ENPC Exam Prep Questions
1. Which of the following would be an abnormal finding in a patient with
glomerulonephritis?
Answer: Clear urine There is a decrease in urine output for patient'swith glomerulonephritis.
Urine would be concentrated and dark brown/tea-colored.
2. Clear urineThere is a decrease in urine output for patient's with glomerulonephritis. Urine
would be concentrated and dark brown/tea-colored.
Answer: 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?
Answer: Allow the extended to family members to serve as interpreters during theprocedure.
4. Which of the following patient presentations should increase suspicion of potential child
maltreatment?
Answer: Bruising to the left ear of a newborn from sleepingon hisside Any bruise in a nonexploratory location in children younger than 4 yearsand any bruising in a child younger than 4
months (TEN-4) are cause for suspicionof abuse
5. Bruising to the left ear of a newborn fromsleeping on hisside Any bruise in anon-exploratory
location in children younger than 4 years and any bruising ina child younger than 4 months
(TEN-4) are cause forsuspicion of abuse
Answer: Commotio cordis Commotio cordis occurs when the chest is struck during the
refractoryperiod 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?
Answer: Neuroleptic malignant syndromeThese are classic symptoms ofneuroleptic malignant
syndrome, which is a rare reaction to antipsychotic medications.
7. Which of the following patients should be evaluated first
Answer: An 18-month-oldwith bilious emesis Bilious emesis in an 18-month-old is always
considered an emergent symptom indicative of a life-threatening bowel obstruction.
8. 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 preferredmeasurement for
medication calculations for pediatric and adult patients