ENPC Test Questions And Correct Answers

ENPC Test Questions And Correct Answers Guaranteed A+ 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?

• Hold the child to comfort him.
• Wait for the parent's arrival.
• Observe for behavioral pain cues.
• Use a doll to demonstrate the examination. - Answer C. Observe for behavioral pain cues.

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:

• Position the airway, administer 100% oxygen, obtain venous access, and administer 20 ml/kg

of an isotonic solution.

• Administer 100% oxygen, obtain venous access, administer 0.

1 mg/kg of epinephrine 1:10,000, and prepare for endotracheal intubation.

• Position the airway, provide bag-mask ventilation, provide synchronized cardioversion, and

provide supplemental warmth.

• 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 6- week-old infant is pale, has marked substernal retractions, expiratory grunting, and poor

muscle tone. The emergency nurse should first:

• Obtain intravenous access.
• Apply a pulse oximeter.
• Prepare a chest x-ray.
• Administer 100% oxygen. - Answer D. Administer 100% oxygen.

A 7-year-old female sustains a minor head injury and did not lose consciousness. She does not respond to commands and groans in response to questions. Which action will quickly determine if her behavior indicates a serious head injury?

• Review her medical record for pre-existing developmental problems.
• Obtain a head computerized tomography scan.
• Conduct a developmental screening test.
• Ask the parents if her behavior is unusual. - Answer D. Ask the parents if her behavior is

unusual.

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:

• Read a story to the infant.
• Offer the infant a pacifier.
• Return when the infant is consoled.
• Ignore the infant's behavior. - Answer B. Offer the infant a pacifier. 1 / 2

A 10-kg child has deep partial-thickness burns over 35% of the total body surface area. Which evaluation parameter indicates that fluid resuscitation is adequate?

• Heart rate of 160 beats/minute.
• Respiratory rate of 34 breaths/minute.
• Blood pressure of 80/60 mm Hg.
• Urine output of 11 ml/hour. - Answer D. Urine output of 11 ml/hour.

A 10-year-old child who was struck by a car has a distended, tense abdomen. The child's heart rate is 144 beats/minute, respirations 24 breaths/minute, and blood pressure 120/80 mm Hg.Capillary refill is more than 3 seconds, and skin is pale and cool. The patient's signs and

symptoms suggest:

• Obstructive shock.
• Distributive shock.
• Hypovolemic shock.
• Cardiogenic shock. - Answer C. Hypovolemic shock.

A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash. The chest x-ray reveals multiple rib fractures. These findings suggest what type of injury?

• Minor surface injury.
• Significant underlying injury.
• Significant surface injury.
• Minor underlying injury. - Answer B. Significant underlying injury.

A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry and is jittery. Which laboratory test is indicated?

• Arterial blood gas.
• Finger-stick glucose.
• Complete blood count with differential.
• Toxicology screen. - Answer B. Finger-stick glucose.

A nurse providing crisis intervention to the family of a seriously ill child can best keep the

family informed of the child's condition by:

• Placing them in a secluded room.
• Referring to their child as "the patient".
• Telling the family how they should feel.
• Appointing one staff member to communicate with them. - Answer D. Appointing one staff

member to communicate with them.

A pregnant 18-year-old woman arrives at the emergency department about ready to deliver a full-term infant. She states that she noticed a large amount of dark green fluid the last time she

went to the bathroom. During the delivery, the nurse should prepare to:

• Dry and arm the infant as soon as is it delivered.
• Stimulate and ventilate the infant immediately after delivery.
• Suction the mouth and nose of the infant while on the perineum.
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