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ENPC Exam Prep 2023/2024
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ENPC Exam Prep 2023/2024
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ENPC Exam Prep 2023/2024Which 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
, 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 patients,
tachycardia is the primary compensatory mechanism to increase cardiac output.
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