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
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