Emergency Nursing Pediatric Course

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Emergency Nursing Pediatric Course ENPC 6th Edition (4 PRACTICE EXAM’S) 100% Guarantee Pass

Insiḍe you will get:

 (4 PRACTICE EXAM’S) Each exam consists of 50 multiple-choice questions

 Each question exam consists of multiple-choice questions and answers with explanations

 ENPC, 6th Edition, is ENA's latest version of the Emergency Nursing Pediatric Course. This edition is patient-presentation-based, focusing on recognizing normal and abnormal findings and appropriate interventions.

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ENPC 6th Edition PRACTICE TEST 1

• **A 4-year-old presents with vomiting, lethargy, frequent urination, weight

loss, and dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per minute.Which of the following laboratory values would be most expected in this child?**

• Hypoglycemia
• Blood pH < 7.3
• Normal serum bicarbonate level
• Blood glucose level < 200 mg/dL

Answer: B) Blood pH < 7.3

Explanation: Children can present with new onset diabetes in diabetic

ketoacidosis, which includes signs of dehydration and an acidotic state.

• **An 18-month-old is seen for fever, slight circumoral cyanosis, and

wheezing noted on auscultation in the right upper lobe after a choking event

• days ago. What would be considered definitive treatment for the suspected

diagnosis?**

• Antibiotics
• Diagnostic imaging
• Bronchoscopy
• Observation

Answer: C) Bronchoscopy

Explanation: A bronchoscopy is necessary to retrieve the suspected foreign 2 / 4

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body.

• **A child in cardiopulmonary arrest is receiving chest compressions and

manual ventilations with a bag-mask device. Once return of spontaneous circulation has been confirmed, what is the priority intervention?**

• Establishing a secure airway
• Administering medications
• Assessing vital signs
• Documenting findings

Answer: A) Establishing a secure airway

Explanation: A secure airway is essential to ensure effective breathing and

circulation.

• **Parents report their 3-year-old child has developed noisy breathing with

high-pitched wheezes audible on both inspiration and expiration. What medication should be administered first?**

• Inhaled short-acting beta agonist
• Oral corticosteroids
• Long-acting beta agonist
• Antihistamines

Answer: A) Inhaled short-acting beta agonist

Explanation: Inhaled short-acting beta agonists are the first-line treatment

for wheezing.

• **A 6-week-old infant is brought to the emergency department with poor 3 / 4

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feeding, listlessness, fever, a bulging anterior fontanel, and abnormal vital signs. What diagnostic test should the nurse anticipate?**

• CT Scan
• Blood cultures
• Lumbar puncture
• Urinalysis

Answer: C) Lumbar puncture

Explanation: A lumbar puncture is indicated to assess for potential

meningitis in this presentation.

• **A 12-year-old is being prepped for surgical intervention of acute

appendicitis. Which intravenous medication order should the nurse question?**

• Acetaminophen
• Ketorolac
• Heparin
• Normal saline

Answer: B) Ketorolac

Explanation: Ketorolac should not be used pre-operatively due to the risk of

increased bleeding.

• **A 17-year-old female arrives in the ED reporting vaginal bleeding during

pregnancy. She presents as quiet and allows her boyfriend to answer questions. What is the most appropriate action for the nurse?**

• Continue collecting data
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