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ULTIMATE ENPC EXAM WITH 450 QUESTIONS
AND WELL ELABORATED ANSWERS JUST
RELEASED THIS YEAR
QUESTION: 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.
QUESTION: What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Proximal tibia - ANSWER✔✔D. Proximal tibia
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QUESTION: An 8-month-old infant with pneumonia has severe intercostal and substernal
retractions, weak muscle tone, lethargy, and gray skin color. The infant's condition does not
improve after bag-mask ventilation. The next step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol. - ANSWER✔✔C. Rapid sequence intubation.
QUESTION: Which combination of medications is best to have prepared for a pediatric
resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium. - ANSWER✔✔B. Epinephrine and glucose.
QUESTION: Which intervention should be performed next if tactile stimulation, positioning,
drying, and blow-by oxygen administration do not increase a newborn's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
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D. Bag-mask ventilation. - ANSWER✔✔D. Bag-mask ventilation.
QUESTION: A 10-kg child has deep partial-thickness burns over 35% of the total body surface
area. Which evaluation parameter indicates that fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour. - ANSWER✔✔D. Urine output of 11 ml/hour.
QUESTION: A 7-year-old female sustains a minor head injury and did not lose consciousness.
She does not respond to commands and groans in response to questions. Which action will
quickly determine if her behavior indicates a serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual. - ANSWER✔✔D. Ask the parents if her behavior is
unusual.
QUESTION: An 8-month-old child presents with purpura, irritability, and a rectal temperature of
39.4�C (102.9�F). An intervention of high priority is:
A. Encouraging the caregiver to hold and comfort the child.
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B. Monitoring for signs and symptoms of increased intracranial pressure (ICP).
C. Collecting urine for toxicology screen.
D. Encouraging oral fluids and food. - ANSWER✔✔B. Monitoring for signs and symptoms of
increased intracranial pressure (ICP).
QUESTION: The Pediatric Assessment Triangle is used to:
A. Identify all life-threatening conditions that the child presents with.
B. Perform a complete head-to-toe assessment on the child.
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the "across-the-room"
assessment. - ANSWER✔✔D. Determine the severity of the child's illness or injury using the
"across-the-room" assessment.
QUESTION: A 6- week-old infant is pale, has marked substernal retractions, expiratory grunting,
and poor muscle tone. The emergency nurse should first:
A. Obtain IV.
B. Apply a pulse ox.
C. Prepare a chest x-ray.
D. Administer 100% oxygen. - ANSWER✔✔D. Administer 100% oxygen.
ULTIMATE ENPC EXAM WITH 450 QUESTIONS
AND WELL ELABORATED ANSWERS JUST
RELEASED THIS YEAR
QUESTION: 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.
QUESTION: What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Proximal tibia - ANSWER✔✔D. Proximal tibia
, Page 2 of 169
QUESTION: An 8-month-old infant with pneumonia has severe intercostal and substernal
retractions, weak muscle tone, lethargy, and gray skin color. The infant's condition does not
improve after bag-mask ventilation. The next step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol. - ANSWER✔✔C. Rapid sequence intubation.
QUESTION: Which combination of medications is best to have prepared for a pediatric
resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium. - ANSWER✔✔B. Epinephrine and glucose.
QUESTION: Which intervention should be performed next if tactile stimulation, positioning,
drying, and blow-by oxygen administration do not increase a newborn's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
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D. Bag-mask ventilation. - ANSWER✔✔D. Bag-mask ventilation.
QUESTION: A 10-kg child has deep partial-thickness burns over 35% of the total body surface
area. Which evaluation parameter indicates that fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour. - ANSWER✔✔D. Urine output of 11 ml/hour.
QUESTION: A 7-year-old female sustains a minor head injury and did not lose consciousness.
She does not respond to commands and groans in response to questions. Which action will
quickly determine if her behavior indicates a serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual. - ANSWER✔✔D. Ask the parents if her behavior is
unusual.
QUESTION: An 8-month-old child presents with purpura, irritability, and a rectal temperature of
39.4�C (102.9�F). An intervention of high priority is:
A. Encouraging the caregiver to hold and comfort the child.
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B. Monitoring for signs and symptoms of increased intracranial pressure (ICP).
C. Collecting urine for toxicology screen.
D. Encouraging oral fluids and food. - ANSWER✔✔B. Monitoring for signs and symptoms of
increased intracranial pressure (ICP).
QUESTION: The Pediatric Assessment Triangle is used to:
A. Identify all life-threatening conditions that the child presents with.
B. Perform a complete head-to-toe assessment on the child.
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the "across-the-room"
assessment. - ANSWER✔✔D. Determine the severity of the child's illness or injury using the
"across-the-room" assessment.
QUESTION: A 6- week-old infant is pale, has marked substernal retractions, expiratory grunting,
and poor muscle tone. The emergency nurse should first:
A. Obtain IV.
B. Apply a pulse ox.
C. Prepare a chest x-ray.
D. Administer 100% oxygen. - ANSWER✔✔D. Administer 100% oxygen.
