ENPC Exam Prep / Exam Questions And Answers
Which of the following would be an abnormal finding in a patient with glomerulonephritis?
Correct Answer - Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would
be concentrated and dark brown/tea-colored. Correct 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? Correct 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? Correct 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 Correct 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? Correct 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 Correct 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?
Correct Answer - Obtain the patient's weight in kilograms This is the preferred
measurement for medication calculations for pediatric and adult patients
, Acute chest syndrome, stroke, and splenic sequestration are complications of which of the
following diseases? Correct Answer - Sickle cell anemia These are all complications of
sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential
sex trafficking victim. The trauma informed approach to care emphasizes certain principles in
caring for these types of patients. Which of the following care principles has the highest priority?
Correct Answer - Physical and psychological safety Create an environment where patients
feel safe, both physically and psychologically. Increase awareness of the patient's interpersonal
interactions with others to screen for risk of harm. Prioritize the patient being in a safe location
A 6-month-old is brought to the emergency department for a recurrent respiratory infection.
When gathering a history from the caregiver, the emergency nurse learns that, in addition to the
respiratory symptoms, the infant has had fatty stools. The emergency nurse should be concerned
about which of the following disease processes? Correct Answer - Cystic Fibrosis
Pancreatic insufficiency leads to fat malabsorption, which results in the fatty stools seen with
cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a suspected globe
rupture. Which of the following medication orders would the nurse question? Correct Answer
- Succinylcholine Succinylcholine may increase intraocular pressure and should be avoided.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a seizure at home.
The patient has no seizure history. Upon examination, the patient is post-ictal with a heart rate of
142 beats per minute, respiratory rate of 36 breaths per minute, and blood pressure of 86/72 mm
Hg. Significant burns are noted to the patient's back and lower extremities. The mother states the
burns accidentally occurred 3 days ago, but she was afraid to bring patient in due to an ongoing
child welfare investigation. Which of the following are the MOST appropriate immediate
interventions? Correct Answer - Draw and send a metabolic panel, administer a fluid
bolus, and obtain a point of care glucose Significant burns can cause electrolyte imbalances.
Electrolyte imbalances may be the cause of the patient's seizure. Electrolyte imbalances need to
be identified and treated.
In which of the following primary survey components can assessment of the fontanel provide the
most useful information? Correct Answer - Circulation and disability A sunken fontanel
may indicate dehydration; a bulging fontanel can indicate increased intracranial pressure.
A 5-year-old patient presents to the emergency department with severe dehydration due to viral
gastroenteritis. He has signs of shock due to his hypovolemia. Which of the following
physiologic responses to shock has the greatest impact on improving cardiac output in the
pediatric patient? Correct Answer - Increasing heart rate In pediatric patients, tachycardia
is the primary compensatory mechanism to increase cardiac output.
A toddler has a chemical eye injury. Which of the following is the priority intervention?
Correct Answer - Increasing heart rate In pediatric patients, tachycardia is the primary
compensatory mechanism to increase cardiac output.
Which of the following would be an abnormal finding in a patient with glomerulonephritis?
Correct Answer - Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would
be concentrated and dark brown/tea-colored. Correct 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? Correct 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? Correct 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 Correct 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? Correct 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 Correct 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?
Correct Answer - Obtain the patient's weight in kilograms This is the preferred
measurement for medication calculations for pediatric and adult patients
, Acute chest syndrome, stroke, and splenic sequestration are complications of which of the
following diseases? Correct Answer - Sickle cell anemia These are all complications of
sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential
sex trafficking victim. The trauma informed approach to care emphasizes certain principles in
caring for these types of patients. Which of the following care principles has the highest priority?
Correct Answer - Physical and psychological safety Create an environment where patients
feel safe, both physically and psychologically. Increase awareness of the patient's interpersonal
interactions with others to screen for risk of harm. Prioritize the patient being in a safe location
A 6-month-old is brought to the emergency department for a recurrent respiratory infection.
When gathering a history from the caregiver, the emergency nurse learns that, in addition to the
respiratory symptoms, the infant has had fatty stools. The emergency nurse should be concerned
about which of the following disease processes? Correct Answer - Cystic Fibrosis
Pancreatic insufficiency leads to fat malabsorption, which results in the fatty stools seen with
cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a suspected globe
rupture. Which of the following medication orders would the nurse question? Correct Answer
- Succinylcholine Succinylcholine may increase intraocular pressure and should be avoided.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a seizure at home.
The patient has no seizure history. Upon examination, the patient is post-ictal with a heart rate of
142 beats per minute, respiratory rate of 36 breaths per minute, and blood pressure of 86/72 mm
Hg. Significant burns are noted to the patient's back and lower extremities. The mother states the
burns accidentally occurred 3 days ago, but she was afraid to bring patient in due to an ongoing
child welfare investigation. Which of the following are the MOST appropriate immediate
interventions? Correct Answer - Draw and send a metabolic panel, administer a fluid
bolus, and obtain a point of care glucose Significant burns can cause electrolyte imbalances.
Electrolyte imbalances may be the cause of the patient's seizure. Electrolyte imbalances need to
be identified and treated.
In which of the following primary survey components can assessment of the fontanel provide the
most useful information? Correct Answer - Circulation and disability A sunken fontanel
may indicate dehydration; a bulging fontanel can indicate increased intracranial pressure.
A 5-year-old patient presents to the emergency department with severe dehydration due to viral
gastroenteritis. He has signs of shock due to his hypovolemia. Which of the following
physiologic responses to shock has the greatest impact on improving cardiac output in the
pediatric patient? Correct Answer - Increasing heart rate In pediatric patients, tachycardia
is the primary compensatory mechanism to increase cardiac output.
A toddler has a chemical eye injury. Which of the following is the priority intervention?
Correct Answer - Increasing heart rate In pediatric patients, tachycardia is the primary
compensatory mechanism to increase cardiac output.
