ENPC 6th Edition Make-Up Exam
ACTUAL QUESTIONS AND CORRECT
ANSWERS
- A six-week-old infant presents to the emergency department with
seizures. The infant is afebrile with a normal glucose level ,and
caregivers report no signs of illness other than formula intolerance,
which they treated by adding extra water to the formula. The nurse
would expect to find which of the following laboratory abnormalities?
- CORRECT ANSWERS Hyponatremia
A 12-year-old complains of a severe headache for the past 8 hours.
Which of the following past history disease processes would be
considered a "red flag" and warrant immediate evaluation for this
patient? - CORRECT ANSWERS Sickle cell disease
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 ANSWERS 0.01
mg (wrong)
Remediation feedback:
The pediatric dose of intravenous epinephrine during a cardiac arrest
is 0.01 mg/kg.
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 ANSWERS Preparing the patient for ultrasound
Which of the following is the recommended method of insulin
administration for a pediatric patient with diabetic ketoacidosis? -
CORRECT ANSWERS Insulin infusion
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 ANSWERS Prepare for immediate intubation
A term infant is delivered in the emergency department. Which
assessment finding is most concerning? - CORRECT ANSWERS
Acrocyanosis (wrong)
Remediation feedback:
Normal findings for a newborn include a heart rate between 90-180
bpm, respiratory rate of 30-55 breaths/minute, and systolic blood
pressure of 67-84 mm Hg. They may also exhibit acrocyanosis,
particularly when in cool environments.
A 3-year-old has a two-day history of runny nose, low-grade fever,
and a "barky" cough at night. The child is awake and alert with noted
stridor. Pulse oximetry is 96% on room air. Which of the following
interventions would be the most appropriated for this child? -
CORRECT ANSWERS Administration of nebulized
epinephrine
ACTUAL QUESTIONS AND CORRECT
ANSWERS
- A six-week-old infant presents to the emergency department with
seizures. The infant is afebrile with a normal glucose level ,and
caregivers report no signs of illness other than formula intolerance,
which they treated by adding extra water to the formula. The nurse
would expect to find which of the following laboratory abnormalities?
- CORRECT ANSWERS Hyponatremia
A 12-year-old complains of a severe headache for the past 8 hours.
Which of the following past history disease processes would be
considered a "red flag" and warrant immediate evaluation for this
patient? - CORRECT ANSWERS Sickle cell disease
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 ANSWERS 0.01
mg (wrong)
Remediation feedback:
The pediatric dose of intravenous epinephrine during a cardiac arrest
is 0.01 mg/kg.
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 ANSWERS Preparing the patient for ultrasound
Which of the following is the recommended method of insulin
administration for a pediatric patient with diabetic ketoacidosis? -
CORRECT ANSWERS Insulin infusion
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 ANSWERS Prepare for immediate intubation
A term infant is delivered in the emergency department. Which
assessment finding is most concerning? - CORRECT ANSWERS
Acrocyanosis (wrong)
Remediation feedback:
Normal findings for a newborn include a heart rate between 90-180
bpm, respiratory rate of 30-55 breaths/minute, and systolic blood
pressure of 67-84 mm Hg. They may also exhibit acrocyanosis,
particularly when in cool environments.
A 3-year-old has a two-day history of runny nose, low-grade fever,
and a "barky" cough at night. The child is awake and alert with noted
stridor. Pulse oximetry is 96% on room air. Which of the following
interventions would be the most appropriated for this child? -
CORRECT ANSWERS Administration of nebulized
epinephrine
