ENPC COMPREHENSIVE EXAM QUESTIONS
AND CORRECT ANSWERS STUDY GUIDE
●● Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored.
Answer: Administration of nebulized epinephrine Moderate to severe
croup is treated with dexamethasone and nebulized epinephrine.
●● The neurosurgeon has decided to perform an invasive procedure in
the emergency department to monitor the intracranial pressure on a 5-
year-old patient. The family does not speak English and has identified
their religion as Muslim. Which of the following interventions is most
supportive of the family?
Answer: Allow the extended to family members to serve as interpreters
during the procedure.
●● Which of the following patient presentations should increase
suspicion of potential child maltreatment?
Answer: Bruising to the left ear of a newborn from sleeping on his side
Any bruise in a non-exploratory location in children younger than 4
years and any bruising in a child younger than 4 months (TEN-4) are
cause for suspicion of abuse
, ●● Bruising to the left ear of a newborn from sleeping on his side Any
bruise in a non-exploratory location in children younger than 4 years and
any bruising in a child younger than 4 months (TEN-4) are cause for
suspicion of abuse
Answer: Commotio cordis Commotio cordis occurs when the chest is
struck during the refractory period of the cardiac conduction cycle,
resulting in a ventricular dysrhythmia or asystole. This type of injury
usually occurs in recreational sports such as baseball or ice hockey
●● A 12-year-old who was recently started on anti-psychotic medication
for schizophrenia is brought to the emergency department with severe
muscle rigidity and hyperthermia. These symptoms are most likely
caused by which of the following?
Answer: Neuroleptic malignant syndrome These are classic symptoms
of neuroleptic malignant syndrome, which is a rare reaction to
antipsychotic medications.
●● Which of the following patients should be evaluated first
Answer: An 18-month-old with bilious emesis Bilious emesis in an 18-
month-old is always considered an emergent symptom indicative of a
life-threatening bowel obstruction.
●● 1. Which of the following tasks can the nurse do to decrease adverse
medication events?
Answer: Obtain the patient's weight in kilograms This is the preferred
measurement for medication calculations for pediatric and adult patients
AND CORRECT ANSWERS STUDY GUIDE
●● Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored.
Answer: Administration of nebulized epinephrine Moderate to severe
croup is treated with dexamethasone and nebulized epinephrine.
●● The neurosurgeon has decided to perform an invasive procedure in
the emergency department to monitor the intracranial pressure on a 5-
year-old patient. The family does not speak English and has identified
their religion as Muslim. Which of the following interventions is most
supportive of the family?
Answer: Allow the extended to family members to serve as interpreters
during the procedure.
●● Which of the following patient presentations should increase
suspicion of potential child maltreatment?
Answer: Bruising to the left ear of a newborn from sleeping on his side
Any bruise in a non-exploratory location in children younger than 4
years and any bruising in a child younger than 4 months (TEN-4) are
cause for suspicion of abuse
, ●● Bruising to the left ear of a newborn from sleeping on his side Any
bruise in a non-exploratory location in children younger than 4 years and
any bruising in a child younger than 4 months (TEN-4) are cause for
suspicion of abuse
Answer: Commotio cordis Commotio cordis occurs when the chest is
struck during the refractory period of the cardiac conduction cycle,
resulting in a ventricular dysrhythmia or asystole. This type of injury
usually occurs in recreational sports such as baseball or ice hockey
●● A 12-year-old who was recently started on anti-psychotic medication
for schizophrenia is brought to the emergency department with severe
muscle rigidity and hyperthermia. These symptoms are most likely
caused by which of the following?
Answer: Neuroleptic malignant syndrome These are classic symptoms
of neuroleptic malignant syndrome, which is a rare reaction to
antipsychotic medications.
●● Which of the following patients should be evaluated first
Answer: An 18-month-old with bilious emesis Bilious emesis in an 18-
month-old is always considered an emergent symptom indicative of a
life-threatening bowel obstruction.
●● 1. Which of the following tasks can the nurse do to decrease adverse
medication events?
Answer: Obtain the patient's weight in kilograms This is the preferred
measurement for medication calculations for pediatric and adult patients
