ENPC Test Questions With 100% Verified
Solutions
During an intubation attempt, the childs heart rate drops to 40 beats/minute. Which
intervention is indicated?
A. Ask the physician to stop the intubation attempt and perform bag-mask ventilation.
B. Apply cricoid pressure and establish intravenous access.
C. Inform the physician of the heart rate and ask the physician to intubate faster.
D. Administer blow-by oxygen and begin chest compressions. - ANSWER A. Ask the
physician to stop the intubation attempt and perform bag-mask ventilation.
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. - ANSWER D. Administer 100% oxygen.
The best method to open the airway in an injured child is:
A. Placing the head and neck in hyperextension.
B. Using the jaw thrust maneuver.
C. Placing the head and neck in flexion.
D. Using the head tilt maneuver. - ANSWER B. Using the jaw thrust maneuver.
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. - ANSWER A. Position the airway,
administer 100% oxygen, obtain venous access, and administer 20 ml/kg of an isotonic
solution.
, 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. - ANSWER C. Observe for behavioral
pain cues.
Which ocular finding is associated with child maltreatment?
A. Glaucoma.
B. Conjunctivitis.
C. Iritis.
D. Retinal hemorrhage. - ANSWER D. Retinal hemorrhage.
A pregnant 18-year-old woman arrives at the emergency department about ready to
deliver a full-term infant. She states that she noticed a large amount of dark green fluid
the last time she went to the bathroom. During the delivery, the nurse should prepare to:
A. Dry and arm the infant as soon as is it delivered.
B. Stimulate and ventilate the infant immediately after delivery.
C. Suction the mouth and nose of the infant while on the perineum.
D. Administer blow-by oxygen and rub the back immediately after delivery. - ANSWER
C. Suction the mouth and nose of the infant while on the perineum.
An unresponsive 2-year-old child was found by his mother with a bottle labeled "Elavil
50 mg" by his side. Which piece of information is important to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe. - ANSWER C. The number of
pills left in the bottle.
A nurse providing crisis intervention to the family of a seriously ill child can best keep
the family informed of the child's condition by: A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them. - ANSWER D. Appointing
one staff member to communicate with them.
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash.
The chest x-ray reveals multiple rib fractures. These findings suggest what type of
injury?
A. Minor surface injury.
B. Significant underlying injury.
Solutions
During an intubation attempt, the childs heart rate drops to 40 beats/minute. Which
intervention is indicated?
A. Ask the physician to stop the intubation attempt and perform bag-mask ventilation.
B. Apply cricoid pressure and establish intravenous access.
C. Inform the physician of the heart rate and ask the physician to intubate faster.
D. Administer blow-by oxygen and begin chest compressions. - ANSWER A. Ask the
physician to stop the intubation attempt and perform bag-mask ventilation.
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. - ANSWER D. Administer 100% oxygen.
The best method to open the airway in an injured child is:
A. Placing the head and neck in hyperextension.
B. Using the jaw thrust maneuver.
C. Placing the head and neck in flexion.
D. Using the head tilt maneuver. - ANSWER B. Using the jaw thrust maneuver.
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. - ANSWER A. Position the airway,
administer 100% oxygen, obtain venous access, and administer 20 ml/kg of an isotonic
solution.
, 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. - ANSWER C. Observe for behavioral
pain cues.
Which ocular finding is associated with child maltreatment?
A. Glaucoma.
B. Conjunctivitis.
C. Iritis.
D. Retinal hemorrhage. - ANSWER D. Retinal hemorrhage.
A pregnant 18-year-old woman arrives at the emergency department about ready to
deliver a full-term infant. She states that she noticed a large amount of dark green fluid
the last time she went to the bathroom. During the delivery, the nurse should prepare to:
A. Dry and arm the infant as soon as is it delivered.
B. Stimulate and ventilate the infant immediately after delivery.
C. Suction the mouth and nose of the infant while on the perineum.
D. Administer blow-by oxygen and rub the back immediately after delivery. - ANSWER
C. Suction the mouth and nose of the infant while on the perineum.
An unresponsive 2-year-old child was found by his mother with a bottle labeled "Elavil
50 mg" by his side. Which piece of information is important to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe. - ANSWER C. The number of
pills left in the bottle.
A nurse providing crisis intervention to the family of a seriously ill child can best keep
the family informed of the child's condition by: A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them. - ANSWER D. Appointing
one staff member to communicate with them.
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash.
The chest x-ray reveals multiple rib fractures. These findings suggest what type of
injury?
A. Minor surface injury.
B. Significant underlying injury.
