ENPC EXAM LATEST ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+

ENPC EXAM LATEST 2023-2024 ACTUAL EXAM 100

QUESTIONS AND CORRECT DETAILED

ANSWERS|ALREADY GRADED A+

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? - ANSWER- Neuroleptic malignant syndrome These are classic

symptoms of neuroleptic malignant syndrome, which is a rare reaction to

antipsychotic medications.

Which of the following patients should be evaluated first - ANSWER- 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.

1. Which of the following tasks can the nurse do to decrease adverse medication

events? - ANSWER- Obtain the patient's weight in kilograms This is the preferred

measurement for medication calculations for pediatric and adult patients

Acute chest syndrome, stroke, and splenic sequestration are complications of

which of the following diseases? - ANSWER- Sickle cell anemia These are all

complications of sickle cell anemia.

During the assessment of a 16-year-old male patient, the ED nurse identifies 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? - ANSWER- 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

A 6-month-old is brought to the emergency department for a recurrent respiratory

infection. When gathering a history from the caregiver, the emergency 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? - ANSWER- Cystic Fibrosis Pancreatic insufficiency leads to fat

malabsorption, which results in the fatty stools seen with cystic fibrosis.

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? - ANSWER- Succinylcholine Succinylcholine may increase

intraocular pressure and should be avoided.

A 7-year-old arrives via ambulance. The patient's mother reports witnessing 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? - ANSWER- 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.

In which of the following primary survey components can assessment of the

fontanel provide the most useful information? - ANSWER- Circulation and

disability A sunken fontanel may indicate dehydration; a bulging fontanel can

indicate increased intracranial pressure.

A 5-year-old patient presents to the emergency department with severe dehydration

due to viral gastroenteritis. He has signs of shock due to his hypovolemia. Which

of the following physiologic responses to shock has the greatest impact on

improving cardiac output in the pediatric patient? - ANSWER- Increasing heart

rate In pediatric patients, tachycardia is the primary compensatory mechanism to

increase cardiac output.

A toddler has a chemical eye injury. Which of the following is the priority

intervention? - ANSWER- Increasing heart rate In pediatric patients, tachycardia is

the primary compensatory mechanism to increase cardiac output.

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 assessment and workup

has not revealed any abnormalities. Which of the following steps is the best next

step to take? - ANSWER- Ask about any new bed-wetting or sleep disturbances

Pediatric patients with anxiety and PTSD may present with physical complaints.

Assess for other behavioral symptoms to facilitate appropriate care and follow-up.

Which of the following is the most appropriate intervention for a child

experiencing a seizure? - ANSWER- Prepare to administer intranasal midazolam

Midazolam has gained favor because of its ease of use and quick onset of action.

An ambulance arrives with a 16-year-old male involved in a dirt bike crash who

was intubated prior to arrival. Which of the following is the priority assessment or

intervention? - ANSWER- Assess the endotracheal tube placement and patency If

a patient arrives with an artificial airway (endotracheal tube or tracheostomy) in

place, assess its placement, tube patency, and the oral airway (in that order) before

moving to the next step of the primary survey.

A three-year-old is rescued after being submerged in a residential pool for several

minutes. On arrival at the Emergency Department he is responsive to painful

stimuli, has shallow respirations with diminished breath sounds throughout, and

has an occasional cough. What is the initial management priority? - ANSWEREndotracheal intubation with positive pressure ventilation Airway control and

positive pressure ventilation are the priority interventions for this patient.

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 doing which of the following?

- ANSWER- Appointing one staff member to communicate with them. This will

help create a solid patient-staff bond and facilitate communication.

You are discharging a patient to home with a history of depression. Discharge

teaching should include which of the following? - ANSWER- 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 history of depression or suicidal

ideation by encouraging that all firearms and medications are under lock to prevent

overdoses or suicide attempt.

A 3-year-old is injured in a motor vehicle collision. Upon arrival at the emergency

department, the child has a diminished level of consciousness, equal bilateral

breath sounds, and cool, pale skin. Vital signs are HR 140 beats/minute, RR 36

breaths/minute, and BP 70/40 mm Hg. The child is most likely in which of the

following shock states? - ANSWER- Hypovolemic shock The mechanism and

presentation lead to a suspicion of blood loss.