ENPC (2026) Exam 6th Edition
Questions and Answers | Verified |
100% Accurate
• A nurse begins making multiple errors in clinical decisions regarding the care of
patients in the pediatric emergency department. The nurse has worked many
consecutive shifts caring for severely ill and injured children and mentioned to a
co-worker that they are not sleeping and feel anxious about coming to work. What
condition may this nurse be experiencing? -✓✓Nurse traumatization
Pediatric Traumatization
Direct Traumatization
*Vicarious Traumatization
• A 14-year-old patient with Down syndrome presents with an abnormal gait, head
tilted to the left, decreased sensation to the extremities, and urinary incontinence.
The patient has no history of trauma. Which of the following diagnostics is the
priority for this patient? -✓✓Lumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
*Cervical Spine Radiograph
• The caregivers of a 6-year-old report the child developed a cough with nasal
congestion and "pink-eye" that started two days ago. Today they noticed a raised,
red rash on the face, and grey papules in the mouth. Which of the following is the
priority intervention for this patient? -✓✓Obtain a nasopharyngeal swab
*Airborne Isolation
Contact Isolation
Fingerstick Glucose
, • A 12-year-old is being prepped for surgical intervention of acute appendicitis.
Which of the following intravenous medication orders should the nurse question? -
✓✓Morphine
Acetaminophen
Hydromorphone
*Ketorolac
• A child with an injury to the lower cervical spine with spinal cord involvment
would most likely demonstrate which of the following findings during assessment?
-✓✓Increased rectal tone
Increased urinary outcomes
Decreased end-tidal CO2
*Decreased Respiratory effort
• An adolescent is awaiting ICU admission for pneumonia. During reassessment,
which of the following findings would be most indicative that respiratory failure is
developing? -✓✓SpO2 of 94 % on room air
Widened Pulse Pressure
*Extreme Lethargy
Flash Capillary Refill
• A pediatric resuscitation has ended with the death of the child. Coroner
notification has not been made yet. In dealing with the family of this child, how
can the nurse facilitate their grieving process until legally required notification has
been made? -✓✓Defer all questions to the provider
Allow family member to hold the pt
*Provide simple, Straight forward information
Questions and Answers | Verified |
100% Accurate
• A nurse begins making multiple errors in clinical decisions regarding the care of
patients in the pediatric emergency department. The nurse has worked many
consecutive shifts caring for severely ill and injured children and mentioned to a
co-worker that they are not sleeping and feel anxious about coming to work. What
condition may this nurse be experiencing? -✓✓Nurse traumatization
Pediatric Traumatization
Direct Traumatization
*Vicarious Traumatization
• A 14-year-old patient with Down syndrome presents with an abnormal gait, head
tilted to the left, decreased sensation to the extremities, and urinary incontinence.
The patient has no history of trauma. Which of the following diagnostics is the
priority for this patient? -✓✓Lumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
*Cervical Spine Radiograph
• The caregivers of a 6-year-old report the child developed a cough with nasal
congestion and "pink-eye" that started two days ago. Today they noticed a raised,
red rash on the face, and grey papules in the mouth. Which of the following is the
priority intervention for this patient? -✓✓Obtain a nasopharyngeal swab
*Airborne Isolation
Contact Isolation
Fingerstick Glucose
, • A 12-year-old is being prepped for surgical intervention of acute appendicitis.
Which of the following intravenous medication orders should the nurse question? -
✓✓Morphine
Acetaminophen
Hydromorphone
*Ketorolac
• A child with an injury to the lower cervical spine with spinal cord involvment
would most likely demonstrate which of the following findings during assessment?
-✓✓Increased rectal tone
Increased urinary outcomes
Decreased end-tidal CO2
*Decreased Respiratory effort
• An adolescent is awaiting ICU admission for pneumonia. During reassessment,
which of the following findings would be most indicative that respiratory failure is
developing? -✓✓SpO2 of 94 % on room air
Widened Pulse Pressure
*Extreme Lethargy
Flash Capillary Refill
• A pediatric resuscitation has ended with the death of the child. Coroner
notification has not been made yet. In dealing with the family of this child, how
can the nurse facilitate their grieving process until legally required notification has
been made? -✓✓Defer all questions to the provider
Allow family member to hold the pt
*Provide simple, Straight forward information
