ENPC EXAM LATEST 2023-2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
A 3-year-old is transported by prehospital personnel after being struck by a car. The parents are en route.
The child is screaming and uncooperative. Which is the best approach while conducting the secondary
survey?
A. Hold the child to comfort him.
B. Wait for the parent's arrival.
C. Observe for behavioral pain cues.
D. Use a doll to demonstrate the examination. - ANSC. Observe for behavioral pain cues.
A 4-year-old child with a history of the flu has a heart rate of 80 beats/minute, respirations of 16
breaths/minute, and capillary refill of more than 3 seconds. The proper sequence for nursing interventions
would be:
A. Position the airway, administer 100% oxygen, obtain venous access, and administer 20 ml/kg of an
isotonic solution.
B. Administer 100% oxygen, obtain venous access, administer 0.
1 mg/kg of epinephrine 1:10,000, and prepare for endotracheal intubation.
C. Position the airway, provide bag-mask ventilation, provide synchronized cardioversion, and provide
supplemental warmth.
D. Administer 100% oxygen, prepare for a venous cutdown, administer 20 ml/kg of an isotonic solution,
and obtain a chest x-ray. - ANSA. Position the airway, administer 100% oxygen, obtain venous access,
and administer 20 ml/kg of an isotonic solution.
A 6- week-old infant is pale, has marked substernal retractions, expiratory grunting, and poor muscle
tone. The emergency nurse should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen. - ANSD. Administer 100% oxygen.
A 7-year-old female sustains a minor head injury and did not lose consciousness. She does not respond
to commands and groans in response to questions. Which action will quickly determine if her behavior
indicates a serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual. - ANSD. Ask the parents if her behavior is unusual.
A 9-month-old infant is crying loudly through the nursing assessment, and the caregiver is becoming
distraught. The nurse should ask the caregiver to:
A. Read a story to the infant.
B. Offer the infant a pacifier.
C. Return when the infant is consoled.
D. Ignore the infant's behavior. - ANSB. Offer the infant a pacifier.
A 10-kg child has deep partial-thickness burns over 35% of the total body surface area. Which evaluation
parameter indicates that fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour. - ANSD. Urine output of 11 ml/hour.
A 10-year-old child who was struck by a car has a distended, tense abdomen. The child's heart rate is
144 beats/minute, respirations 24 breaths/minute, and blood pressure 120/80 mm Hg. Capillary refill is
more than 3 seconds, and skin is pale and cool. The patient's signs and symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
DETAILED ANSWERS|ALREADY GRADED A+
A 3-year-old is transported by prehospital personnel after being struck by a car. The parents are en route.
The child is screaming and uncooperative. Which is the best approach while conducting the secondary
survey?
A. Hold the child to comfort him.
B. Wait for the parent's arrival.
C. Observe for behavioral pain cues.
D. Use a doll to demonstrate the examination. - ANSC. Observe for behavioral pain cues.
A 4-year-old child with a history of the flu has a heart rate of 80 beats/minute, respirations of 16
breaths/minute, and capillary refill of more than 3 seconds. The proper sequence for nursing interventions
would be:
A. Position the airway, administer 100% oxygen, obtain venous access, and administer 20 ml/kg of an
isotonic solution.
B. Administer 100% oxygen, obtain venous access, administer 0.
1 mg/kg of epinephrine 1:10,000, and prepare for endotracheal intubation.
C. Position the airway, provide bag-mask ventilation, provide synchronized cardioversion, and provide
supplemental warmth.
D. Administer 100% oxygen, prepare for a venous cutdown, administer 20 ml/kg of an isotonic solution,
and obtain a chest x-ray. - ANSA. Position the airway, administer 100% oxygen, obtain venous access,
and administer 20 ml/kg of an isotonic solution.
A 6- week-old infant is pale, has marked substernal retractions, expiratory grunting, and poor muscle
tone. The emergency nurse should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen. - ANSD. Administer 100% oxygen.
A 7-year-old female sustains a minor head injury and did not lose consciousness. She does not respond
to commands and groans in response to questions. Which action will quickly determine if her behavior
indicates a serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual. - ANSD. Ask the parents if her behavior is unusual.
A 9-month-old infant is crying loudly through the nursing assessment, and the caregiver is becoming
distraught. The nurse should ask the caregiver to:
A. Read a story to the infant.
B. Offer the infant a pacifier.
C. Return when the infant is consoled.
D. Ignore the infant's behavior. - ANSB. Offer the infant a pacifier.
A 10-kg child has deep partial-thickness burns over 35% of the total body surface area. Which evaluation
parameter indicates that fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour. - ANSD. Urine output of 11 ml/hour.
A 10-year-old child who was struck by a car has a distended, tense abdomen. The child's heart rate is
144 beats/minute, respirations 24 breaths/minute, and blood pressure 120/80 mm Hg. Capillary refill is
more than 3 seconds, and skin is pale and cool. The patient's signs and symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
