ENPC Exam Prep / Exam Questions And
Answers (Solved)
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.
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.
Answers (Solved)
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.
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.
