ENPC EXAM LATEST ACTUAL EXAM 150+
QUESTIONS AND VERIFIED DETAILED ANSWERS
(ALREADY GRADED A+) BY EXPERT
Parents with an infant requiring multiple laboratory tests, radiographic
studies, and invasive procedures appear to be distressed and withdrawn.
Which of the following interventions would best ensure a sense of comfort
and control for these parents? - ANSWER-Providing frequent updates and
re-educating them on the care that is being provided
A child in cardiopulmonary arrest is receiving chest compressions and
manual ventilations with a bag-mask device. Once return of spontaneous
circulation has been confirmed, which of the following would be the
priority intervention? - ANSWER-Establishing a secure airway
A child in cardiopulmonary arrest is receiving chest compressions and
manual ventilations with a bag-mask device. Once return of spontaneous
circulation has been confirmed, which of the following would be the
priority intervention? - ANSWER-Establishing a secure airway
Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on
inspiration and expiration. What medication would be appropriate to
administer first? - ANSWER-Humidified oxygen (wrong)
,Remediation feedback:
Wheezing is most often identified with asthma in the pediatric population.
Initial medication intervention includes an inhaled short-acting beta
agonist.
A 6-week-old is brought to the emergency department by the caregivers
for poor feeding, listlessness, and fever. Assessment reveals a crying
infant, HR 160 beats/minute, RR 52 breaths/minute, rectal temperature
of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary refill is 4
seconds. Based on these findings what is the most likely diagnostic test
the nurse should anticipate? - ANSWER-Lumbar puncture
A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders should
the nurse question? - ANSWER-Hydromorphone (wrong)
Remediation feedback:
Ketorolac is an appropriate medication for moderate to severe pain,
however, it should not be used pre-operatively due to its potential to
increase the bleeding risk.
A 17-year-old female arrives in the ED with her boyfriend who states she
is pregnant and having vaginal bleeding. The patient is unsure of the
gestational age and has not had any prenatal treatment. The patient is
quiet and lets her boyfriend answer most of the questions. Which of the
following is the most appropriate action for the nurse to take at this
,point? - ANSWER-Have the boyfriend leave the room during the pelvic
exam.
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids
immediately. After several attempts, your team has been unsuccessful at
establishing vascular access. Of the following, which is the next best
option for establishing access quickly? - ANSWER-Intraosseous in the
patient's medial tibia.
A child with an electrical injury is seen 1 hour post event. Which of the
following types of specimen samples would provide visual information
regarding a potential complication of this injury? - ANSWER-Sputum
(wrong)
Remediation feedback:
Electrical injuries, though they may appear to be small, can produce large
amounts of damage internally, including muscle damage. Myoglobin is
excreted in the urine and is evidenced by dark, red-tinged urine.
A 3-week old is brought to the emergency department with a history of
fussiness, spitting up, crying, and watery stools. Assessment reveals an
alert child with moist mucous membranes. Which of the following should
be the priority? - ANSWER-Identify the type of formula the caregiver uses
, Which of the following is considered a "red flag" when triaging a pediatric
patient? - ANSWER-A 5-year-old with a temperature of 40.1°C (104.2°F)
(wrong)
Remediation feedback:
Any temperature greater than 38°C (100.4°F) in a neonate is a significant
red flag and should be treated as neonatal sepsis.
A neonate presents to the emergency department with irritability, weak
cry, and hypotonia. Which of the following is a priority intervention? -
ANSWER-Serum blood glucose
A 10-year-old playing baseball is hit in the chest with a ball. He
immediately demonstrates loss of consciousness with no pulses. Which of
the following is the priority intervention? - ANSWER-Utilize
AED/defibrillator
A 12-year-old female patient arrives awake and alert with an acute onset
of abdominal pain on the right side, nausea, vomiting, and vaginal spotting.
On palpation, the pain is localized to the right side and there is tenderness
to the breasts. Which of the following laboratory tests is the priority for
this patient? - ANSWER-Human chorionic gonadotropin
Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on
QUESTIONS AND VERIFIED DETAILED ANSWERS
(ALREADY GRADED A+) BY EXPERT
Parents with an infant requiring multiple laboratory tests, radiographic
studies, and invasive procedures appear to be distressed and withdrawn.
Which of the following interventions would best ensure a sense of comfort
and control for these parents? - ANSWER-Providing frequent updates and
re-educating them on the care that is being provided
A child in cardiopulmonary arrest is receiving chest compressions and
manual ventilations with a bag-mask device. Once return of spontaneous
circulation has been confirmed, which of the following would be the
priority intervention? - ANSWER-Establishing a secure airway
A child in cardiopulmonary arrest is receiving chest compressions and
manual ventilations with a bag-mask device. Once return of spontaneous
circulation has been confirmed, which of the following would be the
priority intervention? - ANSWER-Establishing a secure airway
Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on
inspiration and expiration. What medication would be appropriate to
administer first? - ANSWER-Humidified oxygen (wrong)
,Remediation feedback:
Wheezing is most often identified with asthma in the pediatric population.
Initial medication intervention includes an inhaled short-acting beta
agonist.
A 6-week-old is brought to the emergency department by the caregivers
for poor feeding, listlessness, and fever. Assessment reveals a crying
infant, HR 160 beats/minute, RR 52 breaths/minute, rectal temperature
of 96.0 F (35.5 C), and a bulging anterior fontanel. Capillary refill is 4
seconds. Based on these findings what is the most likely diagnostic test
the nurse should anticipate? - ANSWER-Lumbar puncture
A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders should
the nurse question? - ANSWER-Hydromorphone (wrong)
Remediation feedback:
Ketorolac is an appropriate medication for moderate to severe pain,
however, it should not be used pre-operatively due to its potential to
increase the bleeding risk.
A 17-year-old female arrives in the ED with her boyfriend who states she
is pregnant and having vaginal bleeding. The patient is unsure of the
gestational age and has not had any prenatal treatment. The patient is
quiet and lets her boyfriend answer most of the questions. Which of the
following is the most appropriate action for the nurse to take at this
,point? - ANSWER-Have the boyfriend leave the room during the pelvic
exam.
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids
immediately. After several attempts, your team has been unsuccessful at
establishing vascular access. Of the following, which is the next best
option for establishing access quickly? - ANSWER-Intraosseous in the
patient's medial tibia.
A child with an electrical injury is seen 1 hour post event. Which of the
following types of specimen samples would provide visual information
regarding a potential complication of this injury? - ANSWER-Sputum
(wrong)
Remediation feedback:
Electrical injuries, though they may appear to be small, can produce large
amounts of damage internally, including muscle damage. Myoglobin is
excreted in the urine and is evidenced by dark, red-tinged urine.
A 3-week old is brought to the emergency department with a history of
fussiness, spitting up, crying, and watery stools. Assessment reveals an
alert child with moist mucous membranes. Which of the following should
be the priority? - ANSWER-Identify the type of formula the caregiver uses
, Which of the following is considered a "red flag" when triaging a pediatric
patient? - ANSWER-A 5-year-old with a temperature of 40.1°C (104.2°F)
(wrong)
Remediation feedback:
Any temperature greater than 38°C (100.4°F) in a neonate is a significant
red flag and should be treated as neonatal sepsis.
A neonate presents to the emergency department with irritability, weak
cry, and hypotonia. Which of the following is a priority intervention? -
ANSWER-Serum blood glucose
A 10-year-old playing baseball is hit in the chest with a ball. He
immediately demonstrates loss of consciousness with no pulses. Which of
the following is the priority intervention? - ANSWER-Utilize
AED/defibrillator
A 12-year-old female patient arrives awake and alert with an acute onset
of abdominal pain on the right side, nausea, vomiting, and vaginal spotting.
On palpation, the pain is localized to the right side and there is tenderness
to the breasts. Which of the following laboratory tests is the priority for
this patient? - ANSWER-Human chorionic gonadotropin
Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on
