehydration therapy for a 9-month-old with mild
dehydration. She provides the caregivers with a glucose and sodium solution and instructs them
to administer small amounts:
A. Every 2 to 5 minutes
B. Every 10 to 12 minutes
C. Every 15 minutes
D. Every 30 minutes - ANSWER✔✔A. 2-5
QUESTION: Caregivers bring in their 3-week-old neonate and describe nonbilious vomiting after
every feeding that is becoming more forceful over the past 24 hours. The last time he vomited
the vomitus hit a chair 2 feet away. They say he cries, roots, and sucks vigorously on his pacifier
right after vomiting as though still hungry. He is not experiencing any diarrhea. What condition
is the most likely cause of these signs and symptoms?
, Page 3 of 168
A. Intussusception
B. Volvulus
C. Gastroenteritis
D. Pyloric stenosis - ANSWER✔✔D. Pyloric Stenosis
QUESTION: Which of the following screening statements/questions is most appropriate in
assessing an adolescent for dating violence?
A. "What triggers violence you've experienced from your partner?"
B. "Does your partner feel entitled to sex even if you say 'no'?"
C. "Tell me about a time when you've felt unsafe in your relationship."
D. "Do you feel if you tried harder to please, your partner will not become violent?" -
ANSWER✔✔C. "Tell me about a time when you've felt unsafe in your relationship."
QUESTION: Which sign distinguishes compensated shock from decompensated shock in the
pediatric patient?
A. Peripheral pulses
B. Blood pressure
C. Capillary refill
D. Level of consciousness - ANSWER✔✔B. Blood Pressure
, Page 4 of 168
QUESTION: A 15-year-old with a history of schizophrenia is taking risperidone (Risperdal) and
lithium (Eskalith). She presents with dystonia, akinesia, a shuffling gait, muscle rigidity, and
tremors. What does the nurse suspect is the cause of these signs and symptoms?
A. Extrapyramidal symptoms
B. Tardive dyskinesia
C. Neuroleptic malignant syndrome
D. Serotonin syndrome - ANSWER✔✔A. Extrapyramidal symptoms
QUESTION: Two ambulances collide in front of the hospital. The victims include three pediatric
victims. Using the JumpSTART triage system, which category assignment will the nurse give to a
2-year-old who is lying on the ground, alert and crying with spontaneous respirations of 36
breaths/minute and present peripheral pulses?
A. Green
B. Yellow
C. Red
D. Black - ANSWER✔✔B. Yellow
QUESTION: 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".
ULTIMATE ENPC EXAM WITH COMPLETE 480
QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED
QUESTION: A preschooler has a small laceration that required 2 stitches. The nurse covers the
wound with a bandage knowing that it will comfort the child to have it covered. What is the
developmental reason for this intervention?
A. Preschoolers are magical thinkers and imagine bandages keep their insides from coming out
B. Preschoolers fear physical disability and believe a bandage will prevent disability
C. Preschoolers explore orally and will likely chew or suck on the stitches if left uncovered
D. Preschoolers are concerned with body image and don't want to appear different than peers -
ANSWER✔✔A. Magical thinkers
QUESTION: An 11-year-old presents to the emergency department with a complaint of hitting
his head while playing soccer. The nurse enters the room and performs an across-the-room
assessment. He is staring at the wall. He has no increased work of breathing, and his color is
pink. Using the pediatric assessment triangle (PAT), what classification will the nurse assign?
A. Well
B. Sick
C. Sicker
D. Sickest - ANSWER✔✔B. Sicker
, Page 2 of 168
QUESTION: A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal
alignment, padding should be placed under which area?
A. Shoulders
B. Head
C. Neck
D. Waist - ANSWER✔✔A. Shoulders
QUESTION: The nurse is planning to begin oral rehydration therapy for a 9-month-old with mild
dehydration. She provides the caregivers with a glucose and sodium solution and instructs them
to administer small amounts:
A. Every 2 to 5 minutes
B. Every 10 to 12 minutes
C. Every 15 minutes
D. Every 30 minutes - ANSWER✔✔A. 2-5
QUESTION: Caregivers bring in their 3-week-old neonate and describe nonbilious vomiting after
every feeding that is becoming more forceful over the past 24 hours. The last time he vomited
the vomitus hit a chair 2 feet away. They say he cries, roots, and sucks vigorously on his pacifier
right after vomiting as though still hungry. He is not experiencing any diarrhea. What condition
is the most likely cause of these signs and symptoms?
, Page 3 of 168
A. Intussusception
B. Volvulus
C. Gastroenteritis
D. Pyloric stenosis - ANSWER✔✔D. Pyloric Stenosis
QUESTION: Which of the following screening statements/questions is most appropriate in
assessing an adolescent for dating violence?
A. "What triggers violence you've experienced from your partner?"
B. "Does your partner feel entitled to sex even if you say 'no'?"
C. "Tell me about a time when you've felt unsafe in your relationship."
D. "Do you feel if you tried harder to please, your partner will not become violent?" -
ANSWER✔✔C. "Tell me about a time when you've felt unsafe in your relationship."
QUESTION: Which sign distinguishes compensated shock from decompensated shock in the
pediatric patient?
A. Peripheral pulses
B. Blood pressure
C. Capillary refill
D. Level of consciousness - ANSWER✔✔B. Blood Pressure
, Page 4 of 168
QUESTION: A 15-year-old with a history of schizophrenia is taking risperidone (Risperdal) and
lithium (Eskalith). She presents with dystonia, akinesia, a shuffling gait, muscle rigidity, and
tremors. What does the nurse suspect is the cause of these signs and symptoms?
A. Extrapyramidal symptoms
B. Tardive dyskinesia
C. Neuroleptic malignant syndrome
D. Serotonin syndrome - ANSWER✔✔A. Extrapyramidal symptoms
QUESTION: Two ambulances collide in front of the hospital. The victims include three pediatric
victims. Using the JumpSTART triage system, which category assignment will the nurse give to a
2-year-old who is lying on the ground, alert and crying with spontaneous respirations of 36
breaths/minute and present peripheral pulses?
A. Green
B. Yellow
C. Red
D. Black - ANSWER✔✔B. Yellow
QUESTION: 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".
