ENPC COMPREHENSIVE EXAM 2026 FULL
QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
⫸ 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
started on antibiotics with subsequent increasing manifestations instead
of improvement. Which of the following would be considered to be
definitive treatment for the suspected diagnosis? Answer: Computed
tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking
incident with subsequent failure to improve on antibiotics. Wheezing or
decreased lung sounds in one area of the pulmonary system is a high
indicator for a foreign body along with signs of hypoxia such as
cyanosis, tachypnea, tachycardia, increased respiratory effort, agitation
or lethargy, and elevated white blood cell counts indicating an infectious
process. The definitive treatment would be a bronchoscopy in order to
retrieve the suspected foreign body instead of diagnostic tests to locate
the foreign body itself.
⫸ A child in cardiopulmonary arrest is receiving chest compressions
and manual ventilations with a bag-mask device. Once return of
, spontaneous circulation has been confirmed, which of the following
would be the priority intervention? Answer: Establishing a secure airway
⫸ Parents report their 3-year-old child has developed noisy breathing.
On assessment, high-pitched wheezes are audible and auscultated on
inspiration and expiration. What medication would be appropriate to
administer first? Answer: Humidified oxygen (wrong)
Remediation feedback:
Wheezing is most often identified with asthma in the pediatric
population. Initial medication intervention includes an inhaled short-
acting beta agonist.
⫸ A 6-week-old is brought to the emergency department by the
caregivers for poor feeding, listlessness, and fever. Assessment reveals a
crying infant, HR 160 beats/minute, RR 52 breaths/minute, rectal
temperature of 96.0 F (35.5 C), and a bulging anterior fontanel.
Capillary refill is 4 seconds. Based on these findings what is the most
likely diagnostic test the nurse should anticipate? Answer: Lumbar
puncture
⫸ A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders
should the nurse question? Answer: Hydromorphone (wrong)
Remediation feedback:
QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
⫸ 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
started on antibiotics with subsequent increasing manifestations instead
of improvement. Which of the following would be considered to be
definitive treatment for the suspected diagnosis? Answer: Computed
tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking
incident with subsequent failure to improve on antibiotics. Wheezing or
decreased lung sounds in one area of the pulmonary system is a high
indicator for a foreign body along with signs of hypoxia such as
cyanosis, tachypnea, tachycardia, increased respiratory effort, agitation
or lethargy, and elevated white blood cell counts indicating an infectious
process. The definitive treatment would be a bronchoscopy in order to
retrieve the suspected foreign body instead of diagnostic tests to locate
the foreign body itself.
⫸ A child in cardiopulmonary arrest is receiving chest compressions
and manual ventilations with a bag-mask device. Once return of
, spontaneous circulation has been confirmed, which of the following
would be the priority intervention? Answer: Establishing a secure airway
⫸ Parents report their 3-year-old child has developed noisy breathing.
On assessment, high-pitched wheezes are audible and auscultated on
inspiration and expiration. What medication would be appropriate to
administer first? Answer: Humidified oxygen (wrong)
Remediation feedback:
Wheezing is most often identified with asthma in the pediatric
population. Initial medication intervention includes an inhaled short-
acting beta agonist.
⫸ A 6-week-old is brought to the emergency department by the
caregivers for poor feeding, listlessness, and fever. Assessment reveals a
crying infant, HR 160 beats/minute, RR 52 breaths/minute, rectal
temperature of 96.0 F (35.5 C), and a bulging anterior fontanel.
Capillary refill is 4 seconds. Based on these findings what is the most
likely diagnostic test the nurse should anticipate? Answer: Lumbar
puncture
⫸ A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders
should the nurse question? Answer: Hydromorphone (wrong)
Remediation feedback:
