ENPC Practice Test Answers

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01. A 15-year-old with a history of schizophrenia is taking risperidone (Risperdal) and lithium (Eskalith). She presents with dystonia, akinesia, a shuffling gait, muscle rigidity, and tremors. What does the nurse suspect is the cause of these signs and symptoms?
a. Extrapyramidal symptoms
b. Tardive dyskinesia
c. Neuroleptic malignant syndrome
d. Serotonin syndrome

02. Which of the following burn injury patterns and history indicates suspected child maltreatment?
a. A 5-cm (2-inch) linear, superficial partial-thickness burn with irregular edges on the leg of a preschooler, reportedly from touching a curling iron left on a low table
b. A deep partial-thickness, sharply demarcated burn on the buttocks of a toddler, reportedly from the child turning on the hot water while in the bath
c. A 2-cm (0.75 inch) linear partial-thickness burn on the arm of toddler, reportedly from walking and bumping into a lighted cigarette
d. A partial-thickness burn with irregular edges and splash pattern on the chest and right hand of a 7-year-old reportedly spilling a bowl of soup from the microwave

02. A mother presents to the emergency department with a 6-week-old infant with no medical issues after a normal delivery, until yesterday. Mom states he has been eating poorly, vomiting, and that 'he's hard to wake up.' The infant is responsive only to painful stimuli. The anterior fontanel is bulging. He is mildly tachycardic, but otherwise vital signs are normal. What diagnostic evaluation will the nurse expect for this infant?
a. Upper gastrointestinal (GI) series
b. Skeletal survey
c. Lumbar puncture
d. Blood gas analysis

04. A malfunctioning oxygen tank explodes near a child's bed in the emergency department, resulting in an extensive burn injury to the child. Four nurses participate in the child's immediate care. Which nurse requires intervention after this critical incident?
a. One who refuses to participate in critical incident stress debriefing
b. One who readily talks about the incident and how he reacted
c. One who admits experiencing burnout and asks for a week leave of absence
d. One who is not sleeping because of dreams of the incident

05. Two ambulances collide in front of the hospital. The victims include three pediatric victims. Using the JumpSTART triage system, which category assignment will the nurse give to a 2-year-old who is lying on the ground, alert and crying with spontaneous respirations of 36 breaths/minute and present peripheral pulses?
a. Green
b. Yellow
c. Red
d. Black

06. 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.

07. 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.

08. 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.

09. 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.

10. 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:- 1:a, 2:b, 3:b, 4:d, 5:b, 6:c, 7:d, 8:b, 9:c, 10:c

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ENPC Exam Questions

1. A preschooler has a small laceration that required 2 stitches. The nurse covers the wound with a bandage knowing that it will comfort the child to have it covered. What is the developmental reason for this intervention?
a. Preschoolers are magical thinkers and imagine bandages keep their insides from coming out
b. Preschoolers fear physical disability and believe a bandage will prevent disability
c. Preschoolers explore orally and will likely chew or suck on the stitches if left uncovered
d. Preschoolers are concerned with body image and don’t want to appear different than peers

2. A 7-month-old presents to the emergency department with a complaint of fever. Assessment reveals a patent airway and slight cyanosis around his lips and nail beds. He is alert and interactive. His vital signs are 38.5° C (101.3° F), HR 134, RR 32, BP 78/54 mm Hg, and SpO2 84%. The nurse notes a healed surgical scar on his chest. Based on this assessment, what is the nurse’s priority?
a. Administer ibuprofen to treat the fever
b. Begin oxygen via a nonrebreather mask
c. Obtain a surgical history
d. Ask if the SpO2 is normal for him

3. An 11-year-old presents to the emergency department with a complaint of hitting his head while playing soccer. The nurse enters the room and performs an across-the-room assessment. He is staring at the wall. He has no increased work of breathing, and his color is pink. Using the pediatric assessment triangle (PAT), what classification will the nurse assign?
a. Well
b. Sick
c. Sicker
d. Sickest

4. The pediatric prioritization process components include the focused assessment, focused history, acuity rating decision and:
a. the pediatric assessment triangle (PAT).
b. developmental characteristics.
c. head-to-toe assessment.
d. life-saving interventions.

5. A 2-year-old is brought to the emergency department by her father when he found her face down in the pool. She remains unresponsive and is breathing shallowly and slowly. Her color is pale. What is the priority?
a. Administer 100% oxygen
b. Immobilize the cervical spine
c. Begin bag-mask ventilation
d. Insert an oral airway

6. A 2-year-old has a suspected cervical spinal injury. In order to ensure neutral spinal alignment, padding should be placed under which area?
a. Shoulders

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b. Head
c. Neck
d. Waist

7. The nurse is preparing to administer a feeding through a nasogastric feeding tube. The tube position was verified by radiograph after insertion 2 hours ago. What is the best way to verify placement before feeding?
a. Instill air and listen over the epigastrium
b. Test the pH of the gastric contents
c. Observe color of a gastric aspirate sample
d. Repeat the radiograph

8. What is the best method to rapidly administer a 20 mL/kg bolus of 0.9% normal saline to a pediatric patient weighing 8 kg?
a. A 20-mL syringe with a stopcock
b. A syringe pump
c. A rapid infuser
d. A pressure bag

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9. Immediately after intraosseous insertion the nurse assesses the infusion and notes that the fluid is not dripping. How should the nurse respond?
a. Use an infusion pump to deliver the fluids
b. Remove the device and insert in another site
c. Advance the device and reassess the flow
d. Attempt to aspirate bone marrow

10. A 13-month-old presents to the emergency department with a 2-day history of a low-grade fever, increased work of breathing, and tonight developed a barking cough and inspiratory stridor. What condition does the nurse suspect?
a. Epiglottitis
b. Foreign body aspiration
c. Tracheomalacia
d. Croup

Ans:- 1:A, 2:*, 3:C, 4:*, 5:B, 6:*, 7:B, 8:*, 9:A, 10:*

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