ENPC EXAM PREP / EXAM
QUESTIONS AND CORRECT
ANSWERS
The emergency nurse is caring for a 14-year-old patient who sustained a displaced fracture of the
radius and ulna after falling from a bicycle. Which of the following pain interventions is most likely to
result in improvement in symptoms? ANSW✅✅Application of a splint to the affected extremity
Splinting is an effective non-pharmacologic intervention to reduce pain associated with fractures.
The type of vascular access is appropriate in all of the patient situations given EXCEPT for which of
the following? ANSW✅✅Peripherally inserted central catheter line for one time fluid bolus This
vascular access is most appropriate for long term medication administration and multiple blood
draws.
A 5-year-old child presents to the emergency department after being hit by a car. She complains of
left upper quadrant pain and the focused assessment with sonography for trauma (FAST) exam
shows fluid around her spleen. Which of the following findings would be an early indication of
ongoing blood loss? ANSW✅✅Widening pulse pressure Narrowing pulse pressure and increasing
heart rate are early indications of ongoing blood loss.
A 15-year-old patient has attempted suicide by overdosing on amitriptyline. The emergency nurse
should expect which of the following symptoms? ANSW✅✅Dysrhythmias QRS prolongation and
ventricular dysrhythmias are symptoms of cyclic antidepressant overdose.
The parents of a 5-year-old child arrive at the emergency department. The child's lips and face are
swollen with hives on the face. The parents report the child ate peanut butter crackers in the last
hour. The child has no known allergies. The nurse recognizes the findings are associated with:
ANSW✅✅Food allergy This a clinical manifestation seen in food allergies.
Which of the following statements demonstrates a nurse's understanding of pediatric submersion
injuries? ANSW✅✅The best indicator of survival after submersion is the duration of time of
submersion The duration of submersion is the best predictor of survival after drowning. In general,
shorter times correlate to better outcomes.
A 2-month-old infant is brought to the emergency department. The mother states he has had
trouble breathing for the past two days. The PAT reveals an age-appropriate general appearance,
rapid breathing with mild distress, and pink skin. Mucous is noted to both nares. Which of the
, following is the best next step? ANSW✅✅Suction the nares with a bulb syringe Infants are
preferential nose breathers and can have respiratory distress when the nares are occluded.
Suctioning the nares is the priority intervention to open the airway.
During the tertiary survey, the emergency nurse should continue to conduct reevaluations of the
Pediatric Assessment Triangle (PAT), abnormal findings, and which of the following other assessment
components? ANSW✅✅Primary survey, vital signs, pain management, and effectiveness of
therapeutic interventions The additional components of the reevaluation in the tertiary survey
include the primary survey, vital signs, pain management, and effectiveness of therapeutic
interventions.
Which of the following interventions would the nurse anticipate for a pediatric patient with a fever
and a history of a hematologic or oncologic condition? ANSW✅✅Intravenous antibiotics This
patient population is at risk for life-threatening sepsis, and treatment with intravenous antibiotics is
indicated.
Prioritizing pediatric patients presenting with fever is often difficult. Which of the following patients
is at greatest risk of serious illness? ANSW✅✅A 7-year old boy with a history of sickle cell anemia
and an oral temperature of 38.3°C (101°F) Children with chronic illnesses such as sickle cell disease
are at greatest risk for life-threatening fever-related illnesses.
Which of the following indicates the need for additional parent/guardian education regarding a UTI?
ANSW✅✅My child will grow out of their frequent urinary tract infections UTIs are not a normal
occurrence in children and may require additional investigation and follow up.
A 4-day-old who is brought to the emergency department with the parental complaint of "not acting
right" is found to be hypoglycemic. The appropriate glucose concentration to administer to this
neonate is which of the following? ANSW✅✅D10 D10 is the preferred concentration for neonates
to protect their fragile vasculature.
Which of the following actions by the nurse promotes pediatric patient safety?
ANSW✅✅Preparing medications in a distraction-free area To decrease errors, the nurse should
be focused and systematic in verifying patient identification, medication order, route, time, and
dose.
A 16-year-old trauma patient is noted to have external rotation and shortening of the left lower
extremity and pain with palpation of the pelvis after being ejected from a motorcycle. Which of the
following assessment findings is most concerning for a potentially life-threatening condition?
ANSW✅✅Bony crepitus and instability with gentle anteroposterior compression of the iliac crests
QUESTIONS AND CORRECT
ANSWERS
The emergency nurse is caring for a 14-year-old patient who sustained a displaced fracture of the
radius and ulna after falling from a bicycle. Which of the following pain interventions is most likely to
result in improvement in symptoms? ANSW✅✅Application of a splint to the affected extremity
Splinting is an effective non-pharmacologic intervention to reduce pain associated with fractures.
The type of vascular access is appropriate in all of the patient situations given EXCEPT for which of
the following? ANSW✅✅Peripherally inserted central catheter line for one time fluid bolus This
vascular access is most appropriate for long term medication administration and multiple blood
draws.
A 5-year-old child presents to the emergency department after being hit by a car. She complains of
left upper quadrant pain and the focused assessment with sonography for trauma (FAST) exam
shows fluid around her spleen. Which of the following findings would be an early indication of
ongoing blood loss? ANSW✅✅Widening pulse pressure Narrowing pulse pressure and increasing
heart rate are early indications of ongoing blood loss.
A 15-year-old patient has attempted suicide by overdosing on amitriptyline. The emergency nurse
should expect which of the following symptoms? ANSW✅✅Dysrhythmias QRS prolongation and
ventricular dysrhythmias are symptoms of cyclic antidepressant overdose.
The parents of a 5-year-old child arrive at the emergency department. The child's lips and face are
swollen with hives on the face. The parents report the child ate peanut butter crackers in the last
hour. The child has no known allergies. The nurse recognizes the findings are associated with:
ANSW✅✅Food allergy This a clinical manifestation seen in food allergies.
Which of the following statements demonstrates a nurse's understanding of pediatric submersion
injuries? ANSW✅✅The best indicator of survival after submersion is the duration of time of
submersion The duration of submersion is the best predictor of survival after drowning. In general,
shorter times correlate to better outcomes.
A 2-month-old infant is brought to the emergency department. The mother states he has had
trouble breathing for the past two days. The PAT reveals an age-appropriate general appearance,
rapid breathing with mild distress, and pink skin. Mucous is noted to both nares. Which of the
, following is the best next step? ANSW✅✅Suction the nares with a bulb syringe Infants are
preferential nose breathers and can have respiratory distress when the nares are occluded.
Suctioning the nares is the priority intervention to open the airway.
During the tertiary survey, the emergency nurse should continue to conduct reevaluations of the
Pediatric Assessment Triangle (PAT), abnormal findings, and which of the following other assessment
components? ANSW✅✅Primary survey, vital signs, pain management, and effectiveness of
therapeutic interventions The additional components of the reevaluation in the tertiary survey
include the primary survey, vital signs, pain management, and effectiveness of therapeutic
interventions.
Which of the following interventions would the nurse anticipate for a pediatric patient with a fever
and a history of a hematologic or oncologic condition? ANSW✅✅Intravenous antibiotics This
patient population is at risk for life-threatening sepsis, and treatment with intravenous antibiotics is
indicated.
Prioritizing pediatric patients presenting with fever is often difficult. Which of the following patients
is at greatest risk of serious illness? ANSW✅✅A 7-year old boy with a history of sickle cell anemia
and an oral temperature of 38.3°C (101°F) Children with chronic illnesses such as sickle cell disease
are at greatest risk for life-threatening fever-related illnesses.
Which of the following indicates the need for additional parent/guardian education regarding a UTI?
ANSW✅✅My child will grow out of their frequent urinary tract infections UTIs are not a normal
occurrence in children and may require additional investigation and follow up.
A 4-day-old who is brought to the emergency department with the parental complaint of "not acting
right" is found to be hypoglycemic. The appropriate glucose concentration to administer to this
neonate is which of the following? ANSW✅✅D10 D10 is the preferred concentration for neonates
to protect their fragile vasculature.
Which of the following actions by the nurse promotes pediatric patient safety?
ANSW✅✅Preparing medications in a distraction-free area To decrease errors, the nurse should
be focused and systematic in verifying patient identification, medication order, route, time, and
dose.
A 16-year-old trauma patient is noted to have external rotation and shortening of the left lower
extremity and pain with palpation of the pelvis after being ejected from a motorcycle. Which of the
following assessment findings is most concerning for a potentially life-threatening condition?
ANSW✅✅Bony crepitus and instability with gentle anteroposterior compression of the iliac crests
