ENPC EXAM PREPARATION
WITH REALISTIC QUESTIONS
AND ANSWERS//WITH
CLINICAL INSIGHTS//
1. Which of the following would be an abnormal finding in a patient with
glomerulonephritis? - ANSWER Clear urine There is a decrease in urine
output for patient's with glomerulonephritis. Urine would be concentrated and
dark brown/tea-colored.
2. Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-colored.
- ANSWER Administration of nebulized epinephrine Moderate to severe
croup is treated with dexamethasone and nebulized epinephrine.
3. 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? -
ANSWER Allow the extended to family members to serve as interpreters
during the procedure.
4. Which of the following patient presentations should increase suspicion of
potential child maltreatment? - ANSWER 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
5. 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 -
ANSWER 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
6. 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? - ANSWER Neuroleptic malignant syndrome These are classic
symptoms of neuroleptic malignant syndrome, which is a rare reaction to
antipsychotic medications.
7. Which of the following patients should be evaluated first - ANSWER 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.
, ENPC EXAM PREPARATION
WITH REALISTIC QUESTIONS
AND ANSWERS//WITH
CLINICAL INSIGHTS//
8. Which of the following tasks can the nurse do to decrease adverse medication
events? - ANSWER Obtain the patient's weight in kilograms This is the
preferred measurement for medication calculations for pediatric and adult
patients
9. Acute chest syndrome, stroke, and splenic sequestration are complications of
which of the following diseases? - ANSWER Sickle cell anemia These are all
complications of sickle cell anemia.
10. 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? - ANSWER 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
11. 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? - ANSWER Cystic Fibrosis
Pancreatic insufficiency leads to fat malabsorption, which results in the fatty
stools seen with cystic fibrosis.
12. 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? - ANSWER Succinylcholine Succinylcholine may
increase intraocular pressure and should be avoided.
13. 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? - ANSWER 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.
WITH REALISTIC QUESTIONS
AND ANSWERS//WITH
CLINICAL INSIGHTS//
1. Which of the following would be an abnormal finding in a patient with
glomerulonephritis? - ANSWER Clear urine There is a decrease in urine
output for patient's with glomerulonephritis. Urine would be concentrated and
dark brown/tea-colored.
2. Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-colored.
- ANSWER Administration of nebulized epinephrine Moderate to severe
croup is treated with dexamethasone and nebulized epinephrine.
3. 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? -
ANSWER Allow the extended to family members to serve as interpreters
during the procedure.
4. Which of the following patient presentations should increase suspicion of
potential child maltreatment? - ANSWER 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
5. 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 -
ANSWER 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
6. 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? - ANSWER Neuroleptic malignant syndrome These are classic
symptoms of neuroleptic malignant syndrome, which is a rare reaction to
antipsychotic medications.
7. Which of the following patients should be evaluated first - ANSWER 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.
, ENPC EXAM PREPARATION
WITH REALISTIC QUESTIONS
AND ANSWERS//WITH
CLINICAL INSIGHTS//
8. Which of the following tasks can the nurse do to decrease adverse medication
events? - ANSWER Obtain the patient's weight in kilograms This is the
preferred measurement for medication calculations for pediatric and adult
patients
9. Acute chest syndrome, stroke, and splenic sequestration are complications of
which of the following diseases? - ANSWER Sickle cell anemia These are all
complications of sickle cell anemia.
10. 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? - ANSWER 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
11. 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? - ANSWER Cystic Fibrosis
Pancreatic insufficiency leads to fat malabsorption, which results in the fatty
stools seen with cystic fibrosis.
12. 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? - ANSWER Succinylcholine Succinylcholine may
increase intraocular pressure and should be avoided.
13. 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? - ANSWER 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.
