ENPC Final Exam with Actual Questions and Answers
Latest Updated 2026/2027 (Graded A+)- Chamberlain
University
During the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential 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?
Physical and psychological safety Create an environment where patients feel safe, both physically and
psychologically. Increase awareness of the patient's interpersonal interactions with others to screen for risk of
harm. Prioritize the patient being in a safe location
A 6-month-old is brought to the emergency department for a recurrent respiratory infection. When
gathering a history from the caregiver, the emergency nurse learns that, in addition to the respiratory
symptoms, the infant has had fatty stools. The emergency nurse should be concerned about which of the
following disease processes?
Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results in the fatty stools seen with
cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a suspected globe rupture.
Which of the following medication orders would the nurse question?
Succinylcholine Succinylcholine may increase intraocular pressure and should be avoided.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a seizure at home. The
patient has no seizure history. Upon examination, the patient is post-ictal with a heart rate of 142 beats
per minute, respiratory rate of 36 breaths per minute, and blood pressure of 86/72 mm Hg. Significant
burns are noted to the patient's back and lower extremities. The mother states the burns accidentally
occurred 3 days ago, but she was afraid to bring patient in due to an ongoing child welfare investigation.
Which of the following are the MOST appropriate immediate interventions?
Draw and send a metabolic panel, administer a fluid bolus, and obtain a point of care glucose Significant burns
can cause electrolyte imbalances. Electrolyte imbalances may be the cause of the patient's seizure. Electrolyte
imbalances need to be identified and treated.
In which of the following primary survey components can assessment of the fontanel provide the most
useful information?
Circulation and disability A sunken fontanel may indicate dehydration; a bulging fontanel can indicate increased
intracranial pressure.
A 5-year-old patient presents to the emergency department with severe dehydration due to viral
gastroenteritis. He has signs of shock due to his hypovolemia. Which of the following physiologic
,responses to shock has the greatest impact on improving cardiac output in the pediatric patient?
Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism to increase
cardiac output.
A toddler has a chemical eye injury. Which of the following is the priority intervention?
Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism to increase
cardiac output.
A 5 year-old with no health problems presents to the Emergency Department with a sudden onset of chest
pain and shortness of breath. Parents state that the family was involved in a bad car crash one week ago.
A thorough assessment and workup has not revealed any abnormalities. Which of the following steps is
the best next step to take?
Ask about any new bed-wetting or sleep disturbances Pediatric patients with anxiety and PTSD may present
with physical complaints. Assess for other behavioral symptoms to facilitate appropriate care and follow-up.
Which of the following is the most appropriate intervention for a child experiencing a seizure?
Prepare to administer intranasal midazolam Midazolam has gained favor because of its ease of use and quick
onset of action.
An ambulance arrives with a 16-year-old male involved in a dirt bike crash who was intubated prior to
arrival. Which of the following is the priority assessment or intervention?
Assess the endotracheal tube placement and patency If a patient arrives with an artificial airway (endotracheal
tube or tracheostomy) in place, assess its placement, tube patency, and the oral airway (in that order) before
moving to the next step of the primary survey.
A three-year-old is rescued after being submerged in a residential pool for several minutes. On arrival at
the Emergency Department he is responsive to painful stimuli, has shallow respirations with diminished
breath sounds throughout, and has an occasional cough. What is the initial management priority?
Endotracheal intubation with positive pressure ventilation Airway control and positive pressure ventilation are
the priority interventions for this patient.
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 doing which of the following?
Appointing one staff member to communicate with them. This will help create a solid patient-staff bond and
facilitate communication.
Which of the following would be an abnormal finding in a patient with glomerulonephritis?
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Administration of nebulized epinephrine Moderate to severe croup is treated with dexamethasone and nebulized
epinephrine.
, The neurosurgeon has decided to perform an invasive procedure in the emergency department to
monitor the intracranial pressure on a 5-year-old patient. The family does not speak English and has
identified their religion as Muslim. Which of the following interventions is most supportive of the family?
Allow the extended to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of potential child maltreatment?
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory location in
children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are cause for
suspicion of abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory location in
children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are cause for
suspicion of abuse
Commotio cordis Commotio cordis occurs when the chest is struck during the refractory period of the cardiac
conduction cycle, resulting in a ventricular dysrhythmia or asystole. This type of injury usually occurs in
recreational sports such as baseball or ice hockey
A 12-year-old who was recently started on anti-psychotic medication for schizophrenia is brought to the
emergency department with severe muscle rigidity and hyperthermia. These symptoms are most likely
caused by which of the following?
Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant syndrome, which is a
rare reaction to antipsychotic medications.
Which of the following patients should be evaluated first
An 18-month-old with bilious emesis Bilious emesis in an 18-month-old is always considered an emergent
symptom indicative of a life-threatening bowel obstruction.
1. Which of the following tasks can the nurse do to decrease adverse medication events?
Obtain the patient's weight in kilograms This is the preferred measurement for medication calculations for
pediatric and adult patients
Acute chest syndrome, stroke, and splenic sequestration are complications of which of the following
diseases?
Sickle cell anemia These are all complications of sickle cell anemia.
You are discharging a patient to home with a history of depression. Discharge teaching should include
which of the following?
Ensuring all firearms in the home are locked in a safe place with no access by the patient. Promote injury
prevention with caregivers of patients with a history of depression or suicidal ideation by encouraging that all
firearms and medications are under lock to prevent overdoses or suicide attempt.
A 3-year-old is injured in a motor vehicle collision. Upon arrival at the emergency department, the child
has a diminished level of consciousness, equal bilateral breath sounds, and cool, pale skin. Vital signs are
HR 140 beats/minute, RR 36 breaths/minute, and BP 70/40 mm Hg. The child is most likely in which of
the following shock states?
Latest Updated 2026/2027 (Graded A+)- Chamberlain
University
During the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential 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?
Physical and psychological safety Create an environment where patients feel safe, both physically and
psychologically. Increase awareness of the patient's interpersonal interactions with others to screen for risk of
harm. Prioritize the patient being in a safe location
A 6-month-old is brought to the emergency department for a recurrent respiratory infection. When
gathering a history from the caregiver, the emergency nurse learns that, in addition to the respiratory
symptoms, the infant has had fatty stools. The emergency nurse should be concerned about which of the
following disease processes?
Cystic Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results in the fatty stools seen with
cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a suspected globe rupture.
Which of the following medication orders would the nurse question?
Succinylcholine Succinylcholine may increase intraocular pressure and should be avoided.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a seizure at home. The
patient has no seizure history. Upon examination, the patient is post-ictal with a heart rate of 142 beats
per minute, respiratory rate of 36 breaths per minute, and blood pressure of 86/72 mm Hg. Significant
burns are noted to the patient's back and lower extremities. The mother states the burns accidentally
occurred 3 days ago, but she was afraid to bring patient in due to an ongoing child welfare investigation.
Which of the following are the MOST appropriate immediate interventions?
Draw and send a metabolic panel, administer a fluid bolus, and obtain a point of care glucose Significant burns
can cause electrolyte imbalances. Electrolyte imbalances may be the cause of the patient's seizure. Electrolyte
imbalances need to be identified and treated.
In which of the following primary survey components can assessment of the fontanel provide the most
useful information?
Circulation and disability A sunken fontanel may indicate dehydration; a bulging fontanel can indicate increased
intracranial pressure.
A 5-year-old patient presents to the emergency department with severe dehydration due to viral
gastroenteritis. He has signs of shock due to his hypovolemia. Which of the following physiologic
,responses to shock has the greatest impact on improving cardiac output in the pediatric patient?
Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism to increase
cardiac output.
A toddler has a chemical eye injury. Which of the following is the priority intervention?
Increasing heart rate In pediatric patients, tachycardia is the primary compensatory mechanism to increase
cardiac output.
A 5 year-old with no health problems presents to the Emergency Department with a sudden onset of chest
pain and shortness of breath. Parents state that the family was involved in a bad car crash one week ago.
A thorough assessment and workup has not revealed any abnormalities. Which of the following steps is
the best next step to take?
Ask about any new bed-wetting or sleep disturbances Pediatric patients with anxiety and PTSD may present
with physical complaints. Assess for other behavioral symptoms to facilitate appropriate care and follow-up.
Which of the following is the most appropriate intervention for a child experiencing a seizure?
Prepare to administer intranasal midazolam Midazolam has gained favor because of its ease of use and quick
onset of action.
An ambulance arrives with a 16-year-old male involved in a dirt bike crash who was intubated prior to
arrival. Which of the following is the priority assessment or intervention?
Assess the endotracheal tube placement and patency If a patient arrives with an artificial airway (endotracheal
tube or tracheostomy) in place, assess its placement, tube patency, and the oral airway (in that order) before
moving to the next step of the primary survey.
A three-year-old is rescued after being submerged in a residential pool for several minutes. On arrival at
the Emergency Department he is responsive to painful stimuli, has shallow respirations with diminished
breath sounds throughout, and has an occasional cough. What is the initial management priority?
Endotracheal intubation with positive pressure ventilation Airway control and positive pressure ventilation are
the priority interventions for this patient.
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 doing which of the following?
Appointing one staff member to communicate with them. This will help create a solid patient-staff bond and
facilitate communication.
Which of the following would be an abnormal finding in a patient with glomerulonephritis?
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea-colored.
Administration of nebulized epinephrine Moderate to severe croup is treated with dexamethasone and nebulized
epinephrine.
, The neurosurgeon has decided to perform an invasive procedure in the emergency department to
monitor the intracranial pressure on a 5-year-old patient. The family does not speak English and has
identified their religion as Muslim. Which of the following interventions is most supportive of the family?
Allow the extended to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of potential child maltreatment?
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory location in
children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are cause for
suspicion of abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory location in
children younger than 4 years and any bruising in a child younger than 4 months (TEN-4) are cause for
suspicion of abuse
Commotio cordis Commotio cordis occurs when the chest is struck during the refractory period of the cardiac
conduction cycle, resulting in a ventricular dysrhythmia or asystole. This type of injury usually occurs in
recreational sports such as baseball or ice hockey
A 12-year-old who was recently started on anti-psychotic medication for schizophrenia is brought to the
emergency department with severe muscle rigidity and hyperthermia. These symptoms are most likely
caused by which of the following?
Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant syndrome, which is a
rare reaction to antipsychotic medications.
Which of the following patients should be evaluated first
An 18-month-old with bilious emesis Bilious emesis in an 18-month-old is always considered an emergent
symptom indicative of a life-threatening bowel obstruction.
1. Which of the following tasks can the nurse do to decrease adverse medication events?
Obtain the patient's weight in kilograms This is the preferred measurement for medication calculations for
pediatric and adult patients
Acute chest syndrome, stroke, and splenic sequestration are complications of which of the following
diseases?
Sickle cell anemia These are all complications of sickle cell anemia.
You are discharging a patient to home with a history of depression. Discharge teaching should include
which of the following?
Ensuring all firearms in the home are locked in a safe place with no access by the patient. Promote injury
prevention with caregivers of patients with a history of depression or suicidal ideation by encouraging that all
firearms and medications are under lock to prevent overdoses or suicide attempt.
A 3-year-old is injured in a motor vehicle collision. Upon arrival at the emergency department, the child
has a diminished level of consciousness, equal bilateral breath sounds, and cool, pale skin. Vital signs are
HR 140 beats/minute, RR 36 breaths/minute, and BP 70/40 mm Hg. The child is most likely in which of
the following shock states?
