ENPC QUESTIONS WITH CORRECT
ANSWERS 2026-2027
A 5-year-
old child presents with hives, swelling of the lips and face, and stridor that developed about an hour af
ter eating lunch. The child has no known allergies. Which of the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - CORRECT ANSWER -A. Administer intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the following
findings would be most indicative that respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - CORRECT ANSWERV-A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-
grade fever, and a "barky" cough at night. The child is awake and alert with noted stridor. Pulse oxime
try is 96% on room air. Which of the following interventions would be the most appropriated for this c
hild?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer - CORRECT ANSWER -
B. Administration of nebulized epinephrine
A 14-year-
old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of the following
should be included in the discharge instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control - CORRECT ANSWERV-
D. Use a nonsteroidal anti-inflammatory for pain control
Which of the following parameters would indicate that appropriate post resuscitation interventions were
successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - CORRECT ANSWERV-A. Pulse oximetry reading of 96%
An anxious 12-year-
old child presents to the emergency department with a sudden onset of nausea, diarrhea, abdominal cra
mping, flushing, and hypotension. Symptoms started about 60 minutes after lunch. Which of the follow
, ing conditions is the most likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche - CORRECT ANSWERV-A. Anaphylaxis
An 8-year-
old trauma patient suddenly develops increased respiratory distress with a rise in heart rate from 112 b
eats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of the jugular
veins is noted. Which of the following emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression - CORRECT ANSWER -D. Needle decompression
A 4-week-
old infant born prematurely is brought to the emergency department due to the rapid onset of abdomin
al distention, vomiting, bloody stools, and exhibiting signs of shock. Based on these findings, what con
dition should the nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia - CORRECT ANSWERV-A. Necrotizing enterocolitis
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?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate - CORRECT ANSWERV-C. Low pH level
Which of the following pathologic processes would most likely be attributed to a primary diagnosis of
cystic fibrosis?
A. Hypernatremia
B. Constipation
C. Obesity
D. Epiglottitis - CORRECT ANSWERV-B. Constipation
Which of the following is the highest priority intervention for a well-appearing 2-month-
old with a fever?
A. Lumbar puncture
B. Urine culture
C. Intravenous fluid bolus
D. Chest radiograph - CORRECT ANSWERV-B. Urine culture
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 t
he mouth. Which of the following is the priority intervention for this patient?
A. Obtain a nasopharyngeal swab
ANSWERS 2026-2027
A 5-year-
old child presents with hives, swelling of the lips and face, and stridor that developed about an hour af
ter eating lunch. The child has no known allergies. Which of the following is the priority intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol - CORRECT ANSWER -A. Administer intramuscular epinephrine
An adolescent is awaiting ICU admission for pneumonia. During reassessment, which of the following
findings would be most indicative that respiratory failure is developing?
A. SpO2 of 94 % on room air
B. Widened pulse pressure
C. Extreme lethargy
D. Flash capillary refill - CORRECT ANSWERV-A. SpO2 of 94 % on room air
A 3-year-old has a two-day history of runny nose, low-
grade fever, and a "barky" cough at night. The child is awake and alert with noted stridor. Pulse oxime
try is 96% on room air. Which of the following interventions would be the most appropriated for this c
hild?
A. Delivery of humidified oxygen by nasal cannula
B. Administration of nebulized epinephrine
C. Suctioning secretions from the oropharynx
D. Administration of albuterol with a spacer - CORRECT ANSWER -
B. Administration of nebulized epinephrine
A 14-year-
old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of the following
should be included in the discharge instructions?
A. Practice yawning three to four times a day
B. Resume eating a regular diet later today
C. Apply hot packs to the joint area for pain control
D. Use a nonsteroidal anti-inflammatory for pain control - CORRECT ANSWERV-
D. Use a nonsteroidal anti-inflammatory for pain control
Which of the following parameters would indicate that appropriate post resuscitation interventions were
successfully carried out in the pediatric patient?
A. Pulse oximetry reading of 96%
B. Temperature of 99.8°F (37.6°C)
C. Capillary refill of < 1 second
D. Capnography reading of 60 mm Hg - CORRECT ANSWERV-A. Pulse oximetry reading of 96%
An anxious 12-year-
old child presents to the emergency department with a sudden onset of nausea, diarrhea, abdominal cra
mping, flushing, and hypotension. Symptoms started about 60 minutes after lunch. Which of the follow
, ing conditions is the most likely cause of these symptoms?
A. Anaphylaxis
B. Renal colic
C. Crohn's Disease
D. Menarche - CORRECT ANSWERV-A. Anaphylaxis
An 8-year-
old trauma patient suddenly develops increased respiratory distress with a rise in heart rate from 112 b
eats/minute to 142 beats/minute associated with an abrupt hypotensive event. Distention of the jugular
veins is noted. Which of the following emergent interventions should be anticipated first?
A. High flow oxygen
B. Drug assisted intubation
C. Chest tube insertion
D. Needle decompression - CORRECT ANSWER -D. Needle decompression
A 4-week-
old infant born prematurely is brought to the emergency department due to the rapid onset of abdomin
al distention, vomiting, bloody stools, and exhibiting signs of shock. Based on these findings, what con
dition should the nurse suspect?
A. Necrotizing enterocolitis
B. Pyloric stenosis
C. Megacolon
D. Congenital diaphragmatic hernia - CORRECT ANSWERV-A. Necrotizing enterocolitis
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?
A. Hypoglycemia
B. Severe anemia
C. Low pH level
D. Elevated serum bicarbonate - CORRECT ANSWERV-C. Low pH level
Which of the following pathologic processes would most likely be attributed to a primary diagnosis of
cystic fibrosis?
A. Hypernatremia
B. Constipation
C. Obesity
D. Epiglottitis - CORRECT ANSWERV-B. Constipation
Which of the following is the highest priority intervention for a well-appearing 2-month-
old with a fever?
A. Lumbar puncture
B. Urine culture
C. Intravenous fluid bolus
D. Chest radiograph - CORRECT ANSWERV-B. Urine culture
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 t
he mouth. Which of the following is the priority intervention for this patient?
A. Obtain a nasopharyngeal swab
