ENPC EXAM LATEST 2023-2024 ACTUAL EXAM 50
QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
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.
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
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
, ENPC EXAM LATEST 2023-2024 ACTUAL EXAM 50
QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
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.
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