“ENPC TEST QUESTIONS 6TH EDITION, ENPC
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ENPC Test Questions 6th Edition, ENPC 6th Edition Course Exam, ENPC 6th Edition
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A 5-year-old child presents with hives, swelling of the lips and face, and stridor
that developed about an hour after eating lunch. The child has no known
allergies. Which of the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol
A. Administer intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia. During
reassessment, which of the following findings would be most indicative that
respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill
A. SpO2 of 94 % on room air
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A 3-year-old has a two-day history of runny nose, low-grade fever, and a
"barky" cough at night. The child is awake and alert with noted stridor. Pulse
oximetry is 96% on room air. Which of the following interventions would be the
most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer
B. Administration of nebulized epinephrine
A 14-year-old patient had a reduction of a temporomandibular joint dislocation
in the ED. Which of the following should be included in the discharge
instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control
D. Use a nonsteroidal anti-inflammatory for pain control
Which of the following parameters would indicate that appropriate post
resuscitation interventions were successfully carried out in the pediatric
patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg
A. Pulse oximetry reading of 96%
An anxious 12-year-old child presents to the emergency department with a
sudden onset of nausea, diarrhea, abdominal cramping, flushing, and
hypotension. Symptoms started about 60 minutes after lunch. Which of the
following conditions is the most likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche
A. Anaphylaxis
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An 8-year-old trauma patient suddenly develops increased respiratory distress
with a rise in heart rate from 112 beats/minute to 142 beats/minute associated
with an abrupt hypotensive event. Distention of the jugular veins is noted.
Which of the following emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression
D. Needle decompression
A 4-week-old infant born prematurely is brought to the emergency department
due to the rapid onset of abdominal distention, vomiting, bloody stools, and
exhibiting signs of shock. Based on these findings, what condition should the
nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia
A. Necrotizing enterocolitis
A 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?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate
C. Low pH level
Which of the following pathologic processes would most likely be attributed to
a primary diagnosis of cystic fibrosis?
A. Hypernatremia
B. Constipation
C. Obesity
D. Epiglottitis
B. Constipation
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Which of the following is the highest priority intervention for a well-appearing
2-month-old with a fever?
A. Lumbar puncture
B. Urine culture
C. Intravenous fluid bolus
D. Chest radiograph
B. Urine culture
The caregivers of a 6-year-old report the child developed a cough with nasal
congestion and "pink-eye" that started two days ago. Today they noticed a
raised, red rash on the face, and grey papules in the mouth. Which of the
following is the priority intervention for this patient?
A. Obtain a nasopharyngeal swab
B. Place in airborne isolation
C. Place in contact isolation
D. Obtain a fingerstick glucose
C. Place in contact isolation
A 14-year-old patient with Down syndrome presents with an abnormal gait,
head tilted to the left, decreased sensation to the extremities, and urinary
incontinence. The patient has no history of trauma. Which of the following
diagnostics is the priority for this patient?
A. Lumbar spine magnetic resonance imaging
B. Complete neurologic exam
C. Urinalysis by straight catheterization
D. Cervical spine radiographs
D. Cervical spine radiographs
A 7-year-old is being seen for new onset of headaches. Which of the following
manifestations would most likely rule out the potential of a primary etiology?
A. Presence of ataxia
B. Pulsating, unilateral pain
C. Occurrence of photophobia
D. Nausea, vomiting
A. Presence of ataxia
A 3-week old is brought to the emergency department with a history of
fussiness, spitting up, crying, and watery stools. Assessment reveals an alert