ENPC Exam Prep Questions

ENPC Exam Prep Questions

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ENPC Exam Prep Questions

• 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's with glomerulonephritis.Urine would be concentrated and dark brown/tea-colored.

• Clear urine There 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.

• 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 the procedure.

• Which of the following patient presentations should increase suspicion of potential child

maltreatment?Answer: 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

• 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 Answer: Commotio cordis Commotio cordis occurs when the chest is struck during the refractory period 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

• 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.

• 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

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