ENPC COMPREHENSIVE ACTUAL TEST PAPER
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ A nurse providing crisis intervention to the family of a seriously ill
child can best keep the family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them. Answer:
D. Appointing one staff member to communicate with them.
◉ A 16-month-old child was an unrestrained front seat passenger in
a motor vehicle crash. The chest x-ray reveals multiple rib fractures.
These findings suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury. Answer: B. Significant underlying injury.
◉ Which piece of information is most important to know prior to
transferring a patient to another facility?
,A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis. Answer: C. Confirmation of
acceptance from the receiving hospital.
◉ A 10-year-old child who was struck by a car has a distended, tense
abdomen. The child's heart rate is 144 beats/minute, respirations 24
breaths/minute, and blood pressure 120/80 mm Hg. Capillary refill
is more than 3 seconds, and skin is pale and cool. The patient's signs
and symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock. Answer: C. Hypovolemic shock.
◉ A school-aged child is about to receive stitches. To evaluate his
understanding of the procedure, you tell him:
A. "Young people your age have questions about getting stitches.
What are your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions
before we restrain you?"
,D. "Does your cut hurt? Would you like your mommy to hold you?"
Answer: A. "Young people your age have questions about getting
stitches. What are your questions?"
◉ What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia Answer: D. Anteromedial tibia
◉ An important consideration in the assessment of pain for an
adolescent patient is that they:
A. May deny or minimize their pain when friends visit for fear of
losing control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong.
Answer: A. May deny or minimize their pain when friends visit for
fear of losing control.
◉ An 8-month-old infant with pneumonia has severe intercostal and
substernal retractions, weak muscle tone, lethargy, and gray skin
color. The infant's condition does not improve after bag-mask
ventilation. The next step in treatment is most likely to be:
, A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol. Answer: C. Rapid sequence
intubation.
◉ Which combination of medications is best to have prepared for a
pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium. Answer: B. Epinephrine and glucose.
◉ A 20-day-old infant has a 1-week history of not eating well. The
infant has a weak cry and is jittery. Which laboratory test is
indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen. Answer: B. Finger-stick glucose.
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ A nurse providing crisis intervention to the family of a seriously ill
child can best keep the family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them. Answer:
D. Appointing one staff member to communicate with them.
◉ A 16-month-old child was an unrestrained front seat passenger in
a motor vehicle crash. The chest x-ray reveals multiple rib fractures.
These findings suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury. Answer: B. Significant underlying injury.
◉ Which piece of information is most important to know prior to
transferring a patient to another facility?
,A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis. Answer: C. Confirmation of
acceptance from the receiving hospital.
◉ A 10-year-old child who was struck by a car has a distended, tense
abdomen. The child's heart rate is 144 beats/minute, respirations 24
breaths/minute, and blood pressure 120/80 mm Hg. Capillary refill
is more than 3 seconds, and skin is pale and cool. The patient's signs
and symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock. Answer: C. Hypovolemic shock.
◉ A school-aged child is about to receive stitches. To evaluate his
understanding of the procedure, you tell him:
A. "Young people your age have questions about getting stitches.
What are your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions
before we restrain you?"
,D. "Does your cut hurt? Would you like your mommy to hold you?"
Answer: A. "Young people your age have questions about getting
stitches. What are your questions?"
◉ What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia Answer: D. Anteromedial tibia
◉ An important consideration in the assessment of pain for an
adolescent patient is that they:
A. May deny or minimize their pain when friends visit for fear of
losing control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong.
Answer: A. May deny or minimize their pain when friends visit for
fear of losing control.
◉ An 8-month-old infant with pneumonia has severe intercostal and
substernal retractions, weak muscle tone, lethargy, and gray skin
color. The infant's condition does not improve after bag-mask
ventilation. The next step in treatment is most likely to be:
, A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol. Answer: C. Rapid sequence
intubation.
◉ Which combination of medications is best to have prepared for a
pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium. Answer: B. Epinephrine and glucose.
◉ A 20-day-old infant has a 1-week history of not eating well. The
infant has a weak cry and is jittery. Which laboratory test is
indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen. Answer: B. Finger-stick glucose.
