ENPC Test Questions
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. - ANSWER C. The number of
pills left in the bottle.
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. - ANSWER 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. - ANSWER B. Significant 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. - ANSWER C. Confirmation of acceptance from
the receiving hospital.
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. - ANSWER C. Hypovolemic 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?" - ANSWER A.
"Young people your age have questions about getting stitches. What are your
questions?"
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia - ANSWER 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. - ANSWER A. May
deny or minimize their pain when friends visit for fear of losing control.
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. - ANSWER C. Rapid sequence intubation.
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. - ANSWER B. Epinephrine and glucose.
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.
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. - ANSWER C. The number of
pills left in the bottle.
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. - ANSWER 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. - ANSWER B. Significant 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. - ANSWER C. Confirmation of acceptance from
the receiving hospital.
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. - ANSWER C. Hypovolemic 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?" - ANSWER A.
"Young people your age have questions about getting stitches. What are your
questions?"
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia - ANSWER 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. - ANSWER A. May
deny or minimize their pain when friends visit for fear of losing control.
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. - ANSWER C. Rapid sequence intubation.
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. - ANSWER B. Epinephrine and glucose.
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.
