ENPC Exam Prep / Exam Questions and answers Updated 2025 RATED A+

ENPC Exam Prep / Exam Questions and
answers Updated 2025 RATED A+
Which of the following would be an abnormal finding in a patient with glomerulonephritis? -
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Correct Answers Clear urine There is a decrease in urine output for patient's with
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glomerulonephritis. Urine would be concentrated and dark brown/tea-colored.
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Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine
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would be concentrated and dark brown/tea-colored. - Correct Answers Administration of
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nebulized epinephrine Moderate to severe croup is treated with dexamethasone and
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nebulized epinephrine.
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The neurosurgeon has decided to perform an invasive procedure in the emergency
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department to monitor the intracranial pressure on a 5-year-old patient. The family does not
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speak English and has identified their religion as Muslim. Which of the following
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interventions is most supportive of the family? - Correct Answers Allow the extended to
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family members to serve as interpreters during the procedure.
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Which of the following patient presentations should increase suspicion of potential child
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maltreatment? - Correct Answers Bruising to the left ear of a newborn from sleeping on his
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side Any bruise in a non-exploratory location in children younger than 4 years and any
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bruising in a child younger than 4 months (TEN-4) are cause for suspicion of abuse
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Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
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exploratory location in children younger than 4 years and any bruising in a child younger I I I I I I I I I I I I I I



than 4 months (TEN-4) are cause for suspicion of abuse - Correct Answers Commotio
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cordis Commotio cordis occurs when the chest is struck during the refractory period of the
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cardiac conduction cycle, resulting in a ventricular dysrhythmia or asystole. This type of
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injury usually occurs in recreational sports such as baseball or ice hockey
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A 12-year-old who was recently started on anti-psychotic medication for schizophrenia is
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brought to the emergency department with severe muscle rigidity and hyperthermia. These
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symptoms are most likely caused by which of the following? - Correct Answers Neuroleptic
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malignant syndrome These are classic symptoms of neuroleptic malignant syndrome,
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which is a rare reaction to antipsychotic medications.
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Which of the following patients should be evaluated first - Correct Answers An 18-month-
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old with bilious emesis Bilious emesis in an 18-month-old is always considered an emergent
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symptom indicative of a life-threatening bowel obstruction.
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1. Which of the following tasks can the nurse do to decrease adverse medication events? -
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Correct Answers Obtain the patient's weight in kilograms This is the preferred
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measurement for medication calculations for pediatric and adult patients
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, Acute chest syndrome, stroke, and splenic sequestration are complications of which of the
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following diseases? - Correct Answers Sickle cell anemia These are all complications of
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sickle cell anemia.
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During the assessment of a 16-year-old male patient, the ED nurse identifies him as a
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potential sex trafficking victim. The trauma informed approach to care emphasizes certain
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principles in caring for these types of patients. Which of the following care principles has the
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highest priority? - Correct Answers Physical and psychological safety Create an
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environment where patients feel safe, both physically and psychologically. Increase
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awareness of the patient's interpersonal interactions with others to screen for risk of harm.
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Prioritize the patient being in a safe location
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A 6-month-old is brought to the emergency department for a recurrent respiratory infection.
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When gathering a history from the caregiver, the emergency nurse learns that, in addition to
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the respiratory symptoms, the infant has had fatty stools. The emergency nurse should be
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concerned about which of the following disease processes? - Correct Answers Cystic
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Fibrosis Pancreatic insufficiency leads to fat malabsorption, which results in the fatty stools
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seen with cystic fibrosis.
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The emergency nurse is caring for a patient with significant facial trauma and a suspected
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globe rupture. Which of the following medication orders would the nurse question? - Correct
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Answers Succinylcholine Succinylcholine may increase intraocular pressure and should
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be avoided.
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A 7-year-old arrives via ambulance. The patient's mother reports witnessing a seizure at
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home. The patient has no seizure history. Upon examination, the patient is post-ictal with a
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heart rate of 142 beats per minute, respiratory rate of 36 breaths per minute, and blood
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pressure of 86/72 mm Hg. Significant burns are noted to the patient's back and lower
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extremities. The mother states the burns accidentally occurred 3 days ago, but she was
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afraid to bring patient in due to an ongoing child welfare investigation. Which of the following
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are the MOST appropriate immediate interventions? - Correct Answers Draw and send a
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metabolic panel, administer a fluid bolus, and obtain a point of care glucose Significant
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burns can cause electrolyte imbalances. Electrolyte imbalances may be the cause of the
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patient's seizure. Electrolyte imbalances need to be identified and treated.
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In which of the following primary survey components can assessment of the fontanel
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provide the most useful information? - Correct Answers Circulation and disability A sunken
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fontanel may indicate dehydration; a bulging fontanel can indicate increased intracranial
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pressure.
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A 5-year-old patient presents to the emergency department with severe dehydration due to
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viral gastroenteritis. He has signs of shock due to his hypovolemia. Which of the following
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physiologic responses to shock has the greatest impact on improving cardiac output in the
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pediatric patient? - Correct Answers Increasing heart rate In pediatric patients,
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tachycardia is the primary compensatory mechanism to increase cardiac output.
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