ENPC Study Questions and Answers
An unresponsive 2-year-old child was found by his mother with a bottle labeled "Elavil 50 mg"
by his side. Which piece of information is important to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the
medication. C. The number of pills left
in the bottle.
D. The person for whom the medication was prescribe.
A nurse providing crisis intervention to the family of a seriously ill child can best keep the
family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them.
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash. The
chest x-ray reveals multiple rib fractures. These findings suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
Which piece of information is most important to know prior to transferring a patient to
another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
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.
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?"
, What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
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.
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.
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.
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.
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.
D. Bag-mask ventilation.
A 10-kg child has deep partial-thickness burns over 35% of the total body surface area. Which
evaluation parameter indicates that fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
An unresponsive 2-year-old child was found by his mother with a bottle labeled "Elavil 50 mg"
by his side. Which piece of information is important to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the
medication. C. The number of pills left
in the bottle.
D. The person for whom the medication was prescribe.
A nurse providing crisis intervention to the family of a seriously ill child can best keep the
family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them.
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash. The
chest x-ray reveals multiple rib fractures. These findings suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
Which piece of information is most important to know prior to transferring a patient to
another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
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.
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?"
, What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
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.
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.
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.
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.
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.
D. Bag-mask ventilation.
A 10-kg child has deep partial-thickness burns over 35% of the total body surface area. Which
evaluation parameter indicates that fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
