ENPC TEST EXAM QUESTIONS
WITH CORRECT
DETAILED ANSWERS || ALREADY
GRADED A+ < LATEST VERSION >
1. An unresponsive 2-year-old child was found by his mother with a bottle
labeled "Elavil 50 mg" by his side. Which piece of information is important
to obtain from his mother?
a. The size of the medication bottle.
b. The expiration date of the medication.
c. The number of pills left in the bottle.
d. The person for whom the medication was prescribe. - ANSWER 🗸 C.
The number of pills left in the bottle.
2. 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".
c. Telling the family how they should feel.
d. Appointing one staff member to communicate with them. - ANSWER
🗸 D. Appointing one staff member to communicate with them.
3. A 16-month-old child was an unrestrained front seat passenger in a motor
vehicle crash. The chest x-ray reveals multiple rib fractures. These findings
suggest what type of injury?
a. Minor surface injury.
b. Significant underlying injury.
c. Significant surface injury.
, d. Minor underlying injury. - ANSWER 🗸 B. Significant underlying
injury.
4. Which piece of information is most important to know prior to transferring a
patient to another facility?
a. Documentation of the family's health insurance coverage.
b. Pertinent family health history.
c. Confirmation of acceptance from the receiving hospital.
d. Confirmation of a medical diagnosis. - ANSWER 🗸 C. Confirmation
of acceptance from the receiving hospital.
5. A 9-month-old infant is crying loudly through the nursing assessment, and
the caregiver is becoming distraught. The nurse should ask the caregiver to:
a. Read a story to the infant.
b. Offer the infant a pacifier.
c. Return when the infant is consoled.
d. Ignore the infant's behavior. - ANSWER 🗸 B. Offer the infant a
pacifier.
6. During an intubation attempt, the child�s heart rate drops to 40
beats/minute. Which intervention is indicated?
a. Ask the physician to stop the intubation attempt and perform bag-
mask ventilation.
b. Apply cricoid pressure and establish intravenous access.
c. Inform the physician of the heart rate and ask the physician to intubate
faster.
d. Administer blow-by oxygen and begin chest compressions. -
ANSWER 🗸 A. Ask the physician to stop the intubation attempt and
perform bag-mask ventilation.
7. A 6- week-old infant is pale, has marked substernal retractions, expiratory
grunting, and poor muscle tone. The emergency nurse should first:
a. Obtain intravenous access.
b. Apply a pulse oximeter.
c. Prepare a chest x-ray.
d. Administer 100% oxygen. - ANSWER 🗸 D. Administer 100%
oxygen.
,8. The best method to open the airway in an injured child is:
a. Placing the head and neck in hyperextension.
b. Using the jaw thrust maneuver.
c. Placing the head and neck in flexion.
d. Using the head tilt maneuver. - ANSWER 🗸 B. Using the jaw thrust
maneuver.
9. A 4-year-old child with a history of the flu has a heart rate of 80
beats/minute, respirations of 16 breaths/minute, and capillary refill of more
than 3 seconds. The proper sequence for nursing interventions would be:
a. Position the airway, administer 100% oxygen, obtain venous access,
and administer 20 ml/kg of an isotonic solution.
b. Administer 100% oxygen, obtain venous access, administer 0.
c. 1 mg/kg of epinephrine 1:10,000, and prepare for endotracheal
intubation.
d. C. Position the airway, provide bag-mask ventilation, provide
synchronized cardioversion, and provide supplemental warmth.
e. D. Administer 100% oxygen, prepare for a venous cutdown,
administer 20 ml/kg of an isotonic solution, and obtain a chest x-ray. -
ANSWER 🗸 A. Position the airway, administer 100% oxygen, obtain
venous access, and administer 20 ml/kg of an isotonic solution.
10.A 3-year-old is transported by prehospital personnel after being struck by a
car. The parents are en route. The child is screaming and uncooperative.
Which is the best approach while conducting the secondary survey?
a. Hold the child to comfort him.
b. Wait for the parent's arrival.
c. Observe for behavioral pain cues.
d. Use a doll to demonstrate the examination. - ANSWER 🗸 C. Observe
for behavioral pain cues.
11.Which ocular finding is associated with child maltreatment?
a. Glaucoma.
b. Conjunctivitis.
c. Iritis.
d. Retinal hemorrhage. - ANSWER 🗸 D. Retinal hemorrhage.
12.A pregnant 18-year-old woman arrives at the emergency department about
ready to deliver a full-term infant. She states that she noticed a large amount
, of dark green fluid the last time she went to the bathroom. During the
delivery, the nurse should prepare to:
a. Dry and arm the infant as soon as is it delivered.
b. Stimulate and ventilate the infant immediately after delivery.
c. Suction the mouth and nose of the infant while on the perineum.
d. Administer blow-by oxygen and rub the back immediately after
delivery. - ANSWER 🗸 C. Suction the mouth and nose of the infant
while on the perineum.
13.A 10-year-old child who was struck by a car has a distended, tense abdomen.
The child's heart rate is 144 beats/minute, respirations 24 breaths/minute,
and blood pressure 120/80 mm Hg. Capillary refill is more than 3 seconds,
and skin is pale and cool. The patient's signs and symptoms suggest:
a. Obstructive shock.
b. Distributive shock.
c. Hypovolemic shock.
d. Cardiogenic shock. - ANSWER 🗸 C. Hypovolemic shock.
14.A school-aged child is about to receive stitches. To evaluate his
understanding of the procedure, you tell him:
a. "Young people your age have questions about getting stitches. What
are your questions?"
b. "Don't cry while you are getting the stitches. Be brave like a man."
c. "You will probably receive 10 stitches. Do you have any questions
before we restrain you?"
d. "Does your cut hurt? Would you like your mommy to hold you?" -
ANSWER 🗸 A. "Young people your age have questions about getting
stitches. What are your questions?"
15.What is the preferred sit for intraosseous access in the infant?
a. Lateral malleolus
b. Iliac crest
c. Proximal femur
d. Anteromedial tibia - ANSWER 🗸 D. Anteromedial tibia
16.An important consideration in the assessment of pain for an adolescent
patient is that they:
a. May deny or minimize their pain when friends visit for fear of losing
control.
WITH CORRECT
DETAILED ANSWERS || ALREADY
GRADED A+ < LATEST VERSION >
1. An unresponsive 2-year-old child was found by his mother with a bottle
labeled "Elavil 50 mg" by his side. Which piece of information is important
to obtain from his mother?
a. The size of the medication bottle.
b. The expiration date of the medication.
c. The number of pills left in the bottle.
d. The person for whom the medication was prescribe. - ANSWER 🗸 C.
The number of pills left in the bottle.
2. 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".
c. Telling the family how they should feel.
d. Appointing one staff member to communicate with them. - ANSWER
🗸 D. Appointing one staff member to communicate with them.
3. A 16-month-old child was an unrestrained front seat passenger in a motor
vehicle crash. The chest x-ray reveals multiple rib fractures. These findings
suggest what type of injury?
a. Minor surface injury.
b. Significant underlying injury.
c. Significant surface injury.
, d. Minor underlying injury. - ANSWER 🗸 B. Significant underlying
injury.
4. Which piece of information is most important to know prior to transferring a
patient to another facility?
a. Documentation of the family's health insurance coverage.
b. Pertinent family health history.
c. Confirmation of acceptance from the receiving hospital.
d. Confirmation of a medical diagnosis. - ANSWER 🗸 C. Confirmation
of acceptance from the receiving hospital.
5. A 9-month-old infant is crying loudly through the nursing assessment, and
the caregiver is becoming distraught. The nurse should ask the caregiver to:
a. Read a story to the infant.
b. Offer the infant a pacifier.
c. Return when the infant is consoled.
d. Ignore the infant's behavior. - ANSWER 🗸 B. Offer the infant a
pacifier.
6. During an intubation attempt, the child�s heart rate drops to 40
beats/minute. Which intervention is indicated?
a. Ask the physician to stop the intubation attempt and perform bag-
mask ventilation.
b. Apply cricoid pressure and establish intravenous access.
c. Inform the physician of the heart rate and ask the physician to intubate
faster.
d. Administer blow-by oxygen and begin chest compressions. -
ANSWER 🗸 A. Ask the physician to stop the intubation attempt and
perform bag-mask ventilation.
7. A 6- week-old infant is pale, has marked substernal retractions, expiratory
grunting, and poor muscle tone. The emergency nurse should first:
a. Obtain intravenous access.
b. Apply a pulse oximeter.
c. Prepare a chest x-ray.
d. Administer 100% oxygen. - ANSWER 🗸 D. Administer 100%
oxygen.
,8. The best method to open the airway in an injured child is:
a. Placing the head and neck in hyperextension.
b. Using the jaw thrust maneuver.
c. Placing the head and neck in flexion.
d. Using the head tilt maneuver. - ANSWER 🗸 B. Using the jaw thrust
maneuver.
9. A 4-year-old child with a history of the flu has a heart rate of 80
beats/minute, respirations of 16 breaths/minute, and capillary refill of more
than 3 seconds. The proper sequence for nursing interventions would be:
a. Position the airway, administer 100% oxygen, obtain venous access,
and administer 20 ml/kg of an isotonic solution.
b. Administer 100% oxygen, obtain venous access, administer 0.
c. 1 mg/kg of epinephrine 1:10,000, and prepare for endotracheal
intubation.
d. C. Position the airway, provide bag-mask ventilation, provide
synchronized cardioversion, and provide supplemental warmth.
e. D. Administer 100% oxygen, prepare for a venous cutdown,
administer 20 ml/kg of an isotonic solution, and obtain a chest x-ray. -
ANSWER 🗸 A. Position the airway, administer 100% oxygen, obtain
venous access, and administer 20 ml/kg of an isotonic solution.
10.A 3-year-old is transported by prehospital personnel after being struck by a
car. The parents are en route. The child is screaming and uncooperative.
Which is the best approach while conducting the secondary survey?
a. Hold the child to comfort him.
b. Wait for the parent's arrival.
c. Observe for behavioral pain cues.
d. Use a doll to demonstrate the examination. - ANSWER 🗸 C. Observe
for behavioral pain cues.
11.Which ocular finding is associated with child maltreatment?
a. Glaucoma.
b. Conjunctivitis.
c. Iritis.
d. Retinal hemorrhage. - ANSWER 🗸 D. Retinal hemorrhage.
12.A pregnant 18-year-old woman arrives at the emergency department about
ready to deliver a full-term infant. She states that she noticed a large amount
, of dark green fluid the last time she went to the bathroom. During the
delivery, the nurse should prepare to:
a. Dry and arm the infant as soon as is it delivered.
b. Stimulate and ventilate the infant immediately after delivery.
c. Suction the mouth and nose of the infant while on the perineum.
d. Administer blow-by oxygen and rub the back immediately after
delivery. - ANSWER 🗸 C. Suction the mouth and nose of the infant
while on the perineum.
13.A 10-year-old child who was struck by a car has a distended, tense abdomen.
The child's heart rate is 144 beats/minute, respirations 24 breaths/minute,
and blood pressure 120/80 mm Hg. Capillary refill is more than 3 seconds,
and skin is pale and cool. The patient's signs and symptoms suggest:
a. Obstructive shock.
b. Distributive shock.
c. Hypovolemic shock.
d. Cardiogenic shock. - ANSWER 🗸 C. Hypovolemic shock.
14.A school-aged child is about to receive stitches. To evaluate his
understanding of the procedure, you tell him:
a. "Young people your age have questions about getting stitches. What
are your questions?"
b. "Don't cry while you are getting the stitches. Be brave like a man."
c. "You will probably receive 10 stitches. Do you have any questions
before we restrain you?"
d. "Does your cut hurt? Would you like your mommy to hold you?" -
ANSWER 🗸 A. "Young people your age have questions about getting
stitches. What are your questions?"
15.What is the preferred sit for intraosseous access in the infant?
a. Lateral malleolus
b. Iliac crest
c. Proximal femur
d. Anteromedial tibia - ANSWER 🗸 D. Anteromedial tibia
16.An important consideration in the assessment of pain for an adolescent
patient is that they:
a. May deny or minimize their pain when friends visit for fear of losing
control.
