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ENPC 5th Edition Test Questions and Answers 2024
1. A 5-year-old with no health problems presents to the
Emergency Department with a sudden onset of chest pain and
shortness of breath. Parents state that the family was involved
in a bad car crash one week ago. A thorough assessment and
workup has not revealed any abnormalities. Which of the
following steps is the best next step to take?
Ask about any new bed-wetting or sleep disturbances. Pediatric
patients with anxiety and PTSD may present with physical
complaints. Assess for other behavioral symptoms to facilitate
appropriate care and follow-up.
2. You are discharging a patient to home with a history of
depression. Discharge teaching should include which of the
following?
Ensuring all firearms in the home are locked in a safe place with no
access by the patient. Promoting injury prevention with caregivers
of patients with a history of depression or suicidal ideation by
encouraging that all firearms and medications are under lock to
prevent overdoses or suicide attempt.
3. A 2-year old has uniformly demarcated burns to bilateral lower
extremities, approximately 30% of the childs total body
surface area. The father states he briefly left the room while
the child was in the bath and the child apparently played with
the faucet. Which of the following interventions has the
highest priority?
Obtain vascular access for rapid fluid administration. Rapid
vascular access and fluid administration are the priority
interventions.
4. A 7-year-old arrives via ambulance. The patient’s mother
reports witnessing a seizure at home. The patient has no
seizure history. Upon examination, 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 mother states the burns accidentally
occurred 3 days ago, but she was afraid to bring patient in due
to an ongoing child welfare investigation. Which of the
, 2
following are the MOST appropriate immediate interventions?
Draw and send a metabolic panel and venous blood gas,
administer a fluid bolus, and obtain a point of care glucose.
Electrolyte imbalances need to be identified and treated to prevent
another seizure.
5. What is the priority intervention for symptomatic bradycardia
in a four-year-old child?
Ventilation to address hypoxia is the priority intervention.
6. A 14-year-old high school student who was pitching for his
baseball team was hit in the chest by the ball and had a
sudden cardiac arrest. Of the following, which is the most
likely cause of the cardiac arrest?
Commotio cordis. Comotio Cordis “occurs when chest is struck
during the refractory period of the cardiac conduction cycle. This
type of injury usually occurs in recreational sports such as baseball
or ice hockey.”
7. 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?
Focused Assessment: Vital Signs: “As the patient compensates for
altered tissue perfusion, the pulse pressure narrows and the heart
rate increases” – (need to rewrite either the question or the
answers). Widening Pulse pressure – not correct (suppose to be
narrow pulse pressure). Bradycardia – not correct. Decreasing
diastolic blood pressure – late sign. Weak peripheral pulses – late
sign.
8. A 5-year-old patient presents to the emergency department
with severe dehydration due to viral gastroenteritis. He has
signs of shock due to his hypovolemia. Which of the following
physiologic responses to shock has the greatest impact on
improving cardiac output in the pediatric patient?
Increasing heart rate. Pathophysiology: Cardiac Output. In
pediatric patients, cardiac out is primarily regulated by increasing
heart rate.
ENPC 5th Edition Test Questions and Answers 2024
1. A 5-year-old with no health problems presents to the
Emergency Department with a sudden onset of chest pain and
shortness of breath. Parents state that the family was involved
in a bad car crash one week ago. A thorough assessment and
workup has not revealed any abnormalities. Which of the
following steps is the best next step to take?
Ask about any new bed-wetting or sleep disturbances. Pediatric
patients with anxiety and PTSD may present with physical
complaints. Assess for other behavioral symptoms to facilitate
appropriate care and follow-up.
2. You are discharging a patient to home with a history of
depression. Discharge teaching should include which of the
following?
Ensuring all firearms in the home are locked in a safe place with no
access by the patient. Promoting injury prevention with caregivers
of patients with a history of depression or suicidal ideation by
encouraging that all firearms and medications are under lock to
prevent overdoses or suicide attempt.
3. A 2-year old has uniformly demarcated burns to bilateral lower
extremities, approximately 30% of the childs total body
surface area. The father states he briefly left the room while
the child was in the bath and the child apparently played with
the faucet. Which of the following interventions has the
highest priority?
Obtain vascular access for rapid fluid administration. Rapid
vascular access and fluid administration are the priority
interventions.
4. A 7-year-old arrives via ambulance. The patient’s mother
reports witnessing a seizure at home. The patient has no
seizure history. Upon examination, 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 mother states the burns accidentally
occurred 3 days ago, but she was afraid to bring patient in due
to an ongoing child welfare investigation. Which of the
, 2
following are the MOST appropriate immediate interventions?
Draw and send a metabolic panel and venous blood gas,
administer a fluid bolus, and obtain a point of care glucose.
Electrolyte imbalances need to be identified and treated to prevent
another seizure.
5. What is the priority intervention for symptomatic bradycardia
in a four-year-old child?
Ventilation to address hypoxia is the priority intervention.
6. A 14-year-old high school student who was pitching for his
baseball team was hit in the chest by the ball and had a
sudden cardiac arrest. Of the following, which is the most
likely cause of the cardiac arrest?
Commotio cordis. Comotio Cordis “occurs when chest is struck
during the refractory period of the cardiac conduction cycle. This
type of injury usually occurs in recreational sports such as baseball
or ice hockey.”
7. 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?
Focused Assessment: Vital Signs: “As the patient compensates for
altered tissue perfusion, the pulse pressure narrows and the heart
rate increases” – (need to rewrite either the question or the
answers). Widening Pulse pressure – not correct (suppose to be
narrow pulse pressure). Bradycardia – not correct. Decreasing
diastolic blood pressure – late sign. Weak peripheral pulses – late
sign.
8. A 5-year-old patient presents to the emergency department
with severe dehydration due to viral gastroenteritis. He has
signs of shock due to his hypovolemia. Which of the following
physiologic responses to shock has the greatest impact on
improving cardiac output in the pediatric patient?
Increasing heart rate. Pathophysiology: Cardiac Output. In
pediatric patients, cardiac out is primarily regulated by increasing
heart rate.
