ENPC Exam Prep / Exam Questions and
answers 5th Edition ENPC Exam Questions,
Open Book
Which of the following would be an abnormal finding in a patient with glomerulonephritis? -
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Correct Answers Clear urine There is a decrease in urine output for patient's with
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
glomerulonephritis. Urine would be concentrated and dark brown/tea-colored.
II! II! II! II! II! II! II! II!
II! Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! be concentrated and dark brown/tea-colored. - Correct Answers Administration of nebulized
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! epinephrine Moderate to severe croup is treated with dexamethasone and nebulized II! II! II! II! II! II! II! II! II! II!
II! epinephrine.
II! The neurosurgeon has decided to perform an invasive procedure in the emergency department
II! II! II! II! II! II! II! II! II! II! II! II!
II! to monitor the intracranial pressure on a 5-year-old patient. The family does not speak English
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! and has identified their religion as Muslim. Which of the following interventions is most
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! supportive of the family? - Correct Answers Allow the extended to family members to serve as II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! interpreters during the procedure. II! II! II!
II! Which of the following patient presentations should increase suspicion of potential child
II! II! II! II! II! II! II! II! II! II! II!
II! maltreatment? - Correct Answers Bruising to the left ear of a newborn from sleeping on his side II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Any bruise in a non-exploratory location in children younger than 4 years and any bruising in a
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! child younger than 4 months (TEN-4) are cause for suspicion of abuse
II! II! II! II! II! II! II! II! II! II! II!
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
location in children younger than 4 years and any bruising in a child younger than 4 months (TEN-
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
4) are cause for suspicion of abuse - Correct Answers Commotio cordis Commotio cordis occurs
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
when the chest is struck during the refractory period of the cardiac conduction cycle, resulting in
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a ventricular dysrhythmia or asystole. This type of injury usually occurs in recreational sports such
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
as baseball or ice hockey
II! II! II! II! II!
, II! A 12-year-old who was recently started on anti-psychotic medication for schizophrenia is brought
II! II! II! II! II! II! II! II! II! II! II! II!
II! to the emergency department with severe muscle rigidity and hyperthermia. These symptoms
II! II! II! II! II! II! II! II! II! II! II!
II! are most likely caused by which of the following? - Correct Answers Neuroleptic malignant
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! syndrome These are classic symptoms of neuroleptic malignant syndrome, which is a rare
II! II! II! II! II! II! II! II! II! II! II! II!
II! reaction to antipsychotic medications. II! II! II!
II! Which of the following patients should be evaluated first - Correct Answers An 18-month-old
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! with bilious emesis Bilious emesis in an 18-month-old is always considered an emergent
II! II! II! II! II! II! II! II! II! II! II! II!
II! symptom indicative of a life-threatening bowel obstruction. II! II! II! II! II! II!
II! 1. Which of the following tasks can the nurse do to decrease adverse medication events? -
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Correct Answers Obtain the patient's weight in kilograms This is the preferred measurement for
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! medication calculations for pediatric and adult patients II! II! II! II! II! II!
II! Acute chest syndrome, stroke, and splenic sequestration are complications of which of the
II! II! II! II! II! II! II! II! II! II! II! II!
II! following diseases? - Correct Answers Sickle cell anemia These are all complications of sickle
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! cell anemia. II!
II! During the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! sex trafficking victim. The trauma informed approach to care emphasizes certain principles in
II! II! II! II! II! II! II! II! II! II! II! II!
II! caring for these types of patients. Which of the following care principles has the highest priority?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! - Correct Answers Physical and psychological safety Create an environment where patients feel
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! safe, both physically and psychologically. Increase awareness of the patient's interpersonal
II! II! II! II! II! II! II! II! II! II!
II! interactions with others to screen for risk of harm. Prioritize the patient being in a safe locationII! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! A 6-month-old is brought to the emergency department for a recurrent respiratory infection.
II! II! II! II! II! II! II! II! II! II! II! II!
II! When gathering a history from the caregiver, the emergency nurse learns that, in addition to the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! respiratory symptoms, the infant has had fatty stools. The emergency nurse should be concerned
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! about which of the following disease processes? - Correct Answers Cystic Fibrosis Pancreatic
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! insufficiency leads to fat malabsorption, which results in the fatty stools seen with cystic fibrosis. II! II! II! II! II! II! II! II! II! II! II! II! II! II!
answers 5th Edition ENPC Exam Questions,
Open Book
Which of the following would be an abnormal finding in a patient with glomerulonephritis? -
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Correct Answers Clear urine There is a decrease in urine output for patient's with
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
glomerulonephritis. Urine would be concentrated and dark brown/tea-colored.
II! II! II! II! II! II! II! II!
II! Clear urine There is a decrease in urine output for patient's with glomerulonephritis. Urine would
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! be concentrated and dark brown/tea-colored. - Correct Answers Administration of nebulized
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! epinephrine Moderate to severe croup is treated with dexamethasone and nebulized II! II! II! II! II! II! II! II! II! II!
II! epinephrine.
II! The neurosurgeon has decided to perform an invasive procedure in the emergency department
II! II! II! II! II! II! II! II! II! II! II! II!
II! to monitor the intracranial pressure on a 5-year-old patient. The family does not speak English
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! and has identified their religion as Muslim. Which of the following interventions is most
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! supportive of the family? - Correct Answers Allow the extended to family members to serve as II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! interpreters during the procedure. II! II! II!
II! Which of the following patient presentations should increase suspicion of potential child
II! II! II! II! II! II! II! II! II! II! II!
II! maltreatment? - Correct Answers Bruising to the left ear of a newborn from sleeping on his side II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Any bruise in a non-exploratory location in children younger than 4 years and any bruising in a
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! child younger than 4 months (TEN-4) are cause for suspicion of abuse
II! II! II! II! II! II! II! II! II! II! II!
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-exploratory
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
location in children younger than 4 years and any bruising in a child younger than 4 months (TEN-
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
4) are cause for suspicion of abuse - Correct Answers Commotio cordis Commotio cordis occurs
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
when the chest is struck during the refractory period of the cardiac conduction cycle, resulting in
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
a ventricular dysrhythmia or asystole. This type of injury usually occurs in recreational sports such
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
as baseball or ice hockey
II! II! II! II! II!
, II! A 12-year-old who was recently started on anti-psychotic medication for schizophrenia is brought
II! II! II! II! II! II! II! II! II! II! II! II!
II! to the emergency department with severe muscle rigidity and hyperthermia. These symptoms
II! II! II! II! II! II! II! II! II! II! II!
II! are most likely caused by which of the following? - Correct Answers Neuroleptic malignant
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! syndrome These are classic symptoms of neuroleptic malignant syndrome, which is a rare
II! II! II! II! II! II! II! II! II! II! II! II!
II! reaction to antipsychotic medications. II! II! II!
II! Which of the following patients should be evaluated first - Correct Answers An 18-month-old
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! with bilious emesis Bilious emesis in an 18-month-old is always considered an emergent
II! II! II! II! II! II! II! II! II! II! II! II!
II! symptom indicative of a life-threatening bowel obstruction. II! II! II! II! II! II!
II! 1. Which of the following tasks can the nurse do to decrease adverse medication events? -
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Correct Answers Obtain the patient's weight in kilograms This is the preferred measurement for
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! medication calculations for pediatric and adult patients II! II! II! II! II! II!
II! Acute chest syndrome, stroke, and splenic sequestration are complications of which of the
II! II! II! II! II! II! II! II! II! II! II! II!
II! following diseases? - Correct Answers Sickle cell anemia These are all complications of sickle
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! cell anemia. II!
II! During the assessment of a 16-year-old male patient, the ED nurse identifies him as a potential
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! sex trafficking victim. The trauma informed approach to care emphasizes certain principles in
II! II! II! II! II! II! II! II! II! II! II! II!
II! caring for these types of patients. Which of the following care principles has the highest priority?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! - Correct Answers Physical and psychological safety Create an environment where patients feel
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! safe, both physically and psychologically. Increase awareness of the patient's interpersonal
II! II! II! II! II! II! II! II! II! II!
II! interactions with others to screen for risk of harm. Prioritize the patient being in a safe locationII! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! A 6-month-old is brought to the emergency department for a recurrent respiratory infection.
II! II! II! II! II! II! II! II! II! II! II! II!
II! When gathering a history from the caregiver, the emergency nurse learns that, in addition to the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! respiratory symptoms, the infant has had fatty stools. The emergency nurse should be concerned
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! about which of the following disease processes? - Correct Answers Cystic Fibrosis Pancreatic
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! insufficiency leads to fat malabsorption, which results in the fatty stools seen with cystic fibrosis. II! II! II! II! II! II! II! II! II! II! II! II! II! II!
