ENPC Test Bank
01: In providing education to a family regarding obtaining baseline peak airway flow for a child with asthma, the nurse will recommend what time of day?
a. At bedtime
b. Before exercise
c. In the morning
d. After meals
02: The nurse is planning to begin oral rehydration therapy for a 9-month-old with mild dehydration. She provides the caregivers with a glucose and sodium solution and instructs them to administer small amounts:
a. Every 2 to 5 minutes
b. Every 10 to 12 minutes
c. Every 15 minutes
d. Every 30 minutes
03: Caregivers bring in their 3-week-old neonate and describe nonbilious vomiting after every feeding that is becoming more forceful over the past 24 hours. The last time he vomited the vomitus hit a chair 2 feet away. They say he cries, roots, and sucks vigorously on his pacifier right after vomiting as though still hungry. He is not experiencing any diarrhea. What condition is the most likely cause of these signs and symptoms?
a. Intussusception
b. Volvulus
c. Gastroenteritis
d. Pyloric stenosis
04: A neonate is delivered in the emergency department and placed on a radiant warmer. There is no staining of the amniotic fluid. What is the first step in neonatal resuscitation?
a. Dry and warm the neonate
b. Suction the mouth and nose
c. Assess for effective breathing
d. Palpate a central pulse rate
05: In discussing the legal care of the adolescent patient, what is a mature minor?
a. A minor who lives independently and is legally able to make health decisions
b. A minor who is able to make decisions regarding his or her own sexual or mental health
c. A minor who is able to make decisions regarding healthcare as a parent of his or her own child
d. A minor who lives with a parent or guardian but legally is able to make health decisions
06: Which of the following screening statements/questions is most appropriate in assessing an adolescent for dating violence?
a. "What triggers for violence have you experienced from your partner?"
b. "Does your partner feel entitled to sex even if you say 'no'?”
c. "Tell me about a time when you’ve felt unsafe in your relationship."
d. "Do you feel if you tried harder to please, your partner will not become violent?"
07: Which sign distinguishes compensated shock from decompensated shock in the pediatric patient?
a. Peripheral pulses
b. Blood pressure
c. Capillary refill
d. Level of consciousness
08: A 5-year-old arrives to the emergency department unconscious with a heart rate of 32 beats/minute, weak, thready pulses, and pale, mottled skin. The team has begun bag-mask ventilation with 100% oxygen and chest compressions with no improvement in the heart rate. An intraosseous line is in place. Which of the following interventions is the priority?
a. Administration of atropine
b. Transcutaneous pacing
c. Administration of epinephrine
d. Attempt vagal stimulation
09: A 9-month-old infant pulled himself up onto the hearth of a fireplace. While doing so, he fell forward onto the hot glass doors and sustained deep partial thickness burns to the bilateral palmar aspects of both hands. What is the approximate percentage of total body surface area burned?
a. 1%
b. 2%
c. 4%
d. 5%
10: An ambulance arrives with a 13-year-old pedestrian hit by a car. Identified injuries reported by paramedics include multiple abrasions to the head and face, a large, actively bleeding laceration to the forehead, hip pain with the leg externally rotated, and bruising across the chest and abdomen. The patient is in full spinal immobilization and has two intravenous catheters and a nonrebreather oxygen mask in place. Vital signs are BP 110/70 mm Hg, HR 118 beats/minute, RR 24 breaths/minute, and SpO2 96%. The Glasgow coma scale score is 15. What is the priority?
a. Computed tomography
b. Immobilize the femur
c. A pressure dressing to the forehead
d. Focused assessment with sonography for trauma (FAST)
Ans:- 1:c, 2:a, 3:d, 4:a, 5:d, 6:c, 7:b, 8:c, 9:b, 10:c
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