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ENPC Exam Prep Updated Questions and Answers (Verified Answers)
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Stuvia.com - The Marketplace to Buy and Sell your Study MaterialENPC Exam Prep Questions and Answers
1. Which of the following would be an abnormal finding in a patient with
glomerulonephritis>>> Clear urine There is a decrease in urine output
for patient's with glomerulonephritis. Urine would be concentrated and
dark brown/tea-colored.
2. Clear urine There is a decrease in urine output for patient's with
glomeru- lonephritis. Urine would be concentrated and dark
brown/tea- colored>>> Ad- ministration of nebulized epinephrine
Moderate to severe croup is treated with dexamethasone and
nebulized epinephrine.
3. 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>>> Allow the extended to family members to
serve as interpreters during the procedure.
4. Which of the following patient presentations should increase suspicion
of potential child maltreatment>>> 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
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5. 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: 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
6. 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>>> Neuroleptic malignant syndrome These
are classic symptoms of neuroleptic malignant syndrome, which is a
rare reaction to antipsychotic med- ications.
7. Which of the following patients should be evaluated first: 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.
8. 1. Which of the following tasks can the nurse do to decrease adverse
medication events>>> Obtain the patient's weight in kilograms This is
the preferred measurement for medication calculations for pediatric
and adult patients
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9. Acute chest syndrome, stroke, and splenic sequestration are
complica- tions of which of the following diseases>>> Sickle
cell anemia These are all complications of sickle cell anemia.
10. During the assessment of a 16-year-old male patient, the ED nurse
identi- fies 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>>> 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
11. A 6-month-old is brought to the emergency department for a recurrent
respiratory infection. When gathering a history from the caregiver, the
emer- gency 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>>> Cystic Fibrosis
Pancreatic insufficiency leads to fat malabsorption, which results in the
fatty stools seen with cystic fibrosis.
12. 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>>> Succinylcholine
Succinylcholine may increase in- traocular pressure and should be
avoided.
13. A 7-year-old arrives via ambulance. The patient's mother reports
witness- ing a seizure at home. The patient has no seizure history.
Upon
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