Ultimate ENPC Exam with Questions and Answers
Which of the following is a first-line treatment for atopic dermatitis? ANSWER Skin hydration therapy
After a seizure at home, a 9-month-old infant is awake and interacting appropriately. Vital signs on arrival are HR 150 beats/minutes, RR 36 brea...
Ultimate ENPC Exam with Questions and
Answers
Which of the following is a first-line treatment for atopic dermatitis? ANSWER Skin
hydration therapy
After a seizure at home, a 9-month-old infant is awake and interacting appropriately. Vital
signs on arrival are HR 150 beats/minutes, RR 36 breaths/minute (unlabored), BP 80/52 mm
Hg, SaO2 97% without supplemental oxygen, and T 102.7°F (39.3°C) rectally. During re-
evaluation 2 hours after arrival, which of the following assessments would indicate
appropriate measures were taken in treating this child? ANSWER Temperature 37.7°C
(99.9°F)
During a diaper change on a 4-month-old infant, the nurse measures the infant's urinary
output. After subtracting the weight of a dry diaper, the wet diaper weighs 22 grams. What is
the infant's estimated urinary output? ANSWER 22 mL
A 3 year-old patient presents following frequent emesis and diarrhea over the past 12 hours.
Which of the following assessment findings indicate that the patient' body is compensating
for the fluid loss? ANSWER Prolonged capillary refill (wrong)
Diastolic pressure will increase (correct)
Remediation feedback:
In the early compensated phase of shock attributed to fluid volume loss, the diastolic pressure
will increase due to vasoconstriction (increasing systemic vascular resistance) as a
compensatory mechanism causing a narrowed pulse pressure. A normal systolic pressure is
maintained during this phase. Other manifestations of early shock states are tachycardia,
normal capillary refill, decreased urine output, mild irritability, tachypnea, and weak
peripheral pulses.
,A six-week-old infant presents to the emergency department with seizures. The infant is
afebrile with a normal glucose level ,and caregivers report no signs of illness other than
formula intolerance, which they treated by adding extra water to the formula. The nurse
would expect to find which of the following laboratory abnormalities? ANSWER
Hyponatremia
A 12-year-old complains of a severe headache for the past 8 hours. Which of the following
past history disease processes would be considered a "red flag" and warrant immediate
evaluation for this patient? ANSWER Sickle cell disease
A 6-year-old child weighing 20 kg (44.1 lb) arrives in full arrest following an electrocution
event. CPR is in progress after defibrillation for ventricular fibrillation. What is the
intravenous dose of epinephrine for this patient? ANSWER 0.01 mg (wrong)
Remediation feedback:
The pediatric dose of intravenous epinephrine during a cardiac arrest is 0.01 mg/kg.
The triage nurse is assessing a 14 year old male who was brought in by ambulance. The
patient reports he was playing his video games at home when he had a sudden onset of groin
pain that was so severe he became nauseated and vomited. Further assessment reveals a
swollen scrotum. What is the priority intervention for this patient? ANSWER Preparing the
patient for ultrasound
Which of the following is the recommended method of insulin administration for a pediatric
patient with diabetic ketoacidosis? ANSWER Insulin infusion
, A child was found unresponsive under the monkey bars during recess and arrives with the
following assessment: eyes open only with supraorbital pressure stimulus, no verbal response
is elicited, and withdraws arms and legs when a swab is inserted in the nose. Which of the
following is the priority intervention for this child? ANSWER Prepare for immediate
intubation
A term infant is delivered in the emergency department. Which assessment finding is most
concerning? ANSWER Acrocyanosis (wrong)
Remediation feedback:
Normal findings for a newborn include a heart rate between 90-180 bpm, respiratory rate of
30-55 breaths/minute, and systolic blood pressure of 67-84 mm Hg. They may also exhibit
acrocyanosis, particularly when in cool environments.
A 3-year-old has a two-day history of runny nose, low-grade fever, and a "barky" cough at
night. The child is awake and alert with noted stridor. Pulse oximetry is 96% on room air.
Which of the following interventions would be the most appropriated for this child?
ANSWER Administration of nebulized epinephrine
A pediatric resuscitation has ended with the death of the child. Coroner notification has not
been made yet. In dealing with the family of this child, how can the nurse facilitate their
grieving process until legally required notification has been made? ANSWER Provide
simple, straightforward information
During your primary assessment of a 3-year-old, the child is pale, with a respiratory rate of
70 breaths/minute, costal retractions, poor air movement, and a pulse oximetry reading of
89%. What is the priority intervention for this patient? ANSWER Prepare for intubation
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