ENPC LATEST EDITION Actual Exam
ENPC LATEST EDITION Exam Newest
/ENPC NEW EDITION Exam Prep/ENPC
7TH EDITION Practice Exam With Complete
250 Questions And Correct Answers with
Detailed Rationales
Which of the following indicates the need for additional caregiver education regarding a urinary
tract infection?
A.I should encourage my child to drink extra fluids.
B.I need to make a follow-up appointment with child's physician.
C.My child will grow out of their frequent urinary tract infections.
D.My child should complete all of their antibiotic medication. –
Correct Answer :C
A nurse providing trauma informed care to the family of a seriously ill child should be doing
which of the following?
A.Placing the family in a quiet, secluded room
B.Referring to their child as "the patient"
C.Making sure the family does not stay at the bedside.
D.Appointing one staff member to stay with the family –
Correct Answer :D
A+ TEST BANK 1
, ENPC LATEST EDITION Actual Exam
Caregivers experiencing the crisis of a critically ill child have low attentiveness and increased
stress so would benefit from having a member of the healthcare team to stay with them as much
as possible and communicate updates on the plan of care. Caregivers should be allowed to stay
with their child as much as possible and not placed in a secluded room away for them.
The caregiver of a 7-year old reports witnessing a seizure at home, but no seizure history. The
patient is post-ictal with a heart rate of 142 beats per minute, respiratory rate of 36 breaths per
minute, and blood pressure of 86/72 mm Hg. Significant burns are noted to the patient's back
and lower extremities. The caregiver states the burns accidentally occurred three days ago, but
was afraid to bring the patient in due to an ongoing child welfare investigation.Which of the
following groups of interventions are the priority for this patient?
A.Call police and child welfare authorities and have security detain the caregiver
B.Administer intravenous analgesics and obtain a point of care glucose
C.Draw a metabolic panel, point of care glucose, and administer a fluid bolus
D.Administer lorazepam and a fluid bolus and place on seizure precautions –
Correct Answer :C
Burn injuries result in fluid and electrolyte shifts leading to hypovolemia and electrolyte
imbalances. Early identification and treatment of electrolyte imbalances can help prevent further
seizures. Contacting child protective services and other authorities can wait. The patient is post-
ictal so does not require lorazepam medication at this time. Pain medication can and should be
considered with significant burns, but is not a priority.
What is the priority intervention for symptomatic bradycardia in a four-year-old child?
A.Administer intravenous atropine
B.Administer intravenous epinephrine
C.Initiate bag-mask ventilation
D.Initiate transcutaneous pacing –
A+ TEST BANK 2
, ENPC LATEST EDITION Actual Exam
Correct Answer :C
\
Identifying and treating other causes, chest compressions, and epinephrine are interventions for
pediatric bradycardia with signs of poor perfusion that are not improved by adequate
oxygenation and ventilation. Atropine and pacing may be considered if there is no response to
the other interventions.
A 5-year-old child presents to the emergency department after being hit by a car. The patient
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?
A.Widening pulse pressure
B.Bradycardia
C.Decreasing diastolic blood pressure
D.Weak peripheral pulses -
Correct Answer :D
Early signs of hypovolemic shock include tachycardia and delayed capillary refill. The nurse may
note a strong central pulse but weaker peripheral pulses, indicating the child is compensating by
shunting blood to their core.
Which of the following patients should be evaluated first?
A.A 3-year-old with a dislodged gastrostomy tube
B.An 18-month-old with bilious emesis
C.A 12-year-old with vomiting after a handlebar injury
D.A 3-month-old with periods of inconsolable crying –
Correct Answer :B
A+ TEST BANK 3
, ENPC LATEST EDITION Actual Exam
The presence of bilious emesis is especially concerning because it may be indicative of an
immediately life-threatening bowel obstruction. A dislodged gastrostomy tube should be
reinserted within 4-6 hours to prevent stoma closure. Vomiting following a handlebar injury may
be indicative of many possible injuries, but does not take precedence unless other symptoms are
present. Infantile colic is described as inconsolable crying in infants, 2 weeks to 4 months old, for
up to 3 hours per day, more than 3 days per week, and lasting for more than 3 weeks.
inconsolable crying - Correct Answer :rule of 3s:
crying more than 3 hours per day, more than three days per week, for longer than three weeks
A three-year-old is rescued after being submerged in a pool for several minutes. On arrival the
patient is responsive to painful stimuli with shallow respirations, diminished breath sounds, and
an occasional cough. Which of the following interventions is the initial management priority?
A.Initiation of abdominal thrusts to remove fluid from the lungs
B.Insertion of orogastric to remove of water and debris from stomach
C.Endotracheal intubation to provide positive pressure ventilation
D.Removal of wet clothing to prevent hypothermia –
Correct Answer :C
The primary survey assessment and treatment of deficits are the priority. Airway control and
positive pressure ventilation while preparing for intubation of a child who meets intubation
criteria (GCS < 8) should be performed while also maintaining cervical spine stabilization. The
child is responsive only to painful stimuli, has shallow respirations, and diminished breath
sounds. All of these are breathing problems and must be addressed immediately. Removing wet
clothing is necessary, but is not the main priority initially. With intubation an orogastric tube will
be placed and abdominal thrusts are not necessary to remove fluid from the abdomen.
A+ TEST BANK 4
ENPC LATEST EDITION Exam Newest
/ENPC NEW EDITION Exam Prep/ENPC
7TH EDITION Practice Exam With Complete
250 Questions And Correct Answers with
Detailed Rationales
Which of the following indicates the need for additional caregiver education regarding a urinary
tract infection?
A.I should encourage my child to drink extra fluids.
B.I need to make a follow-up appointment with child's physician.
C.My child will grow out of their frequent urinary tract infections.
D.My child should complete all of their antibiotic medication. –
Correct Answer :C
A nurse providing trauma informed care to the family of a seriously ill child should be doing
which of the following?
A.Placing the family in a quiet, secluded room
B.Referring to their child as "the patient"
C.Making sure the family does not stay at the bedside.
D.Appointing one staff member to stay with the family –
Correct Answer :D
A+ TEST BANK 1
, ENPC LATEST EDITION Actual Exam
Caregivers experiencing the crisis of a critically ill child have low attentiveness and increased
stress so would benefit from having a member of the healthcare team to stay with them as much
as possible and communicate updates on the plan of care. Caregivers should be allowed to stay
with their child as much as possible and not placed in a secluded room away for them.
The caregiver of a 7-year old reports witnessing a seizure at home, but no seizure history. The
patient is post-ictal with a heart rate of 142 beats per minute, respiratory rate of 36 breaths per
minute, and blood pressure of 86/72 mm Hg. Significant burns are noted to the patient's back
and lower extremities. The caregiver states the burns accidentally occurred three days ago, but
was afraid to bring the patient in due to an ongoing child welfare investigation.Which of the
following groups of interventions are the priority for this patient?
A.Call police and child welfare authorities and have security detain the caregiver
B.Administer intravenous analgesics and obtain a point of care glucose
C.Draw a metabolic panel, point of care glucose, and administer a fluid bolus
D.Administer lorazepam and a fluid bolus and place on seizure precautions –
Correct Answer :C
Burn injuries result in fluid and electrolyte shifts leading to hypovolemia and electrolyte
imbalances. Early identification and treatment of electrolyte imbalances can help prevent further
seizures. Contacting child protective services and other authorities can wait. The patient is post-
ictal so does not require lorazepam medication at this time. Pain medication can and should be
considered with significant burns, but is not a priority.
What is the priority intervention for symptomatic bradycardia in a four-year-old child?
A.Administer intravenous atropine
B.Administer intravenous epinephrine
C.Initiate bag-mask ventilation
D.Initiate transcutaneous pacing –
A+ TEST BANK 2
, ENPC LATEST EDITION Actual Exam
Correct Answer :C
\
Identifying and treating other causes, chest compressions, and epinephrine are interventions for
pediatric bradycardia with signs of poor perfusion that are not improved by adequate
oxygenation and ventilation. Atropine and pacing may be considered if there is no response to
the other interventions.
A 5-year-old child presents to the emergency department after being hit by a car. The patient
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?
A.Widening pulse pressure
B.Bradycardia
C.Decreasing diastolic blood pressure
D.Weak peripheral pulses -
Correct Answer :D
Early signs of hypovolemic shock include tachycardia and delayed capillary refill. The nurse may
note a strong central pulse but weaker peripheral pulses, indicating the child is compensating by
shunting blood to their core.
Which of the following patients should be evaluated first?
A.A 3-year-old with a dislodged gastrostomy tube
B.An 18-month-old with bilious emesis
C.A 12-year-old with vomiting after a handlebar injury
D.A 3-month-old with periods of inconsolable crying –
Correct Answer :B
A+ TEST BANK 3
, ENPC LATEST EDITION Actual Exam
The presence of bilious emesis is especially concerning because it may be indicative of an
immediately life-threatening bowel obstruction. A dislodged gastrostomy tube should be
reinserted within 4-6 hours to prevent stoma closure. Vomiting following a handlebar injury may
be indicative of many possible injuries, but does not take precedence unless other symptoms are
present. Infantile colic is described as inconsolable crying in infants, 2 weeks to 4 months old, for
up to 3 hours per day, more than 3 days per week, and lasting for more than 3 weeks.
inconsolable crying - Correct Answer :rule of 3s:
crying more than 3 hours per day, more than three days per week, for longer than three weeks
A three-year-old is rescued after being submerged in a pool for several minutes. On arrival the
patient is responsive to painful stimuli with shallow respirations, diminished breath sounds, and
an occasional cough. Which of the following interventions is the initial management priority?
A.Initiation of abdominal thrusts to remove fluid from the lungs
B.Insertion of orogastric to remove of water and debris from stomach
C.Endotracheal intubation to provide positive pressure ventilation
D.Removal of wet clothing to prevent hypothermia –
Correct Answer :C
The primary survey assessment and treatment of deficits are the priority. Airway control and
positive pressure ventilation while preparing for intubation of a child who meets intubation
criteria (GCS < 8) should be performed while also maintaining cervical spine stabilization. The
child is responsive only to painful stimuli, has shallow respirations, and diminished breath
sounds. All of these are breathing problems and must be addressed immediately. Removing wet
clothing is necessary, but is not the main priority initially. With intubation an orogastric tube will
be placed and abdominal thrusts are not necessary to remove fluid from the abdomen.
A+ TEST BANK 4
