ENPC 6TH EDITION COURSE EXAM (ACTUAL
2025) WITH VERIFIED SOLUTION
A 4-year-old presents with vomiting, lethargy, frequent
urination, weight loss, and dry mucous membranes. Vital
signs reveal deep respirations at 44 breaths per minute, BP of
70/44 mm Hg, and HR of 144 beats per minute. Which of the
following laboratory values would be most expected in this
child? - <<<Answers>>>Hypoglycemia (wrong)
A 10-year-old playing baseball is hit in the chest with a ball.
He immediately demonstrates loss of consciousness with no
pulses. Which of the following is the priority intervention? -
<<<Answers>>>Utilize AED/defibrillator
A 12-year-old female patient arrives awake and alert with an
acute onset of abdominal pain on the right side, nausea,
vomiting, and vaginal spotting. On palpation, the pain is
localized to the right side and there is tenderness to the
breasts. Which of the following laboratory tests is the priority
for this patient? - <<<Answers>>>Human chorionic
gonadotropin
A 7-year-old is being seen for new onset of headaches. Which
of the following manifestations would most likely rule out the
potential of a primary etiology? - <<<Answers>>>Pulsating,
unilateral pain (wrong)
,Remediation feedback:
Urinary catheters are contraindicated for placement if pelvic
injury is suspected or blood is noted at the urinary meatus.
Scrotal or perineal discolorations with edema to the areas is
also a contraindication for this adjunct.
Which of the following is a first-line treatment for atopic
dermatitis? - <<<Answers>>>Skin hydration therapy
After a seizure at home, a 9-month-old infant is awake and
interacting appropriately. Vital signs on arrival are HR 150
beats/minutes, RR 36 breaths/minute (unlabored), BP 80/52
mm Hg, SaO2 97% without supplemental oxygen, and T
102.7°F (39.3°C) rectally. During re-evaluation 2 hours after
arrival, which of the following assessments would indicate
appropriate measures were taken in treating this child? -
<<<Answers>>>Temperature 37.7°C (99.9°F)
During a diaper change on a 4-month-old infant, the nurse
measures the infant's urinary output. After subtracting the
weight of a dry diaper, the wet diaper weighs 22 grams. What
is the infant's estimated urinary output? - <<<Answers>>>22
mL
A 3 year-old patient presents following frequent emesis and
diarrhea over the past 12 hours. Which of the following
assessment findings indicate that the patient' body is
, compensating for the fluid loss? - <<<Answers>>>Prolonged
capillary refill (wrong)
Remediation feedback:
In the early compensated phase of shock attributed to fluid
volume loss, the diastolic pressure will increase due to
vasoconstriction (increasing systemic vascular resistance) as a
compensatory mechanism causing a narrowed pulse pressure.
A normal systolic pressure is maintained during this phase.
Other manifestations of early shock states are tachycardia,
normal capillary refill, decreased urine output, mild
irritability, tachypnea, and weak peripheral pulses.
Remediation feedback:
Children can present with new onset diabetes in diabetic
ketoacidosis. Manifestations include signs of dehydration (
dry mucous membranes, hypotension, tachycardia),
incontinence (polyuria), vomiting, abdominal pain, Kussmaul
respirations (to counter the acidosis), polydipsia, anorexia,
and weight loss. Expected laboratory values would reveal an
acidotic state with a pH level below 7.3, an elevated seru
Which of the following is appropriate administration of N-
acetylcysteine (NAC) for an acetaminophen overdose? -
<<<Answers>>>A bolus infusion of 150 mg/kg NAC should
be administered.
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
2025) WITH VERIFIED SOLUTION
A 4-year-old presents with vomiting, lethargy, frequent
urination, weight loss, and dry mucous membranes. Vital
signs reveal deep respirations at 44 breaths per minute, BP of
70/44 mm Hg, and HR of 144 beats per minute. Which of the
following laboratory values would be most expected in this
child? - <<<Answers>>>Hypoglycemia (wrong)
A 10-year-old playing baseball is hit in the chest with a ball.
He immediately demonstrates loss of consciousness with no
pulses. Which of the following is the priority intervention? -
<<<Answers>>>Utilize AED/defibrillator
A 12-year-old female patient arrives awake and alert with an
acute onset of abdominal pain on the right side, nausea,
vomiting, and vaginal spotting. On palpation, the pain is
localized to the right side and there is tenderness to the
breasts. Which of the following laboratory tests is the priority
for this patient? - <<<Answers>>>Human chorionic
gonadotropin
A 7-year-old is being seen for new onset of headaches. Which
of the following manifestations would most likely rule out the
potential of a primary etiology? - <<<Answers>>>Pulsating,
unilateral pain (wrong)
,Remediation feedback:
Urinary catheters are contraindicated for placement if pelvic
injury is suspected or blood is noted at the urinary meatus.
Scrotal or perineal discolorations with edema to the areas is
also a contraindication for this adjunct.
Which of the following is a first-line treatment for atopic
dermatitis? - <<<Answers>>>Skin hydration therapy
After a seizure at home, a 9-month-old infant is awake and
interacting appropriately. Vital signs on arrival are HR 150
beats/minutes, RR 36 breaths/minute (unlabored), BP 80/52
mm Hg, SaO2 97% without supplemental oxygen, and T
102.7°F (39.3°C) rectally. During re-evaluation 2 hours after
arrival, which of the following assessments would indicate
appropriate measures were taken in treating this child? -
<<<Answers>>>Temperature 37.7°C (99.9°F)
During a diaper change on a 4-month-old infant, the nurse
measures the infant's urinary output. After subtracting the
weight of a dry diaper, the wet diaper weighs 22 grams. What
is the infant's estimated urinary output? - <<<Answers>>>22
mL
A 3 year-old patient presents following frequent emesis and
diarrhea over the past 12 hours. Which of the following
assessment findings indicate that the patient' body is
, compensating for the fluid loss? - <<<Answers>>>Prolonged
capillary refill (wrong)
Remediation feedback:
In the early compensated phase of shock attributed to fluid
volume loss, the diastolic pressure will increase due to
vasoconstriction (increasing systemic vascular resistance) as a
compensatory mechanism causing a narrowed pulse pressure.
A normal systolic pressure is maintained during this phase.
Other manifestations of early shock states are tachycardia,
normal capillary refill, decreased urine output, mild
irritability, tachypnea, and weak peripheral pulses.
Remediation feedback:
Children can present with new onset diabetes in diabetic
ketoacidosis. Manifestations include signs of dehydration (
dry mucous membranes, hypotension, tachycardia),
incontinence (polyuria), vomiting, abdominal pain, Kussmaul
respirations (to counter the acidosis), polydipsia, anorexia,
and weight loss. Expected laboratory values would reveal an
acidotic state with a pH level below 7.3, an elevated seru
Which of the following is appropriate administration of N-
acetylcysteine (NAC) for an acetaminophen overdose? -
<<<Answers>>>A bolus infusion of 150 mg/kg NAC should
be administered.
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
