ENPC Exam Prep Questions and Answers
(Verified Answers)
1. Which of the following would be an abnormal finding in a patient with
glomerulonephritis
ANS 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
ANS 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
ANS Allow the extended to family members to serve as interpreters
during the procedure.
1/8
,4. Which of the following patient presentations should increase suspicion
of potential child maltreatment
ANS 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
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
ANS 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.
2/8
,8. 1. Which of the following tasks can the nurse do to decrease adverse
medication events
ANS Obtain the patient's weight in kilograms This is the preferred
measurement for medication calculations for pediatric and adult
patients
3/8
,9. Acute chest syndrome, stroke, and splenic sequestration are
complica- tions of which of the following diseases
ANS 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
ANS 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
ANS 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
ANS Succinylcholine Succinylcholine may increase in- traocular
pressure and should be avoided.
4/8
, 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
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
ANS 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.
14.In which of the following primary survey components can assessment
of the fontanel provide the most useful information
ANS Circulation and disability A sunken fontanel may indicate
dehydration; a bulging fontanel can indicate in- creased intracranial
pressure.
5/8
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ProfHampton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
