ENPC BOARD EVALUATION GUARANTEED PASS UPDATED ACTUAL EXAM QUESTIONS
CORRECT ANSWERS GRADED A PLUS
Question:
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous
membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and
HR of 144 beats per minute. Which of the following laboratory values would be most expected in
this child?
Answer:
Expected laboratory values would reveal an acidotic state with a pH level below 7.3, an elevated
serum bIcarbonate level, and an elevated blood glucose level > 200 mg.dL.
Question:
An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on auscultation
in the right upper lobe of the lung field after a choking event 4 days ago. The white blood cell count
is elevated and the patient noted to be tachypneic, tachycardic, agitated, and has an increased
respiratory effort. At the time of the event, the patient was started on antibiotics with subsequent
increasing manifestations instead of improvement. Which of the following would be considered to
be definitive treatment for the suspected diagnosis?
Answer:
The definitive treatment would be a bronchoscopy in order to retrieve the suspected foreign body
instead of diagnostic tests to locate the foreign body itself.
Question:
A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with a
bag-mask device. Once return of spontaneous circulation has been confirmed, which of the
following would be the priority intervention?
Answer:
Establishing a secure airway
, Question:
A 6-week-old is brought to the emergency department by the caregivers for poor feeding,
listlessness, and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52
breaths/minute, rectal temperature of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary
refill is 4 seconds. Based on these findings what is the most likely diagnostic test the nurse should
anticipate?
Answer:
Lumbar puncture
Question:
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the
following intravenous medication orders should the nurse question?
Answer:
Ketorolac is an appropriate medication for moderate to severe pain, however, it should not be used
pre-operatively due to its potential to increase the bleeding risk.
Question:
A 17-year-old female arrives in the ED with her boyfriend who states she is pregnant and having
vaginal bleeding. The patient is unsure of the gestational age and has not had any prenatal treatment.
The patient is quiet and lets her boyfriend answer most of the questions. Which of the following is
the most appropriate action for the nurse to take at this point?
Answer:
Have the boyfriend leave the room during the pelvic exam.
Question:
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. After several
attempts, your team has been unsuccessful at establishing vascular access. Of the following, which
is the next best option for establishing access quickly?
Answer:
Intraosseous in the patient's medial tibia.
CORRECT ANSWERS GRADED A PLUS
Question:
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry mucous
membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and
HR of 144 beats per minute. Which of the following laboratory values would be most expected in
this child?
Answer:
Expected laboratory values would reveal an acidotic state with a pH level below 7.3, an elevated
serum bIcarbonate level, and an elevated blood glucose level > 200 mg.dL.
Question:
An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on auscultation
in the right upper lobe of the lung field after a choking event 4 days ago. The white blood cell count
is elevated and the patient noted to be tachypneic, tachycardic, agitated, and has an increased
respiratory effort. At the time of the event, the patient was started on antibiotics with subsequent
increasing manifestations instead of improvement. Which of the following would be considered to
be definitive treatment for the suspected diagnosis?
Answer:
The definitive treatment would be a bronchoscopy in order to retrieve the suspected foreign body
instead of diagnostic tests to locate the foreign body itself.
Question:
A child in cardiopulmonary arrest is receiving chest compressions and manual ventilations with a
bag-mask device. Once return of spontaneous circulation has been confirmed, which of the
following would be the priority intervention?
Answer:
Establishing a secure airway
, Question:
A 6-week-old is brought to the emergency department by the caregivers for poor feeding,
listlessness, and fever. Assessment reveals a crying infant, HR 160 beats/minute, RR 52
breaths/minute, rectal temperature of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary
refill is 4 seconds. Based on these findings what is the most likely diagnostic test the nurse should
anticipate?
Answer:
Lumbar puncture
Question:
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of the
following intravenous medication orders should the nurse question?
Answer:
Ketorolac is an appropriate medication for moderate to severe pain, however, it should not be used
pre-operatively due to its potential to increase the bleeding risk.
Question:
A 17-year-old female arrives in the ED with her boyfriend who states she is pregnant and having
vaginal bleeding. The patient is unsure of the gestational age and has not had any prenatal treatment.
The patient is quiet and lets her boyfriend answer most of the questions. Which of the following is
the most appropriate action for the nurse to take at this point?
Answer:
Have the boyfriend leave the room during the pelvic exam.
Question:
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately. After several
attempts, your team has been unsuccessful at establishing vascular access. Of the following, which
is the next best option for establishing access quickly?
Answer:
Intraosseous in the patient's medial tibia.
