ENPC EXAM 2024 NEWEST 2 VERSIONS
(VERSION A, AND B) ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
VERSION A
The caregivers of a 6-year-old boy who is brought to the
emergency department for abdominal pain should first be
asked:
A. "Are his immunizations current?"
B. "Has anything happened to him at school recently?"
C. "What is the reason for the child's visit and how long has
he been ill?"
D. "Has he been complaining of a sore throat or earache?" -
....ANSWER...C. "What is the reason for the child's visit and
how long has he been ill?"
A 9-month-old infant is crying loudly through the nursing
assessment, and the caregiver is becoming distraught. The
nurse should ask the caregiver to:
A. Read a story to the infant.
B. Offer the infant a pacifier.
C. Return when the infant is consoled.
D. Ignore the infant's behavior. - ....ANSWER...B. Offer the
infant a pacifier.
,During an intubation attempt, the child�s heart rate drops
to 40 beats/minute. Which intervention is indicated?
A. Ask the physician to stop the intubation attempt and
perform bag-mask ventilation.
B. Apply cricoid pressure and establish intravenous access.
C. Inform the physician of the heart rate and ask the
physician to intubate faster.
D. Administer blow-by oxygen and begin chest
compressions. - ....ANSWER...A. Ask the physician to stop
the intubation attempt and perform bag-mask ventilation.
A 6- week-old infant is pale, has marked substernal
retractions, expiratory grunting, and poor muscle tone. The
emergency nurse should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen. - ....ANSWER...D. Administer
100% oxygen.
The best method to open the airway in an injured child is:
A. Placing the head and neck in hyperextension.
B. Using the jaw thrust maneuver.
C. Placing the head and neck in flexion.
D. Using the head tilt maneuver. - ....ANSWER...B. Using
the jaw thrust maneuver.
A 4-year-old child with a history of the flu has a heart rate
of 80 beats/minute, respirations of 16 breaths/minute, and
capillary refill of more than 3 seconds. The proper sequence
for nursing interventions would be:
,A. Position the airway, administer 100% oxygen, obtain
venous access, and administer 20 ml/kg of an isotonic
solution.
B. Administer 100% oxygen, obtain venous access,
administer 0.
1 mg/kg of epinephrine 1:10,000, and prepare for
endotracheal intubation.
C. Position the airway, provide bag-mask ventilation,
provide synchronized cardioversion, and provide
supplemental warmth.
D. Administer 100% oxygen, prepare for a venous cutdown,
administer 20 ml/kg of an isotonic solution, and obtain a
chest x-ray. - ....ANSWER...A. Position the airway,
administer 100% oxygen, obtain venous access, and
administer 20 ml/kg of an isotonic solution.
A 3-year-old is transported by prehospital personnel after
being struck by a car. The parents are en route. The child is
screaming and uncooperative. Which is the best approach
while conducting the secondary survey?
A. Hold the child to comfort him.
B. Wait for the parent's arrival.
C. Observe for behavioral pain cues.
D. Use a doll to demonstrate the examination. -
....ANSWER...C. Observe for behavioral pain cues.
Which of the following is the highest priority intervention
for a well-appearing 2-month-old with a fever?
A. Lumbar puncture
B. Urine culture
C. Intravenous fluid bolus
D. Chest radiograph - ....ANSWER...B. Urine culture
, The caregivers of a 6-year-old report the child developed a
cough with nasal congestion and "pink-eye" that started two
days ago. Today they noticed a raised, red rash on the face,
and grey papules in the mouth. Which of the following is the
priority intervention for this patient?
A. Obtain a nasopharyngeal swab
B. Place in airborne isolation
C. Place in contact isolation
D. Obtain a fingerstick glucose - ....ANSWER...C. Place in
contact isolation
A 14-year-old patient with Down syndrome presents with an
abnormal gait, head tilted to the left, decreased sensation to
the extremities, and urinary incontinence. The patient has no
history of trauma. Which of the following diagnostics is the
priority for this patient?
A. Lumbar spine magnetic resonance imaging
B. Complete neurologic exam
C. Urinalysis by straight catheterization
D. Cervical spine radiographs - ....ANSWER...D. Cervical
spine radiographs
A 7-year-old is being seen for new onset of headaches.
Which of the following manifestations would most likely
rule out the potential of a primary etiology?
A. Presence of ataxia
B. Pulsating, unilateral pain
C. Occurrence of photophobia
D. Nausea, vomiting - ....ANSWER...A. Presence of ataxia
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