ENPC 6th Edition Provider Course Exam
review with complete solution
A caregiver presents to the emergency department with an 18-month-old and reports the child is not
using their left arm after playing a game with an older sibling. The child is alert and curious, with regular,
even respirations, and skin color is appropriate. -Correct Answer-Sick
A 12-year-old restrained, back -seat passenger involved in a motor vehicle crash is noted to have
hypotension, tachycardia, and contusions and discoloration across the lap area. On exam a splenic
rupture is suspected. Which of the following diagnoses should be suspected as a companion injury with
these findings and associated mechanism of injury? -Correct Answer-Pneumothorax
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? -
Correct Answer-Low pH level
You are discharging a patient home who has a history of depression. Discharge teaching should include
which of the following? -Correct Answer-Ensuring all firearms in the home are locked in a safe place with
no access by the patient
The triage nurse is assessing a 14 year old male who was brought in by ambulance. The patient reports
he was playing his video games at home when he had a sudden onset of groin pain that was so severe he
became nauseated and vomited. Further assessment reveals a swollen scrotum. What is the priority
intervention for this patient? -Correct Answer-Preparing the patient for ultrasound
Which of the following is a first-line treatment for atopic dermatitis? -Correct Answer-Skin Hydration
therapy
page 202
A 2-year-old child is seen with acute respiratory distress after playing alone. Caregiver statements
indicate the child was found playing with irregular, ½ - ¾ inch sized pieces of a game. Which of the
following assessment findings would most likely be expected for this situation? -Correct Answer-Audible
wheeing and retractions
, page 118
The nurse is triaging an infant brought to the emergency department by their caregiver. Which finding by
the nurse leads the infant to be placed in isolation? -Correct Answer-Purpuric rash
A child was found unresponsive under the monkey bars during recess and arrives with the following
assessment: eyes open only with supraorbital pressure stimulus, no verbal response is elicited, and
withdraws arms and legs when a swab is inserted in the nose. Which of the following is the priority
intervention for this child? -Correct Answer-Prepare for immediate intubation
A 6-week-old is brought to the emergency department by the caregivers for poor feeding, listlessness,
and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52 breaths/minute, rectal
temperature of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary refill is 4 seconds. Based on
these findings what is the most likely diagnostic test the nurse should anticipate? -Correct Answer-
Lumbar puncture
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 the local language.
Which of the following interventions is most supportive of the family during the procedure? -Correct
Answer-Dedicating a healthcare team member witha qualified interpreter to be with the family
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? -Correct Answer-Place in
airborne percautions
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? -Correct Answer-Necrotizing enterocolitis
A 6-year-old child weighing 20 kg (44.1 lb) arrives in full arrest following an electrocution event. CPR is in
progress after defibrillation for ventricular fibrillation. What is the intravenous dose of epinephrine for
this patient? -Correct Answer-0.2 mg
review with complete solution
A caregiver presents to the emergency department with an 18-month-old and reports the child is not
using their left arm after playing a game with an older sibling. The child is alert and curious, with regular,
even respirations, and skin color is appropriate. -Correct Answer-Sick
A 12-year-old restrained, back -seat passenger involved in a motor vehicle crash is noted to have
hypotension, tachycardia, and contusions and discoloration across the lap area. On exam a splenic
rupture is suspected. Which of the following diagnoses should be suspected as a companion injury with
these findings and associated mechanism of injury? -Correct Answer-Pneumothorax
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? -
Correct Answer-Low pH level
You are discharging a patient home who has a history of depression. Discharge teaching should include
which of the following? -Correct Answer-Ensuring all firearms in the home are locked in a safe place with
no access by the patient
The triage nurse is assessing a 14 year old male who was brought in by ambulance. The patient reports
he was playing his video games at home when he had a sudden onset of groin pain that was so severe he
became nauseated and vomited. Further assessment reveals a swollen scrotum. What is the priority
intervention for this patient? -Correct Answer-Preparing the patient for ultrasound
Which of the following is a first-line treatment for atopic dermatitis? -Correct Answer-Skin Hydration
therapy
page 202
A 2-year-old child is seen with acute respiratory distress after playing alone. Caregiver statements
indicate the child was found playing with irregular, ½ - ¾ inch sized pieces of a game. Which of the
following assessment findings would most likely be expected for this situation? -Correct Answer-Audible
wheeing and retractions
, page 118
The nurse is triaging an infant brought to the emergency department by their caregiver. Which finding by
the nurse leads the infant to be placed in isolation? -Correct Answer-Purpuric rash
A child was found unresponsive under the monkey bars during recess and arrives with the following
assessment: eyes open only with supraorbital pressure stimulus, no verbal response is elicited, and
withdraws arms and legs when a swab is inserted in the nose. Which of the following is the priority
intervention for this child? -Correct Answer-Prepare for immediate intubation
A 6-week-old is brought to the emergency department by the caregivers for poor feeding, listlessness,
and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52 breaths/minute, rectal
temperature of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary refill is 4 seconds. Based on
these findings what is the most likely diagnostic test the nurse should anticipate? -Correct Answer-
Lumbar puncture
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 the local language.
Which of the following interventions is most supportive of the family during the procedure? -Correct
Answer-Dedicating a healthcare team member witha qualified interpreter to be with the family
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? -Correct Answer-Place in
airborne percautions
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? -Correct Answer-Necrotizing enterocolitis
A 6-year-old child weighing 20 kg (44.1 lb) arrives in full arrest following an electrocution event. CPR is in
progress after defibrillation for ventricular fibrillation. What is the intravenous dose of epinephrine for
this patient? -Correct Answer-0.2 mg
