ENPC Test Questions With Correct
Detailed Answers
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. - ✔✔✔✔C. Hypovolemic shock.
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?" - ✔✔✔✔A. "Young people your age
have questions about getting stitches. What are your questions?"
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia - ✔✔✔✔D. Anteromedial tibia
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.
B. Have difficulty localizing or describing the pain.
, C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong. - ✔✔✔✔A. May deny or minimize
their pain when friends visit for fear of losing control.
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. - ✔✔✔✔C. Rapid sequence intubation.
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. - ✔✔✔✔B. Epinephrine and glucose.
A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry and is jittery.
Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen. - ✔✔✔✔B. Finger-stick glucose.
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.
Detailed Answers
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. - ✔✔✔✔C. Hypovolemic shock.
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?" - ✔✔✔✔A. "Young people your age
have questions about getting stitches. What are your questions?"
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia - ✔✔✔✔D. Anteromedial tibia
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.
B. Have difficulty localizing or describing the pain.
, C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong. - ✔✔✔✔A. May deny or minimize
their pain when friends visit for fear of losing control.
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. - ✔✔✔✔C. Rapid sequence intubation.
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. - ✔✔✔✔B. Epinephrine and glucose.
A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry and is jittery.
Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen. - ✔✔✔✔B. Finger-stick glucose.
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.
