ENPC 6TH EDITION COURSE EXAM
REVIEW SHEET VERIFIED QUESTIONS AND
ACCURATE ANSWERS GRADED A+
⩥ A 2-year-old is seen with a 3-day history of irritability, vomiting, and
the presence of foul-smelling urine. The child is hypotensive and
tachycardic. Which of the following methods for obtaining a urine
sample is most appropriate in this circumstance?
Answer: Urinary catherization
⩥ A child with bipolar disorder is brought to the emergency department
for increasing irritability, agitation, pressured speech, and a decreased
need for sleep. What should be included in the plan of care for this
child?
Answer: Performing a suicide risk assessment
⩥ You are discharging a patient home who has a history of depression.
Discharge teaching should include which of the following?
Answer: Ensuring all firearms in the home are locked up with no access
available by the patient.
⩥ A 5-year-old child presents with hives, swelling of the lips and face,
and stridor that developed about an hour after eating lunch. The child
,has no known allergies. Which of the following is the priority
intervention?
Answer: Administer intramuscular epinephrine
⩥ Which of the following pathologic processes would most likely be
attributed to a primary diagnosis of cystic fibrosis?
Answer: Constipation
⩥ A 2-year-old arrives with a 2-day history of vomiting and diarrhea.
The patient has a fever of 38.4oC (101.2°F), resting HR of 152
beats/minute, RR of 34 breaths/minute, and blood pressure of 94/ 56 mm
Hg. Assessment reveals a capillary refill time of > 5 seconds. Which of
the following would be most indicative of the need for intravenous
rehydration therapy for this patient?
Answer: Capillary refill
⩥ Which of the following is a family-centered care concept ?
Answer: Cultural backgrounds are assessed and incorporated into the
plan of care.
⩥ An 8-month-old arrives with a 12-hour history of intermittent
abdominal pain, non-bilious vomiting, and a low grade fever. On
assessment the child is intermittently inconsolable followed by periods
of normal activity. A sausage-shaped mass is noted during palpation of
the abdomen. The nurse should prepare for which of the following?
,Answer: Enema with air
⩥ 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. Using the Pediatric
Assessment Triangle (PAT), how would you categorize this patient?
Answer: Sick
⩥ A 13-year -old male presents to the triage desk complaining of nausea
and vomiting. The patient looks distressed and pale. He complains of
spasming pain in his right scrotum which has now become constant and
more severe. Which of the following assessment findings would the
nurse expect with this patient?
Answer: Elevated right testicle
⩥ An 8-year-old trauma patient suddenly develops increased respiratory
distress with a rise in heart rate from 112 beats/minute to 142
beats/minute associated with an abrupt hypotensive event. Distention of
the jugular veins is noted. Which of the following emergent
interventions should be anticipated first?
Answer: Drug assisted intubation (wrong)
Remediation feedback:
, Tension pneumothorax is a complication of trauma associated with an
original pneumothorax. Air in the pleural space increases and
compresses the heart and great vessels creating a type of obstructive
shock. A hallmark sign, tracheal deviation, can be difficult to see in the
pediatric patient. Needle decompression is emergently necessary to
release the air and allow expansion of the lung again.
⩥ An 8-year-old pedestrian is thrown onto the hood of a moving vehicle
striking the windshield. On arrival to the ED. the patient is minimally
responsive with active bleeding from the nose and mouth. The patient is
vomiting. Which of the following interventions would most likely be
considered?
Answer: Endotracheal intubation
⩥ The nurse is reevaluating the effectiveness of interventions for a 4-
year-old child with a suspected tension pneumothorax. Which
assessment finding indicates the interventions were effective?
Answer: Bilateral chest wall rise with assisted ventilations.
⩥ A 3-year-old is brought by caregivers with generalized tonic-clonic
activity, unresponsiveness, and drooling that began 6 minutes prior to
arrival. Which of the following interventions would be most appropriate
for this event?
Answer: Administer intranasal midazolam
REVIEW SHEET VERIFIED QUESTIONS AND
ACCURATE ANSWERS GRADED A+
⩥ A 2-year-old is seen with a 3-day history of irritability, vomiting, and
the presence of foul-smelling urine. The child is hypotensive and
tachycardic. Which of the following methods for obtaining a urine
sample is most appropriate in this circumstance?
Answer: Urinary catherization
⩥ A child with bipolar disorder is brought to the emergency department
for increasing irritability, agitation, pressured speech, and a decreased
need for sleep. What should be included in the plan of care for this
child?
Answer: Performing a suicide risk assessment
⩥ You are discharging a patient home who has a history of depression.
Discharge teaching should include which of the following?
Answer: Ensuring all firearms in the home are locked up with no access
available by the patient.
⩥ A 5-year-old child presents with hives, swelling of the lips and face,
and stridor that developed about an hour after eating lunch. The child
,has no known allergies. Which of the following is the priority
intervention?
Answer: Administer intramuscular epinephrine
⩥ Which of the following pathologic processes would most likely be
attributed to a primary diagnosis of cystic fibrosis?
Answer: Constipation
⩥ A 2-year-old arrives with a 2-day history of vomiting and diarrhea.
The patient has a fever of 38.4oC (101.2°F), resting HR of 152
beats/minute, RR of 34 breaths/minute, and blood pressure of 94/ 56 mm
Hg. Assessment reveals a capillary refill time of > 5 seconds. Which of
the following would be most indicative of the need for intravenous
rehydration therapy for this patient?
Answer: Capillary refill
⩥ Which of the following is a family-centered care concept ?
Answer: Cultural backgrounds are assessed and incorporated into the
plan of care.
⩥ An 8-month-old arrives with a 12-hour history of intermittent
abdominal pain, non-bilious vomiting, and a low grade fever. On
assessment the child is intermittently inconsolable followed by periods
of normal activity. A sausage-shaped mass is noted during palpation of
the abdomen. The nurse should prepare for which of the following?
,Answer: Enema with air
⩥ 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. Using the Pediatric
Assessment Triangle (PAT), how would you categorize this patient?
Answer: Sick
⩥ A 13-year -old male presents to the triage desk complaining of nausea
and vomiting. The patient looks distressed and pale. He complains of
spasming pain in his right scrotum which has now become constant and
more severe. Which of the following assessment findings would the
nurse expect with this patient?
Answer: Elevated right testicle
⩥ An 8-year-old trauma patient suddenly develops increased respiratory
distress with a rise in heart rate from 112 beats/minute to 142
beats/minute associated with an abrupt hypotensive event. Distention of
the jugular veins is noted. Which of the following emergent
interventions should be anticipated first?
Answer: Drug assisted intubation (wrong)
Remediation feedback:
, Tension pneumothorax is a complication of trauma associated with an
original pneumothorax. Air in the pleural space increases and
compresses the heart and great vessels creating a type of obstructive
shock. A hallmark sign, tracheal deviation, can be difficult to see in the
pediatric patient. Needle decompression is emergently necessary to
release the air and allow expansion of the lung again.
⩥ An 8-year-old pedestrian is thrown onto the hood of a moving vehicle
striking the windshield. On arrival to the ED. the patient is minimally
responsive with active bleeding from the nose and mouth. The patient is
vomiting. Which of the following interventions would most likely be
considered?
Answer: Endotracheal intubation
⩥ The nurse is reevaluating the effectiveness of interventions for a 4-
year-old child with a suspected tension pneumothorax. Which
assessment finding indicates the interventions were effective?
Answer: Bilateral chest wall rise with assisted ventilations.
⩥ A 3-year-old is brought by caregivers with generalized tonic-clonic
activity, unresponsiveness, and drooling that began 6 minutes prior to
arrival. Which of the following interventions would be most appropriate
for this event?
Answer: Administer intranasal midazolam
