ENPC Exam Prep / Exam Questions and
answers latest top score.
Which of the following would be an abnormal finding in a patient with
glomerulonephritis? - CORRECT ANSWER. Clear urine There is a decrease in
urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea- colored.
Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored. - CORRECT ANSWER.
Administration of nebulized epinephrine Moderate to severe croup is
treated with dexamethasone and nebulized epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the
emergency department to monitor the intracranial pressure on a 5-year-old
patient. The family does not speak English and has identified their religion
as Muslim. Which of the following interventions is most supportive of the
family? - CORRECT ANSWER. Allow the
extended to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of
potential child maltreatment? - CORRECT ANSWER. Bruising to the left ear of
a newborn from sleeping on his side Any bruise in a non-exploratory location
in children younger than 4 years and any bruising in a child younger than 4
months (TEN-4) are cause for suspicion of abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a
non- exploratory location in children younger than 4 years and any bruising
in a child younger than 4 months (TEN-4) are cause for suspicion of abuse -
CORRECT ANSWER. Commotio
cordis Commotio cordis occurs when the chest is struck during the refractory
period of
, the 2cardiac 2conduction 2cycle, 2resulting 2in 2a 2ventricular 2dysrhythmia 2or
2asystole. 2This 2type 2of 2injury 2usually 2occurs 2in 2recreational 2sports 2such 2as
2baseball 2or 2ice 2hockey
A 212-year-old 2who 2was 2recently 2started 2on 2anti-psychotic 2medication 2for
2schizophrenia 2is 2brought 2to 2the 2emergency 2department 2with 2severe
2muscle 2rigidity 2and 2hyperthermia. 2These 2symptoms 2are 2most 2likely
2caused 2by 2which 2of 2the 2following? 2- 2 CORRECT 2ANSWER . 2Neuroleptic
2malignant 2syndrome 2These 2are 2classic 2symptoms 2of 2neuroleptic 2malignant
2syndrome, 2which 2is 2a 2rare 2reaction 2to 2antipsychotic 2medications.
Which 2of 2the 2following 2patients 2should 2be 2evaluated 2first 2- 2 CORRECT
2ANSWER . An 218-
2month-old 2with 2bilious 2emesis 2Bilious 2emesis 2in 2an 218-month-old 2is
2always 2considered 2an 2emergent 2symptom 2indicative 2of 2a 2life-threatening
2bowel 2obstruction.
1. 2Which 2of 2the 2following 2tasks 2can 2the 2nurse 2do 2to 2decrease 2adverse
2medication 2events? 2- 2 CORRECT 2ANSWER. Obtain 2the 2patient's 2weight 2in
2kilograms 2This 2is 2the 2preferred 2measurement 2for 2medication 2calculations
2for 2pediatric 2and 2adult 2patients
Acute 2chest 2syndrome, 2stroke, 2and 2splenic 2sequestration 2are
2complications 2of 2which 2of 2the 2following 2diseases? 2- 2 CORRECT 2ANSWER .
Sickle 2cell 2anemia 2These 2are 2all
2complications 2of 2sickle 2cell 2anemia.
During 2the 2assessment 2of 2a 216-year-old 2male 2patient, 2the 2ED 2nurse
2identifies 2him 2as 2a 2potential 2sex 2trafficking 2victim. 2The 2trauma 2informed
2approach 2to 2care 2emphasizes 2certain 2principles 2in 2caring 2for 2these 2types 2of
2patients. 2Which 2of 2the 2following 2care 2principles 2has 2the 2highest 2priority? 2-
2 CORRECT 2ANSWER. Physical 2and 2psychological
2safety 2Create 2an 2environment 2where 2patients 2feel 2safe, 2both 2physically
2and 2psychologically.
Increase 2awareness 2of 2the 2patient's 2interpersonal 2interactions 2with 2others
2to 2screen 2for 2risk 2of 2harm. 2Prioritize 2the 2patient 2being 2in 2a 2safe 2location
A 26-month-old 2is 2brought 2to 2the 2emergency 2department 2for 2a 2recurrent
2respiratory 2infection. 2When 2gathering 2a 2history 2from 2the 2caregiver, 2the
2emergency 2nurse 2learns 2that, 2in 2addition 2to 2the 2respiratory 2symptoms, 2the
2infant 2has 2had 2fatty 2stools. 2The 2emergency 2nurse 2should 2be 2concerned
2about 2which 2of 2the 2following 2disease 2processes? 2- 2 CORRECT 2ANSWER.
Cystic 2Fibrosis 2Pancreatic 2insufficiency 2leads 2to 2fat 2malabsorption,
2which 2results 2in 2the 2fatty 2stools 2seen 2with 2cystic 2fibrosis.
The 2emergency 2nurse 2is 2caring 2for 2a 2patient 2with 2significant 2facial 2trauma
2and 2a 2suspected 2globe 2rupture. 2Which 2of 2the 2following 2medication 2orders
2would 2the 2nurse 2question? 2- 2 CORRECT 2ANSWER . Succinylcholine
2Succinylcholine 2may 2increase 2intraocular 2pressure 2and 2should 2be 2avoided.
answers latest top score.
Which of the following would be an abnormal finding in a patient with
glomerulonephritis? - CORRECT ANSWER. Clear urine There is a decrease in
urine output for patient's with glomerulonephritis. Urine would be
concentrated and dark brown/tea- colored.
Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored. - CORRECT ANSWER.
Administration of nebulized epinephrine Moderate to severe croup is
treated with dexamethasone and nebulized epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the
emergency department to monitor the intracranial pressure on a 5-year-old
patient. The family does not speak English and has identified their religion
as Muslim. Which of the following interventions is most supportive of the
family? - CORRECT ANSWER. Allow the
extended to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of
potential child maltreatment? - CORRECT ANSWER. Bruising to the left ear of
a newborn from sleeping on his side Any bruise in a non-exploratory location
in children younger than 4 years and any bruising in a child younger than 4
months (TEN-4) are cause for suspicion of abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a
non- exploratory location in children younger than 4 years and any bruising
in a child younger than 4 months (TEN-4) are cause for suspicion of abuse -
CORRECT ANSWER. Commotio
cordis Commotio cordis occurs when the chest is struck during the refractory
period of
, the 2cardiac 2conduction 2cycle, 2resulting 2in 2a 2ventricular 2dysrhythmia 2or
2asystole. 2This 2type 2of 2injury 2usually 2occurs 2in 2recreational 2sports 2such 2as
2baseball 2or 2ice 2hockey
A 212-year-old 2who 2was 2recently 2started 2on 2anti-psychotic 2medication 2for
2schizophrenia 2is 2brought 2to 2the 2emergency 2department 2with 2severe
2muscle 2rigidity 2and 2hyperthermia. 2These 2symptoms 2are 2most 2likely
2caused 2by 2which 2of 2the 2following? 2- 2 CORRECT 2ANSWER . 2Neuroleptic
2malignant 2syndrome 2These 2are 2classic 2symptoms 2of 2neuroleptic 2malignant
2syndrome, 2which 2is 2a 2rare 2reaction 2to 2antipsychotic 2medications.
Which 2of 2the 2following 2patients 2should 2be 2evaluated 2first 2- 2 CORRECT
2ANSWER . An 218-
2month-old 2with 2bilious 2emesis 2Bilious 2emesis 2in 2an 218-month-old 2is
2always 2considered 2an 2emergent 2symptom 2indicative 2of 2a 2life-threatening
2bowel 2obstruction.
1. 2Which 2of 2the 2following 2tasks 2can 2the 2nurse 2do 2to 2decrease 2adverse
2medication 2events? 2- 2 CORRECT 2ANSWER. Obtain 2the 2patient's 2weight 2in
2kilograms 2This 2is 2the 2preferred 2measurement 2for 2medication 2calculations
2for 2pediatric 2and 2adult 2patients
Acute 2chest 2syndrome, 2stroke, 2and 2splenic 2sequestration 2are
2complications 2of 2which 2of 2the 2following 2diseases? 2- 2 CORRECT 2ANSWER .
Sickle 2cell 2anemia 2These 2are 2all
2complications 2of 2sickle 2cell 2anemia.
During 2the 2assessment 2of 2a 216-year-old 2male 2patient, 2the 2ED 2nurse
2identifies 2him 2as 2a 2potential 2sex 2trafficking 2victim. 2The 2trauma 2informed
2approach 2to 2care 2emphasizes 2certain 2principles 2in 2caring 2for 2these 2types 2of
2patients. 2Which 2of 2the 2following 2care 2principles 2has 2the 2highest 2priority? 2-
2 CORRECT 2ANSWER. Physical 2and 2psychological
2safety 2Create 2an 2environment 2where 2patients 2feel 2safe, 2both 2physically
2and 2psychologically.
Increase 2awareness 2of 2the 2patient's 2interpersonal 2interactions 2with 2others
2to 2screen 2for 2risk 2of 2harm. 2Prioritize 2the 2patient 2being 2in 2a 2safe 2location
A 26-month-old 2is 2brought 2to 2the 2emergency 2department 2for 2a 2recurrent
2respiratory 2infection. 2When 2gathering 2a 2history 2from 2the 2caregiver, 2the
2emergency 2nurse 2learns 2that, 2in 2addition 2to 2the 2respiratory 2symptoms, 2the
2infant 2has 2had 2fatty 2stools. 2The 2emergency 2nurse 2should 2be 2concerned
2about 2which 2of 2the 2following 2disease 2processes? 2- 2 CORRECT 2ANSWER.
Cystic 2Fibrosis 2Pancreatic 2insufficiency 2leads 2to 2fat 2malabsorption,
2which 2results 2in 2the 2fatty 2stools 2seen 2with 2cystic 2fibrosis.
The 2emergency 2nurse 2is 2caring 2for 2a 2patient 2with 2significant 2facial 2trauma
2and 2a 2suspected 2globe 2rupture. 2Which 2of 2the 2following 2medication 2orders
2would 2the 2nurse 2question? 2- 2 CORRECT 2ANSWER . Succinylcholine
2Succinylcholine 2may 2increase 2intraocular 2pressure 2and 2should 2be 2avoided.
