ENPC Exam
1. A 4-day-old who is brought to the emergency department with the parentalcomplaint of
"not acting right" is found to be hypoglycemic. What is the appropriate glucose concentration
to administer to this neonate? A.Dextrose 5%
B.Dextrose 10%
C.Dextrose 25%
D.Dextrose 50%: B
Dextrose 10% is the preferred concentration for neonates with hypoglycemia to protect their
fragile vasculature while providing needed glucose. Dextrose 5% is notused to treat
hypoglycemia in children.Dextrose 25% is used for children above theage of 5 years. Dextrose
50% is not recommended for use in pediatrics unless it isdiluted.
2. Assessment of the fontanelle provides the most useful information forwhich two
components of the primary survey?
A.Circulation and disability B.Breathing and circulation C.Disability and exposure
D.Circulation and exposure: A
A sunken fontanelle is a red flag for circulation assessment in pediatric triage and may
indicate dehydration . A bulging fontanel is a red flag for disability assessmentin pediatric
triage and can indicate increased intracranial pressure.
3. Which ofthe following indicatesthe need for additional caregiver educationregarding a
urinary tract infection?
A.I should encourage my child to drink extra fluids.
B.I need to make a follow-up appointment with child's physician.C.My child will grow out of
their frequent urinary tract infections.
D.My child should complete all of their antibiotic medication.: C
4. A nurse providing trauma informed care to the family of a seriously ill childshould be doing
which of the following?
A.Placing the family in a quiet,secluded roomB.Referring to their child as "the patient"
C.Making sure the family does not stay at the bedside. D.Appointing one staff member to stay
with the family: D
Caregivers experiencing the crisis of a critically ill child have low attentiveness and increased
stress so would benefit from having a member of the healthcare team to stay with them as
much as possible and communicate updates on the plan of care.
Caregivers should be allowed to stay with their child as much as possible and notplaced in a
secluded room away for them.