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ENPC Exam Prep / Exam Questions(5thEdition ENPC Exam Questions, Open
Book)Already Graded A+
Which of the following would be an abnormal finding in a patient with
glomerulonephritis? - Answer Clear urine There is a decrease in urine output for
patient's with glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored.
Clear urine There is a decrease in urine output for patient's with glomerulonephritis.
Urine would be concentrated and dark brown/tea-colored. - Answer Administration of
nebulized epinephrine Moderate to severe croup is treated with dexamethasone and
nebulized epinephrine.
The neurosurgeon has decided to perform an invasive procedure in the emergency
department to monitor the intracranial pressure on a 5-year-old patient. The family
does not speak English and has identified their religion as Muslim. Which of the
following interventions is most supportive of the family? - Answer Allow the extended
to family members to serve as interpreters during the procedure.
Which of the following patient presentations should increase suspicion of potential
child maltreatment? - Answer Bruising to the left ear of a newborn from sleeping on
his side Any bruise in a non-exploratory location in children younger than 4 years
and any bruising in a child younger than 4 months (TEN-4) are cause for suspicion of
abuse
Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-
exploratory location in children younger than 4 years and any bruising in a child
younger than 4 months (TEN-4) are cause for suspicion of abuse - Answer
Commotio cordis Commotio cordis occurs when the chest is struck during the
refractory period of the cardiac conduction cycle, resulting in a ventricular
dysrhythmia or asystole. This type of injury usually occurs in recreational sports such
as baseball or ice hockey
A 12-year-old who was recently started on anti-psychotic medication for
schizophrenia is brought to the emergency department with severe muscle rigidity
and hyperthermia. These symptoms are most likely caused by which of the
following? - Answer Neuroleptic malignant syndrome These are classic symptoms of
neuroleptic malignant syndrome, which is a rare reaction to antipsychotic
medications.
Which of the following patients should be evaluated first - Answer An 18-month-old
with bilious emesis Bilious emesis in an 18-month-old is always considered an
emergent symptom indicative of a life-threatening bowel obstruction.
1. Which of the following tasks can the nurse do to decrease adverse medication
events? - Answer Obtain the patient's weight in kilograms This is the preferred
measurement for medication calculations for pediatric and adult patients
, ENPC Exam Prep / Exam Questions(5th
Edition ENPC Exam Questions, Open
Book)Already Graded A+
Acute chest syndrome, stroke, and splenic sequestration are complications of which
of the following diseases? - Answer Sickle cell anemia These are all complications of
sickle cell anemia.
During the assessment of a 16-year-old male patient, the ED nurse identifies him as
a potential sex trafficking victim. The trauma informed approach to care emphasizes
certain principles in caring for these types of patients. Which of the following care
principles has the highest priority? - Answer Physical and psychological safety
Create an environment where patients feel safe, both physically and psychologically.
Increase awareness of the patient's interpersonal interactions with others to screen
for risk of harm. Prioritize the patient being in a safe location
A 6-month-old is brought to the emergency department for a recurrent respiratory
infection. When gathering a history from the caregiver, the emergency nurse learns
that, in addition to the respiratory symptoms, the infant has had fatty stools. The
emergency nurse should be concerned about which of the following disease
processes? - Answer Cystic Fibrosis Pancreatic insufficiency leads to fat
malabsorption, which results in the fatty stools seen with cystic fibrosis.
The emergency nurse is caring for a patient with significant facial trauma and a
suspected globe rupture. Which of the following medication orders would the nurse
question? - Answer Succinylcholine Succinylcholine may increase intraocular
pressure and should be avoided.
A 7-year-old arrives via ambulance. The patient's mother reports witnessing a
seizure at home. The patient has no seizure history. Upon examination, the patient is
post-ictal with a heart rate of 142 beats per minute, respiratory rate of 36 breaths per
minute, and blood pressure of 86/72 mm Hg. Significant burns are noted to the
patient's back and lower extremities. The mother states the burns accidentally
occurred 3 days ago, but she was afraid to bring patient in due to an ongoing child
welfare investigation. Which of the following are the MOST appropriate immediate
interventions? - Answer Draw and send a metabolic panel, administer a fluid bolus,
and obtain a point of care glucose Significant burns can cause electrolyte
imbalances. Electrolyte imbalances may be the cause of the patient's seizure.
Electrolyte imbalances need to be identified and treated.
In which of the following primary survey components can assessment of the fontanel
provide the most useful information? - Answer Circulation and disability A sunken
fontanel may indicate dehydration; a bulging fontanel can indicate increased
intracranial pressure.
A 5-year-old patient presents to the emergency department with severe dehydration
due to viral gastroenteritis. He has signs of shock due to his hypovolemia. Which of
the following physiologic responses to shock has the greatest impact on improving
cardiac output in the pediatric patient? - Answer Increasing heart rate In pediatric
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