ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25, Exams of Nursing

Download ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 and more Exams Nursing in PDF only on Docsity! 1 / 11 ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 1. Which of the following would be an abnormal finding in a patient with glomerulonephritis? 2. Clear urine There is a decrease in urine output for patient's with glomerulonephri- tis. Urine would be concentrated and dark brown/tea- colored. 3. The neurosurgeon has decided to perform an invasive procedure in the emergency depart- ment 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? 4. Which of the following patient presentations should increase suspicion of potential child maltreatment? 5. Bruising to the left ear of a newborn from sleeping on his side Any bruise in a non-ex- ploratory 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 2 / 11 ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 Clear urine There is a decrease in urine output for patient's with glomeru- lonephritis. Urine would be concentrated and dark brown/tea-colored. Administration of nebulized epinephrine Moderate to severe croup is treated with dexamethasone and nebu- lized epinephrine. Allow the extended to fami- ly members to serve as in- terpreters during the proce- dure. 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 Commo- tio cordis occurs when the chest is struck during the refractory period of the car- diac conduction cycle, re- sulting in a ventricular dys- rhythmia or asystole. This type of injury usually oc- 5 / 11 ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 11.A 6-month-old is brought to the emergency department for a recurrent respiratory infec- tion. When gathering a history from the care- giver, the emergency nurse learns that, in ad- dition to the respiratory symptoms, the infant has had fatty stools. The emergency nurse should be concerned about which of the fol- lowing disease processes? 12.The emergency nurse is caring for a patient with significant facial trauma and a suspected globe rupture. Which of the following medica- tion orders would the nurse question? 13.A 7-year-old arrives via ambulance. The pa- tient's mother reports witnessing a seizure at home. The patient has no seizure histo- ry. Upon examination, the patient is post-ic- tal with a heart rate of 142 beats per minute, Cystic Fibrosis Pancreat- ic insufficiency leads to fat malabsorption, which re- sults in the fatty stools seen with cystic fibrosis. Succinylcholine Succinyl- choline may increase in- traocular pressure and should be avoided. Draw and send a metabol- ic panel, administer a fluid bolus, and obtain a point of care glucose Signifi- cant burns can cause elec- respiratory rate of 36 breaths per minute, and trolyte imbalances. Elec- blood pressure of 86/72 mm Hg. Significant burns are noted to the patient's back and low- er 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 fol- lowing are the MOST appropriate immediate interventions? 14.In which of the following primary survey com- ponents can assessment of the fontanel pro- vide the most useful information? 15.A 5-year-old patient presents to the emer- gency department with 6 / 11 ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 severe dehydration due to viral gastroenteritis. He has signs of trolyte imbalances may be the cause of the patient's seizure. Electrolyte imbal- ances need to be identified and treated. Circulation and disability A sunken fontanel may indi- cate dehydration; a bulging fontanel can indicate in- creased intracranial pres- sure. Increasing heart rate In pe- diatric patients, tachycardia is the primary compensato- 7 / 11 ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 shock due to his hypovolemia. Which of the following physiologic responses to shock has the greatest impact on improving cardiac out- put in the pediatric patient? 16.A toddler has a chemical eye injury. Which of the following is the priority intervention? 17.A 5 year-old with no health problems presents to the Emergency Department with a sudden onset of chest pain and shortness of breath. Parents state that the family was involved in a bad car crash one week ago. A thorough ry mechanism to increase cardiac output. Increasing heart rate In pe- diatric patients, tachycardia is the primary compensato- ry mechanism to increase cardiac output. Ask about any new bed-wetting or sleep distur- bances Pediatric patients with anxiety and PTSD may present with physical com- assessment and workup has not revealed any plaints. Assess for other be- abnormalities. Which of the following steps is the best next step to take? 18.Which of the following is the most appro- priate intervention for a child experiencing a seizure? havioral symptoms to facil- itate appropriate care and follow-up. Prepare to administer in- tranasal midazolam Mida- zolam has gained favor be- cause of its ease of use and quick onset of action. 19. An ambulance arrives with a 16-year-old male Assess the endotracheal 10 / ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 Endotracheal intubation with positive pressure ven- tilation Airway control and positive pressure ventila- tion are the priority inter- ventions for this patient. Appointing one staff mem- ber to communicate with them. This will help create a solid patient-staff bond and facilitate communication. Ensuring all firearms in the home are locked in a safe place with no access by the patient. Promote injury prevention with caregivers of patients with a histo- ry of depression or suici- dal ideation by encouraging that all firearms and med- ications are under lock to prevent overdoses or sui- cide attempt. Hypovolemic shock The mechanism and presenta- tion lead to a suspicion of blood loss. Insulin infusion A continu- ous infusion of insulin at 0.05-0.1 unit/kg/hr should 11 / ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 25.Which of the following describes a neonate's normal position? 26.The emergency nurse is caring for a 14-year-old patient who sustained a displaced fracture of the radius and ulna after falling from a bicycle. Which of the following pain interventions is most likely to result in im- provement in symptoms? 27.The type of vascular access is appropriate in all of the patient situations given EXCEPT for which of the following? 28.A 5-year-old child presents to the emergency department after being hit by a car. She complains of left upper quadrant pain and the focused assessment with sonography for trauma (FAST) exam shows fluid around her spleen. Which of the following findings would be an early indication of ongoing blood loss? 29.A 15-year-old patient has attempted suicide by overdosing on amitriptyline. The emer- gency nurse should expect which of the fol- lowing symptoms? 30.The parents of a 5- year-old child arrive at the emergency department. The child's lips 12 / ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 be used to decrease blood glucose. Flexion with extremities close to the body A neonate's normal position is flexion with extremities close to the body. Application of a splint to the affected extremity Splinting is an effective non- pharma- cologic intervention to re- duce pain associated with fractures. Peripherally inserted cen- tral catheter line for one time fluid bolus This vascu- lar access is most appro- priate for long term med- ication administration and multiple blood draws. Widening pulse pressure Narrowing pulse pressure and increasing heart rate are early indications of on- going blood loss. Dysrhythmias QRS prolon- gation and ventricular dys- rhythmias are symptoms of cyclic antidepressant over- dose. 15 / ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 with a fever and a history of a hematologic or oncologic condition? 35.Prioritizing pediatric patients presenting with fever is often difficult. Which of the following patients is at greatest risk of serious illness? 36.Which of the following indicates the need for additional parent/guardian education regard- ing a UTI? 37.A 4-day-old who is brought to the emer- gency department with the parental complaint of "not acting right" is found to be hypo- glycemic. The appropriate glucose concentra- tion to administer to this neonate is which of the following? 38.Which of the following actions by the nurse promotes pediatric patient safety? 39.A 16-year-old trauma patient is noted to have external rotation and shortening of the left 16 / ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 and treatment with intra- venous antibiotics is indi- cated. A 7-year old boy with a history of sickle cell ane- mia and an oral tempera- ture of 38.3°C (101°F) Chil- dren with chronic illness- es such as sickle cell dis- ease are at greatest risk for life-threatening fever-re- lated illnesses. My child will grow out of their frequent urinary tract infections UTIs are not a normal occurrence in chil- dren and may require addi- tional investigation and fol- low up. D10 D10 is the preferred concentration for neonates to protect their fragile vas- culature. Preparing medications in a distraction-free area To de- crease errors, the nurse should be focused and systematic in verifying pa- tient identification, medica- tion order, route, time, and dose. Bony crepitus and instabil- ity with gentle anteropos- 17 / ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 lower extremity and pain with palpation of the pelvis after being ejected from a motorcycle. Which of the following assessment findings is most concerning for a potentially life-threat- ening condition? 40.A 10-year-old patient was recently diagnosed with Marfan syndrome. The emergency nurse understands that this patient may be at risk for developing which of the following condi- tions? 41.A 2-month-old child with intermittent irritabil- ity, poor feeding and apneic episodes has a heart rate of 188 and an irregular respiratory rate. After three 0.9% sodium chloride fluid boluses at 20 ml/kg each with only minimal clinical improvement, what treatment should the emergency nurse anticipate next? 42.Spinal shock results in which of the following transient conditions? 43.A 14-year-old patient presents to the emer- gency department with her aunt after being assaulted. The patient has multiple bruises in- consistent with the assault history and seems 20 / ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 cy and being withdrawn or anxious in the presence of the caregiver. Fifth Disease at 6 months There is an animal vaccine but not a human vaccine for fifth disease. My child can go to daycare since they have been off of Tylenol and fever free for 24 hours. Yes, the patient needs to be afebrile WITH- OUT the use of antipyretics to be able to go back to day- care or school. Removal of clothing and decontamination Deconta- mination of nerve agents requires removal of cloth- ing and flushing the skin with copious amounts of soap and water. Obtain vascular access for analgesic and fluid admin- istration Rapid vascular ac- cess and fluid administra- tion are the priority inter- ventions. Pain with flexion of the neck Nuchal rigidity is associ- ated with meningeal irrita- 21 / ENPC Exam Prep / Exam Questions with answers 100% correct /2024/25 49.A 6 year-old child presents to the emer- gency department with caregivers who report a cough with nasal congestion and "pink-eye" that started 2 days ago. They have been treat- ing with an over-the-counter medicine without relief. Today they noticed a raised red rash on the face and papules in the mouth. You suspect which of the following? 50.According to the American Academy of Pe- datrics guidelines, which of the following de- scribes how a neonate riding in a car should be positioned? tion and meningitis, which would be considered a more serious secondary headache condition. Rubeola Rubeola presents with a cough, nasal in- flammation (coryza), and non- purulent conjunctivitis. A rash begins as erythema- tous macules and papules on the hairline and face that spreads downward. Rear facing in a convertible car seat until at least the age of 2