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ENPC TEST QUESTIONS AND
ANSWERS 100% CORRECT
1. 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.
ANS C. The number of pills left in the bottle.
2. 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.
ANS D. Appointing one staff member to communicate with them.
3. 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.
C. Significant surface injury.
D. Minor underlying injury.
ANS B. Significant underlying injury.
4. Which piece of information is most important to know prior to transferring
a patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
ANS C. Confirmation of acceptance from the receiving hospital.
5. 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.
D. Cardiogenic shock.
ANS C. Hypovolemic shock.
9. An 8-month-old infant with pneumonia has severe intercostal and sub-
sternal retractions, weak muscle tone, lethargy, and gray skin color. The infant's condition does not improve after bag-mask ventilation. The next step in treatment is most likely to be
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol.
ANS C. Rapid sequence intubation.
10. Which combination of medications is best to have prepared for a pediatric
resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium.
ANS B. Epinephrine and glucose.
11. A 20-day-old infant has a 1-week history of not eating well. The infant has a
weak cry and is jittery. Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen.
ANS B. Finger-stick glucose.
12. Which intervention should be performed next if tactile stimulation, posi-
tioning, drying, and blow-by oxygen administration do not increase a new- born's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
D. Bag-mask ventilation.
ANS D. Bag-mask ventilation.
13. 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.
ANS D. Urine output of 11 ml/hour.
14. A 7-year-old female sustains a minor head injury and did not lose con-
sciousness. She does not respond to commands and groans in response to
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the
"across-the-room" assessment. ANS D. Determine the severity of the child's illness or injury using the "across-the-room" assessment.
17. The caregivers of a 6-year-old boy who is brought to the emergency
department for abdominal pain should first be asked
A. "Are his immunizations current?"
B. "Has anything happened to him at school recently?"
C. "What is the reason for the child's visit and how long has he been ill?"
D. "Has he been complaining of a sore throat or earache?"
ANS C. "What is the reason for the child's visit and how long has he been ill?"
18. 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.
ANS B. Offer the infant a pacifier.
19. During an intubation attempt, the childýs 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.
ANS A. Ask the physician to stop the intubation attempt and perform bag-mask ventilation.
20. 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.
ANS D. Administer 100% oxygen.
21. 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.
ANS B. Using the jaw thrust maneuver.
C. Iritis.
D. Retinal hemorrhage.
ANS D. Retinal hemorrhage.
25. 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.
ANS C. Suction the mouth and nose of the infant while on the perineum.
