ENPC Exam 6th ed
A 5-year-old child presents with hives, swelling of the lips and face, and stridor that developed about an
hour after eating lunch. The child has no known allergies. Which of the following is the priority
intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - ✔ ✔ A. Administer intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the following
findings would be most indicative that respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - ✔ ✔ A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-grade fever, and a "barky" cough at night. The
child is awake and alert with noted stridor. Pulse oximetry is 96% on room air. Which of the following
interventions would be the most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer - ✔ ✔ B. Administration of nebulized epinephrine
A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of the
following should be included in the discharge instructions?
A. Practice yawning three to four times a day
, B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control - ✔ ✔ D. Use a nonsteroidal anti-
inflammatory for pain control
Which of the following parameters would indicate that appropriate post resuscitation interventions
were successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - ✔ ✔ A. Pulse oximetry reading of 96%
An anxious 12-year-old child presents to the emergency department with a sudden onset of nausea,
diarrhea, abdominal cramping, flushing, and hypotension. Symptoms started about 60 minutes after
lunch. Which of the following conditions is the most likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche - ✔ ✔ A. Anaphylaxis
An 8-year-old trauma patient suddenly develops increased respiratory distress with a rise in heart rate
from 112 beats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of
the jugular veins is noted. Which of the following emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression - ✔ ✔ D. Needle decompression
A 5-year-old child presents with hives, swelling of the lips and face, and stridor that developed about an
hour after eating lunch. The child has no known allergies. Which of the following is the priority
intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - ✔ ✔ A. Administer intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the following
findings would be most indicative that respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - ✔ ✔ A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-grade fever, and a "barky" cough at night. The
child is awake and alert with noted stridor. Pulse oximetry is 96% on room air. Which of the following
interventions would be the most appropriated for this child?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer - ✔ ✔ B. Administration of nebulized epinephrine
A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of the
following should be included in the discharge instructions?
A. Practice yawning three to four times a day
, B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control - ✔ ✔ D. Use a nonsteroidal anti-
inflammatory for pain control
Which of the following parameters would indicate that appropriate post resuscitation interventions
were successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - ✔ ✔ A. Pulse oximetry reading of 96%
An anxious 12-year-old child presents to the emergency department with a sudden onset of nausea,
diarrhea, abdominal cramping, flushing, and hypotension. Symptoms started about 60 minutes after
lunch. Which of the following conditions is the most likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche - ✔ ✔ A. Anaphylaxis
An 8-year-old trauma patient suddenly develops increased respiratory distress with a rise in heart rate
from 112 beats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of
the jugular veins is noted. Which of the following emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression - ✔ ✔ D. Needle decompression
