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ENPC EXAM 6TH ED//ENPC EXAM
LATEST 2024-2025 ACTUAL EXAM
QUESTIONS WITH CORRECT DETAILED
ANSWERS (ALREADY GRADED A+
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 - ANSWER A. Administer
intramuscular epinephrine
A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders
should the nurse question?
A. Morphine
B. Acetaminophen
C. Hydromorphone
D. Ketorolac - ANSWER D. Ketorolac
An 18-month-old is seen for fever, slight circumoral cyanosis, and
wheezing noted on auscultation in the right upper lobe of the lung
field after a choking event 4 days ago. The white blood cell count is
elevated and the patient noted to be tachypneic, tachycardic,
agitated, and has an increased respiratory effort. At the time of the
event, the patient was started on antibiotics with subsequent
increasing manifestations instead of improvement. Which of the
, 2
following would be considered to be definitive treatment for the
suspected diagnosis?
A. Computed tomography
B. Magnetic resonance imaging
C. Bronchoscopy
D. Ultrasound - ANSWER C. Bronchoscopy
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?
A. Humidified oxygen
B. Inhaled beta-agonist
C. Oral steroids
D. Nebulized magnesium sulfate - ANSWER B. Inhaled beta-agonist
A 3-year-old child who was found in a pool unresponsive has return
of spontaneous circulation (ROSC) after prolonged resuscitation.
Intubation was performed in the field. Upon arrival to the ED, which
intervention is of highest priority?
A. Administer sedation as ordered.
B. Utilize a length-based resuscitation tape to determine the
approximate weight.
C. Auscultate breath sounds over the epigastrium and lung fields.
D. Obtain a bedside blood glucose reading. - ANSWER C. Auscultate
breath sounds over the epigastrium and lung fields.
A 3-year-old is assessed for the presence of increasing amounts of
serosanguineous drainage from his left nares over the past 6 hours.
Which of the following foreign bodies is the most likely etiology?
A. Magnet
B. Button battery
C. Dried bean
D. Fishing weight - ANSWER B. Button battery
ENPC EXAM 6TH ED//ENPC EXAM
LATEST 2024-2025 ACTUAL EXAM
QUESTIONS WITH CORRECT DETAILED
ANSWERS (ALREADY GRADED A+
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 - ANSWER A. Administer
intramuscular epinephrine
A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders
should the nurse question?
A. Morphine
B. Acetaminophen
C. Hydromorphone
D. Ketorolac - ANSWER D. Ketorolac
An 18-month-old is seen for fever, slight circumoral cyanosis, and
wheezing noted on auscultation in the right upper lobe of the lung
field after a choking event 4 days ago. The white blood cell count is
elevated and the patient noted to be tachypneic, tachycardic,
agitated, and has an increased respiratory effort. At the time of the
event, the patient was started on antibiotics with subsequent
increasing manifestations instead of improvement. Which of the
, 2
following would be considered to be definitive treatment for the
suspected diagnosis?
A. Computed tomography
B. Magnetic resonance imaging
C. Bronchoscopy
D. Ultrasound - ANSWER C. Bronchoscopy
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?
A. Humidified oxygen
B. Inhaled beta-agonist
C. Oral steroids
D. Nebulized magnesium sulfate - ANSWER B. Inhaled beta-agonist
A 3-year-old child who was found in a pool unresponsive has return
of spontaneous circulation (ROSC) after prolonged resuscitation.
Intubation was performed in the field. Upon arrival to the ED, which
intervention is of highest priority?
A. Administer sedation as ordered.
B. Utilize a length-based resuscitation tape to determine the
approximate weight.
C. Auscultate breath sounds over the epigastrium and lung fields.
D. Obtain a bedside blood glucose reading. - ANSWER C. Auscultate
breath sounds over the epigastrium and lung fields.
A 3-year-old is assessed for the presence of increasing amounts of
serosanguineous drainage from his left nares over the past 6 hours.
Which of the following foreign bodies is the most likely etiology?
A. Magnet
B. Button battery
C. Dried bean
D. Fishing weight - ANSWER B. Button battery
