ENPC EXAM 6TH ED QUESTIONS AND
CORRECT ANSWERS
An 8-year-old male presents to the emergency department with incoherent speech, hallucinations,
and violent behavior. What is the priority in caring for this patient?
A. Administer antipsychotic medications
B. Evaluate laboratory values
C. Allow family and friend visitation
D. Ensure safety of the patient and staff ANSW✅✅D. Ensure safety of the patient and staff
A 2-year-old child is seen with acute respiratory distress after playing alone. Caregiver statements
indicate the child was found playing with irregular, ½ - ¾ inch sized pieces of a game. Which of the
following assessment findings would most likely be expected for this situation?
A. Audible wheezing and retractions
B. Inspiratory stridor and coughing
C. Grunting respirations and tachypnea
D. Quiet tachypnea and coarse crackles ANSW✅✅B. Inspiratory stridor and coughing
A 15-year-old presents alone requesting care. Which of the following chief complaints would most
likely be considered legal or appropriate to treat without parental consent?
A. Lower back pain
B. Itching rash to arms
C. Possible pregnancy
D. Dental pain ANSW✅✅C. Possible pregnancy
An 11-year-old child presents with right arm pain after falling off a bicycle. The child is tearful and
holding his right arm. What pain scale would be the most appropriate to use when assessing this
child's pain?
A. Faces scale
B. FLACC scale
C. Numbers scale
D. NIPS scale ANSW✅✅C. Numbers scale
, A 10-year-old arrives at the ED post motor vehicle crash. The following assessment is noted:
hypotension, tachycardia, absent breath sounds from the left chest with an increased respiratory
rate, pain on palpation of the pelvis, tinge of blood noted at the urinary meatus, moderate active
bleeding from a laceration to left thigh, pulse oximetry of 86% without supplemental oxygen,
deformity to the left upper leg, and a Glasgow Coma Score of 7. Which of the following orders will
prompt the nurse to have a discussion with the provider before initiating?
A. Insert urinary catheter
B. Prepare for intubation
C. Assist with chest tube insertion
D. Place orogastric tube ANSW✅✅A. Insert urinary catheter
A six-week-old infant presents to the emergency department with seizures. The infant is afebrile
with a normal glucose level ,and caregivers report no signs of illness other than formula intolerance,
which they treated by adding extra water to the formula. The nurse would expect to find which of
the following laboratory abnormalities?
A. Hypokalemia
B. Hyponatremia
C. Hyperkalemia
D. Hypernatremia ANSW✅✅B. Hyponatremia
A 12-year-old involved in a house fire has full thickness, circumferential burns to bilateral lower
extremities. Fluid resuscitation is in progress on arrival at the ED. On assessment the left pedal and
posterior tibialis pulses are absent, with delayed capillary refill. Which of the following is the priority
intervention?
A. Application of compression dressings
B. Elevation of left lower extremity
C. Assist with escharotomy
D. Preparation for thrombectomy ANSW✅✅C. Assist with escharotomy
A 2-year-old arrives with parents stating the child may have ingested a button battery. The patient
initially choked and coughed and is now drooling with bloody sputum. Which of the following is the
priority intervention?
A. Prepare the patient for hospitalization
B. Administer 5 -10 ml of honey orally
CORRECT ANSWERS
An 8-year-old male presents to the emergency department with incoherent speech, hallucinations,
and violent behavior. What is the priority in caring for this patient?
A. Administer antipsychotic medications
B. Evaluate laboratory values
C. Allow family and friend visitation
D. Ensure safety of the patient and staff ANSW✅✅D. Ensure safety of the patient and staff
A 2-year-old child is seen with acute respiratory distress after playing alone. Caregiver statements
indicate the child was found playing with irregular, ½ - ¾ inch sized pieces of a game. Which of the
following assessment findings would most likely be expected for this situation?
A. Audible wheezing and retractions
B. Inspiratory stridor and coughing
C. Grunting respirations and tachypnea
D. Quiet tachypnea and coarse crackles ANSW✅✅B. Inspiratory stridor and coughing
A 15-year-old presents alone requesting care. Which of the following chief complaints would most
likely be considered legal or appropriate to treat without parental consent?
A. Lower back pain
B. Itching rash to arms
C. Possible pregnancy
D. Dental pain ANSW✅✅C. Possible pregnancy
An 11-year-old child presents with right arm pain after falling off a bicycle. The child is tearful and
holding his right arm. What pain scale would be the most appropriate to use when assessing this
child's pain?
A. Faces scale
B. FLACC scale
C. Numbers scale
D. NIPS scale ANSW✅✅C. Numbers scale
, A 10-year-old arrives at the ED post motor vehicle crash. The following assessment is noted:
hypotension, tachycardia, absent breath sounds from the left chest with an increased respiratory
rate, pain on palpation of the pelvis, tinge of blood noted at the urinary meatus, moderate active
bleeding from a laceration to left thigh, pulse oximetry of 86% without supplemental oxygen,
deformity to the left upper leg, and a Glasgow Coma Score of 7. Which of the following orders will
prompt the nurse to have a discussion with the provider before initiating?
A. Insert urinary catheter
B. Prepare for intubation
C. Assist with chest tube insertion
D. Place orogastric tube ANSW✅✅A. Insert urinary catheter
A six-week-old infant presents to the emergency department with seizures. The infant is afebrile
with a normal glucose level ,and caregivers report no signs of illness other than formula intolerance,
which they treated by adding extra water to the formula. The nurse would expect to find which of
the following laboratory abnormalities?
A. Hypokalemia
B. Hyponatremia
C. Hyperkalemia
D. Hypernatremia ANSW✅✅B. Hyponatremia
A 12-year-old involved in a house fire has full thickness, circumferential burns to bilateral lower
extremities. Fluid resuscitation is in progress on arrival at the ED. On assessment the left pedal and
posterior tibialis pulses are absent, with delayed capillary refill. Which of the following is the priority
intervention?
A. Application of compression dressings
B. Elevation of left lower extremity
C. Assist with escharotomy
D. Preparation for thrombectomy ANSW✅✅C. Assist with escharotomy
A 2-year-old arrives with parents stating the child may have ingested a button battery. The patient
initially choked and coughed and is now drooling with bloody sputum. Which of the following is the
priority intervention?
A. Prepare the patient for hospitalization
B. Administer 5 -10 ml of honey orally
