ENPC Exam 6th ed Questions And
Answers
A 5-year-old child presents with hives, swelling of the lips and face, and
stridor that developed about an hour after eating lunch. The child has
no known allergies. Which of the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - correct answer A. Administer
intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia. During
reassessment, which of the following findings would be most indicative
that respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - correct answer A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-grade fever, and a
"barky" cough at night. The child is awake and alert with noted stridor.
Pulse oximetry is 96% on room air. Which of the following interventions
would be the most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
,ENPC Exam 6th ed Questions And
Answers
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer - correct answer B.
Administration of nebulized epinephrine
A 14-year-old patient had a reduction of a temporomandibular joint
dislocation in the ED. Which of the following should be included in the
discharge instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control - correct
answer D. Use a nonsteroidal anti-inflammatory for pain control
Which of the following parameters would indicate that appropriate post
resuscitation interventions were successfully carried out in the pediatric
patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - correct answer A. Pulse
oximetry reading of 96%
, ENPC Exam 6th ed Questions And
Answers
An anxious 12-year-old child presents to the emergency department
with a sudden onset of nausea, diarrhea, abdominal cramping, flushing,
and hypotension. Symptoms started about 60 minutes after lunch.
Which of the following conditions is the most likely cause of these
symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche - correct answer A. Anaphylaxis
An 8-year-old trauma patient suddenly develops increased respiratory
distress with a rise in heart rate from 112 beats/minute to 142
beats/minute associated with an abrupt hypotensive event. Distention
of the jugular veins is noted. Which of the following emergent
interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression - correct answer D. Needle decompression
A 4-week-old infant born prematurely is brought to the emergency
department due to the rapid onset of abdominal distention, vomiting,
bloody stools, and exhibiting signs of shock. Based on these findings,
what condition should the nurse suspect?
Answers
A 5-year-old child presents with hives, swelling of the lips and face, and
stridor that developed about an hour after eating lunch. The child has
no known allergies. Which of the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - correct answer A. Administer
intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia. During
reassessment, which of the following findings would be most indicative
that respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - correct answer A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-grade fever, and a
"barky" cough at night. The child is awake and alert with noted stridor.
Pulse oximetry is 96% on room air. Which of the following interventions
would be the most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
,ENPC Exam 6th ed Questions And
Answers
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer - correct answer B.
Administration of nebulized epinephrine
A 14-year-old patient had a reduction of a temporomandibular joint
dislocation in the ED. Which of the following should be included in the
discharge instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control - correct
answer D. Use a nonsteroidal anti-inflammatory for pain control
Which of the following parameters would indicate that appropriate post
resuscitation interventions were successfully carried out in the pediatric
patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - correct answer A. Pulse
oximetry reading of 96%
, ENPC Exam 6th ed Questions And
Answers
An anxious 12-year-old child presents to the emergency department
with a sudden onset of nausea, diarrhea, abdominal cramping, flushing,
and hypotension. Symptoms started about 60 minutes after lunch.
Which of the following conditions is the most likely cause of these
symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche - correct answer A. Anaphylaxis
An 8-year-old trauma patient suddenly develops increased respiratory
distress with a rise in heart rate from 112 beats/minute to 142
beats/minute associated with an abrupt hypotensive event. Distention
of the jugular veins is noted. Which of the following emergent
interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression - correct answer D. Needle decompression
A 4-week-old infant born prematurely is brought to the emergency
department due to the rapid onset of abdominal distention, vomiting,
bloody stools, and exhibiting signs of shock. Based on these findings,
what condition should the nurse suspect?
