ULTIMATE ENPC ACTUAL EXAM ALL
QUESTIONS AND WELL ELABORATED
ANSWERS TOP RATED VERSION FOR
ALREADY A+ GRADED HIGHLY
RECOMMENDED |NEW AND REVISED
AR4-year-
oldRpresentsRwithRvomiting,Rlethargy,RfrequentRurination,RweightRloss,RandRdryRmucousRmembran
es.RVitalRsignsRrevealRdeepRrespirationsRatR44RbreathsRperRminute,RBPRofR70/44RmmRHg,RandRHRRofR
144RbeatsRperRminute.RWhichRofRtheRfollowingRlaboratoryRvaluesRwouldRbeRmostRexpectedRinRthisR
child?R-RCORRECTRANSWERHypoglycemiaR(wrong)
RemediationRfeedback:
ChildrenRcanRpresentRwithRnewRonsetRdiabetesRinRdiabeticRketoacidosis.RManifestationsRincludeRsi
gnsRofRdehydrationR(RdryRmucousRmembranes,Rhypotension,Rtachycardia),RincontinenceR(polyuria)
,Rvomiting,RabdominalRpain,RKussmaulRrespirationsR(toRcounterRtheRacidosis),Rpolydipsia,Ranorexia
,RandRweightRloss.RExpectedRlaboratoryRvaluesRwouldRrevealRanRacidoticRstateRwithRaRpHRlevelRbelo
wR7.3,RanRelevatedRserumRbIcarbonateRlevel,RandRanRelevatedRbloodRglucoseRlevelR>R200Rmg.dL.
AnR18-month-
oldRisRseenRforRfever,RslightRcircumoralRcyanosis,RandRwheezingRnotedRonRauscultationRinRtheRrightR
upperRlobeRofRtheRlungRfieldRafterRaRchokingReventR4RdaysRago.RTheRwhiteRbloodRcellRcountRisReleva
tedRandRtheRpatientRnotedRtoRbeRtachypneic,Rtachycardic,Ragitated,RandRhasRanRincreasedRrespirat
oryReffort.RAtRtheRtimeRofRtheRevent,RtheRpatientRwasRstartedRonRantibioticsRwithRsubsequentRincre
asingRmanifestationsRinsteadRofRimprovement.RWhichRofRtheRfollowingRwouldRbeRconsideredRtoRbe
RdefinitiveRtreatmentRforRtheRsuspectedRdiagnosis?R-
RCORRECTRANSWERTheRdefinitiveRtreatmentRwouldRbeRaRbronchoscopyRinRorderRtoRretrieveRtheRs
uspectedRforeignRbodyRinsteadRofRdiagnosticRtestsRtoRlocateRtheRforeignRbodyRitself.
ARchildRinRcardiopulmonaryRarrestRisRreceivingRchestRcompressionsRandRmanualRventilationsRwithR
aRbag-
,maskRdevice.ROnceRreturnRofRspontaneousRcirculationRhasRbeenRconfirmed,RwhichRofRtheRfollowin
gRwouldRbeRtheRpriorityRintervention?R-RCORRECTRANSWEREstablishingRaRsecureRairway
ParentsRreportRtheirR3-year-oldRchildRhasRdevelopedRnoisyRbreathing.ROnRassessment,Rhigh-
pitchedRwheezesRareRaudibleRandRauscultatedRonRinspirationRandRexpiration.RWhatRmedicationRw
ouldRbeRappropriateRtoRadministerRfirst?R-
RCORRECTRANSWERinitialRmedicationRinterventionRincludesRanRinhaledRshort-actingRbetaRagonist.
AR6-week-
oldRisRbroughtRtoRtheRemergencyRdepartmentRbyRtheRcaregiversRforRpoorRfeeding,Rlistlessness,Rand
Rfever.RAssessmentRrevealsRaRcryingRinfant,RHRR160Rbeats/minute,RRRR52Rbreaths/minute,RrectalRte
mperatureRofR96.0RFR(35.5RC),RandRaRbulgingRanteriorRfontanel.RCapillaryRrefillRisR4Rseconds.RBasedR
onRtheseRfindingsRwhatRisRtheRmostRlikelyRdiagnosticRtestRtheRnurseRshouldRanticipate?R-
RCORRECTRANSWERLumbarRpuncture
AR12-year-
oldRisRbeingRpreppedRforRsurgicalRinterventionRofRacuteRappendicitis.RWhichRofRtheRfollowingRintra
venousRmedicationRordersRshouldRtheRnurseRquestion?R-RCORRECTRANSWERKetorolac
RemediationRfeedback:
KetorolacRisRanRappropriateRmedicationRforRmoderateRtoRsevereRpain,Rhowever,RitRshouldRnotRbeRu
sedRpre-operativelyRdueRtoRitsRpotentialRtoRincreaseRtheRbleedingRrisk.
AR17-year-
oldRfemaleRarrivesRinRtheREDRwithRherRboyfriendRwhoRstatesRsheRisRpregnantRandRhavingRvaginalRbl
eeding.RTheRpatientRisRunsureRofRtheRgestationalRageRandRhasRnotRhadRanyRprenatalRtreatment.RTh
eRpatientRisRquietRandRletsRherRboyfriendRanswerRmostRofRtheRquestions.RWhichRofRtheRfollowingRisR
theRmostRappropriateRactionRforRtheRnurseRtoRtakeRatRthisRpoint?R-
RCORRECTRANSWERHaveRtheRboyfriendRleaveRtheRroomRduringRtheRpelvicRexam.
AR2-year-
oldRarrivesRatRtheREDRinRhypovolemicRshockRandRneedsRfluidsRimmediately.RAfterRseveralRattempts,
, RyourRteamRhasRbeenRunsuccessfulRatRestablishingRvascularRaccess.ROfRtheRfollowing,RwhichRisRtheR
nextRbestRoptionRforRestablishingRaccessRquickly?R-
RCORRECTRANSWERIntraosseousRinRtheRpatient'sRmedialRtibia.
ARchildRwithRanRelectricalRinjuryRisRseenR1RhourRpostRevent.RWhichRofRtheRfollowingRtypesRofRspeci
menRsamplesRwouldRprovideRvisualRinformationRregardingRaRpotentialRcomplicationRofRthisRinjury?
R-RCORRECTRANSWERMyoglobinRisRexcretedRinRtheRurineRandRisRevidencedRbyRdark,Rred-
tingedRurine.
ParentsRwithRanRinfantRrequiringRmultipleRlaboratoryRtests,RradiographicRstudies,RandRinvasiveRpro
ceduresRappearRtoRbeRdistressedRandRwithdrawn.RWhichRofRtheRfollowingRinterventionsRwouldRbes
tRensureRaRsenseRofRcomfortRandRcontrolRforRtheseRparents?R-
RCORRECTRANSWERProvidingRfrequentRupdatesRandRre-
educatingRthemRonRtheRcareRthatRisRbeingRprovided
WhenRtakingRvitalRsignsRonRaRstableRinfant,RwhichRofRtheRfollowingRshouldRbeRdoneRfirst?R-
RCORRECTRANSWERRespiratoryRrate
ARlacerationRonRaRtoddler'sRarmRisRpreparedRforRsuturing.RWhichRofRtheRfollowingRpreparationsRforR
topicalRanesthesiaRwouldRbeRtheRbestRchoiceRforRthisRprocedure?R-
RCORRECTRANSWERLETR(lidocaine/epinephrine/tetracaine)
WhichRofRtheRfollowingRisRappropriateRadministrationRofRN-
acetylcysteineR(NAC)RforRanRacetaminophenRoverdose?R-
RCORRECTRANSWERARbolusRinfusionRofR150Rmg/kgRNACRshouldRbeRadministered.
AR2-year-oldRisRseenRwithRaR3-dayRhistoryRofRirritability,Rvomiting,RandRtheRpresenceRofRfoul-
smellingRurine.RTheRchildRisRhypotensiveRandRtachycardic.RWhichRofRtheRfollowingRmethodsRforRobt
ainingRaRurineRsampleRisRmostRappropriateRinRthisRcircumstance?R-
RCORRECTRANSWERUrinaryRcatherization
QUESTIONS AND WELL ELABORATED
ANSWERS TOP RATED VERSION FOR
ALREADY A+ GRADED HIGHLY
RECOMMENDED |NEW AND REVISED
AR4-year-
oldRpresentsRwithRvomiting,Rlethargy,RfrequentRurination,RweightRloss,RandRdryRmucousRmembran
es.RVitalRsignsRrevealRdeepRrespirationsRatR44RbreathsRperRminute,RBPRofR70/44RmmRHg,RandRHRRofR
144RbeatsRperRminute.RWhichRofRtheRfollowingRlaboratoryRvaluesRwouldRbeRmostRexpectedRinRthisR
child?R-RCORRECTRANSWERHypoglycemiaR(wrong)
RemediationRfeedback:
ChildrenRcanRpresentRwithRnewRonsetRdiabetesRinRdiabeticRketoacidosis.RManifestationsRincludeRsi
gnsRofRdehydrationR(RdryRmucousRmembranes,Rhypotension,Rtachycardia),RincontinenceR(polyuria)
,Rvomiting,RabdominalRpain,RKussmaulRrespirationsR(toRcounterRtheRacidosis),Rpolydipsia,Ranorexia
,RandRweightRloss.RExpectedRlaboratoryRvaluesRwouldRrevealRanRacidoticRstateRwithRaRpHRlevelRbelo
wR7.3,RanRelevatedRserumRbIcarbonateRlevel,RandRanRelevatedRbloodRglucoseRlevelR>R200Rmg.dL.
AnR18-month-
oldRisRseenRforRfever,RslightRcircumoralRcyanosis,RandRwheezingRnotedRonRauscultationRinRtheRrightR
upperRlobeRofRtheRlungRfieldRafterRaRchokingReventR4RdaysRago.RTheRwhiteRbloodRcellRcountRisReleva
tedRandRtheRpatientRnotedRtoRbeRtachypneic,Rtachycardic,Ragitated,RandRhasRanRincreasedRrespirat
oryReffort.RAtRtheRtimeRofRtheRevent,RtheRpatientRwasRstartedRonRantibioticsRwithRsubsequentRincre
asingRmanifestationsRinsteadRofRimprovement.RWhichRofRtheRfollowingRwouldRbeRconsideredRtoRbe
RdefinitiveRtreatmentRforRtheRsuspectedRdiagnosis?R-
RCORRECTRANSWERTheRdefinitiveRtreatmentRwouldRbeRaRbronchoscopyRinRorderRtoRretrieveRtheRs
uspectedRforeignRbodyRinsteadRofRdiagnosticRtestsRtoRlocateRtheRforeignRbodyRitself.
ARchildRinRcardiopulmonaryRarrestRisRreceivingRchestRcompressionsRandRmanualRventilationsRwithR
aRbag-
,maskRdevice.ROnceRreturnRofRspontaneousRcirculationRhasRbeenRconfirmed,RwhichRofRtheRfollowin
gRwouldRbeRtheRpriorityRintervention?R-RCORRECTRANSWEREstablishingRaRsecureRairway
ParentsRreportRtheirR3-year-oldRchildRhasRdevelopedRnoisyRbreathing.ROnRassessment,Rhigh-
pitchedRwheezesRareRaudibleRandRauscultatedRonRinspirationRandRexpiration.RWhatRmedicationRw
ouldRbeRappropriateRtoRadministerRfirst?R-
RCORRECTRANSWERinitialRmedicationRinterventionRincludesRanRinhaledRshort-actingRbetaRagonist.
AR6-week-
oldRisRbroughtRtoRtheRemergencyRdepartmentRbyRtheRcaregiversRforRpoorRfeeding,Rlistlessness,Rand
Rfever.RAssessmentRrevealsRaRcryingRinfant,RHRR160Rbeats/minute,RRRR52Rbreaths/minute,RrectalRte
mperatureRofR96.0RFR(35.5RC),RandRaRbulgingRanteriorRfontanel.RCapillaryRrefillRisR4Rseconds.RBasedR
onRtheseRfindingsRwhatRisRtheRmostRlikelyRdiagnosticRtestRtheRnurseRshouldRanticipate?R-
RCORRECTRANSWERLumbarRpuncture
AR12-year-
oldRisRbeingRpreppedRforRsurgicalRinterventionRofRacuteRappendicitis.RWhichRofRtheRfollowingRintra
venousRmedicationRordersRshouldRtheRnurseRquestion?R-RCORRECTRANSWERKetorolac
RemediationRfeedback:
KetorolacRisRanRappropriateRmedicationRforRmoderateRtoRsevereRpain,Rhowever,RitRshouldRnotRbeRu
sedRpre-operativelyRdueRtoRitsRpotentialRtoRincreaseRtheRbleedingRrisk.
AR17-year-
oldRfemaleRarrivesRinRtheREDRwithRherRboyfriendRwhoRstatesRsheRisRpregnantRandRhavingRvaginalRbl
eeding.RTheRpatientRisRunsureRofRtheRgestationalRageRandRhasRnotRhadRanyRprenatalRtreatment.RTh
eRpatientRisRquietRandRletsRherRboyfriendRanswerRmostRofRtheRquestions.RWhichRofRtheRfollowingRisR
theRmostRappropriateRactionRforRtheRnurseRtoRtakeRatRthisRpoint?R-
RCORRECTRANSWERHaveRtheRboyfriendRleaveRtheRroomRduringRtheRpelvicRexam.
AR2-year-
oldRarrivesRatRtheREDRinRhypovolemicRshockRandRneedsRfluidsRimmediately.RAfterRseveralRattempts,
, RyourRteamRhasRbeenRunsuccessfulRatRestablishingRvascularRaccess.ROfRtheRfollowing,RwhichRisRtheR
nextRbestRoptionRforRestablishingRaccessRquickly?R-
RCORRECTRANSWERIntraosseousRinRtheRpatient'sRmedialRtibia.
ARchildRwithRanRelectricalRinjuryRisRseenR1RhourRpostRevent.RWhichRofRtheRfollowingRtypesRofRspeci
menRsamplesRwouldRprovideRvisualRinformationRregardingRaRpotentialRcomplicationRofRthisRinjury?
R-RCORRECTRANSWERMyoglobinRisRexcretedRinRtheRurineRandRisRevidencedRbyRdark,Rred-
tingedRurine.
ParentsRwithRanRinfantRrequiringRmultipleRlaboratoryRtests,RradiographicRstudies,RandRinvasiveRpro
ceduresRappearRtoRbeRdistressedRandRwithdrawn.RWhichRofRtheRfollowingRinterventionsRwouldRbes
tRensureRaRsenseRofRcomfortRandRcontrolRforRtheseRparents?R-
RCORRECTRANSWERProvidingRfrequentRupdatesRandRre-
educatingRthemRonRtheRcareRthatRisRbeingRprovided
WhenRtakingRvitalRsignsRonRaRstableRinfant,RwhichRofRtheRfollowingRshouldRbeRdoneRfirst?R-
RCORRECTRANSWERRespiratoryRrate
ARlacerationRonRaRtoddler'sRarmRisRpreparedRforRsuturing.RWhichRofRtheRfollowingRpreparationsRforR
topicalRanesthesiaRwouldRbeRtheRbestRchoiceRforRthisRprocedure?R-
RCORRECTRANSWERLETR(lidocaine/epinephrine/tetracaine)
WhichRofRtheRfollowingRisRappropriateRadministrationRofRN-
acetylcysteineR(NAC)RforRanRacetaminophenRoverdose?R-
RCORRECTRANSWERARbolusRinfusionRofR150Rmg/kgRNACRshouldRbeRadministered.
AR2-year-oldRisRseenRwithRaR3-dayRhistoryRofRirritability,Rvomiting,RandRtheRpresenceRofRfoul-
smellingRurine.RTheRchildRisRhypotensiveRandRtachycardic.RWhichRofRtheRfollowingRmethodsRforRobt
ainingRaRurineRsampleRisRmostRappropriateRinRthisRcircumstance?R-
RCORRECTRANSWERUrinaryRcatherization