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ENPC 6th Edition Test Questions and Answers 2024.
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1ENPC 6th Edition Test Questions and Answers 2024
1. A 14-year-old patient sustained a displaced fracture of the radius and ulna
after falling from a bicycle. Which of the following pain control
interventions is most likely to result in improvement in symptoms related
to pain?
• Answer: Applying a splint to the affected extremity
2. Assessment of the fontanelle provides the most useful information for
which two components of the primary survey?
• Answer: Circulation and disability
3. A 6-month-old is seen for a recurrent respiratory infection. During the
assessment, the mother adds that the patient’s stools seem to be fatty or
“greasy”. Which of the following disease processes would be a primary
concern for this child?
• Answer: Cystic fibrosis
4. A 4-day-old who is brought to the emergency department with the
parental complaint of “not acting right” is found to be hypoglycemic.
What is the appropriate glucose concentration to administer to this
neonate?
• Answer: Dextrose 10%
5. Which of the following indicates the need for additional caregiver
education regarding a urinary tract infection?
• Answer: My child will grow out of their frequent urinary tract infections.
6. You need to draw blood from a 2-year-old. Which of the following is the
best approach for this patient?
• Answer: Have them watch a cartoon on an I-pad or cell phone
7. The caregiver of a 2-month-old infant states the patient has had trouble
breathing for the past two days. Pediatric assessment triangle (PAT)
reveals an age-appropriate general appearance, rapid breathing with mild
distress, and pink skin. Mucous is noted in both nares. Which of the
following is the best next step?
• Answer: Suction nasal passages using a bulb syringe
8. 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 endotracheal tube placement
9. Which of the following patients should be evaluated first?
,2
• Answer: An 18-month-old with bilious emesis
10.A nurse providing trauma informed care to the family of a seriously ill
child should be doing which of the following?
• Answer: Appointing one staff member to stay with the family
11.What is the priority intervention for symptomatic bradycardia in a four-
year-old child?
• Answer: Initiate bag-mask ventilation
12.A three-year-old is rescued after being submerged in a pool for several
minutes. On arrival the patient is responsive to painful stimuli with
shallow respirations, diminished breath sounds, and an occasional cough.
Which of the following interventions is the initial management priority?
• Answer: Endotracheal intubation to provide positive pressure ventilation
13.A 5-year-old child presents to the emergency department after being hit
by a car. The patient complains of left upper quadrant pain, and the
focused assessment with sonography for trauma (FAST) exam shows fluid
around her spleen. Which of the following findings would be an early
indication of ongoing blood loss?
• Answer: Weak peripheral pulses
14.Which of the following is a known cause of pediatric seizures?
• Answer: Overdiluted formula
15.For the infant, what duration of time is considered apneic?
• Answer: 20 seconds
16.For the infant, what duration of time is considered apneic?
• Answer: 20 seconds
17.A 9-month pregnant woman presents to the emergency department and
delivers a term neonate vaginally. The neonate is dried and stimulated
and the mouth and nose are suctioned using a bulb syringe. After
repositioning the head, the neonate remains limp and apneic and the HR
is 80 beats/minute. What is the priority intervention?
• Answer: Initiate positive pressure ventilation
18.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 the best next step to take?
• Answer: Ask about any new bed-wetting or sleep disturbances
, 3
19.A 3-month-old is brought to the emergency department with new onset
of fever. You note the child to be pale, tachypneic, and tachycardic, with
weak distal pulses. Which intervention is the priority for this patient?
• Answer: Infuse a rapid 10-20 mL/kg bolus of an isotonic crystalloid
20.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
21.The caregiver of a 7-year old reports witnessing a seizure at home, but no
seizure history. 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 caregiver states the burns accidentally occurred three
days ago, but was afraid to bring the patient in due to an ongoing child
welfare investigation. Which of the following groups of interventions are
the priority for this patient?
• Answer: Draw a metabolic panel, point of care glucose, and administer a
fluid bolus.
ENPC 6th Edition Course Exam Answers
1. A 4-year-old presents with vomiting, lethargy, frequent urination, weight
loss, and dry mucous membranes. Vital signs reveal deep respirations at
44 breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per
minute. Which of the following laboratory values would be most expected
in this child?
• Answer: Hypoglycemia (wrong)
• Remediation feedback: Children can present with new onset diabetes in
diabetic ketoacidosis. Manifestations include signs of dehydration ( dry
mucous membranes, hypotension, tachycardia), incontinence (polyuria),
vomiting, abdominal pain, Kussmaul respirations (to counter the
acidosis), polydipsia, anorexia, and weight loss. Expected laboratory
values would reveal an acidotic state with a pH level below 7.3, an
elevated serum bicarbonate level, and an elevated blood glucose level >
200 mg/dL.
2. An 18-month-old is seen for fever, slight circumoral cyanosis, and
wheezing noted on auscultation in the right upper lobe of the lung field
after a choking event 4 days ago. The white blood cell count is elevated
and the patient noted to be tachypneic, tachycardic, agitated, and has an
increased respiratory effort. At the time of the event, the patient was
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