ENPC Exam Prep / Exam Questions with
correct 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
correct 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
