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ENPC EXAM QUESTIONS AND
ANSWERS 5TH EDITION 2026
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 steps is the
best next step to take? - correct-answer -Ask about any new bed-wetting or sleep
disturbances Pediatric patients with anxiety and PTSD may present with physical
complaints. Assess for other behavioral symptoms to facilitate appropriate care
and follow-up.
Which of the following is the most appropriate intervention for a child
experiencing a seizure? - correct-answer -Prepare to administer intranasal
midazolam Midazolam has gained favor because of its ease of use and quick onset
of action.
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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? - correct-answer -Assess the endotracheal tube placement and
patency If a patient arrives with an artificial airway (endotracheal tube or
tracheostomy) in place, assess its placement, tube patency, and the oral airway
(in that order) before moving to the next step of the primary survey.
A three-year-old is rescued after being submerged in a residential pool for several
minutes. On arrival at the Emergency Department he is responsive to painful
stimuli, has shallow respirations with diminished breath sounds throughout, and
has an occasional cough. What is the initial management priority? - correct-
answer -Endotracheal intubation with positive pressure ventilation Airway control
and positive pressure ventilation are the priority interventions for this patient.
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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 doing which of the following?
- correct-answer -Appointing one staff member to communicate with them. This
will help create a solid patient-staff bond and facilitate communication.
You are discharging a patient to home with a history of depression. Discharge
teaching should include which of the following? - correct-answer -Ensuring all
firearms in the home are locked in a safe place with no access by the patient.
Promote injury prevention with caregivers of patients with a history of depression
or suicidal ideation by encouraging that all firearms and medications are under
lock to prevent overdoses or suicide attempt.
A 3-year-old is injured in a motor vehicle collision. Upon arrival at the emergency
department, the child has a diminished level of consciousness, equal bilateral
breath sounds, and cool, pale skin. Vital signs are HR 140 beats/minute, RR 36
breaths/minute, and BP 70/40 mm Hg. The child is most likely in which of the
ENPC EXAM QUESTIONS AND
ANSWERS 5TH EDITION 2026
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 steps is the
best next step to take? - correct-answer -Ask about any new bed-wetting or sleep
disturbances Pediatric patients with anxiety and PTSD may present with physical
complaints. Assess for other behavioral symptoms to facilitate appropriate care
and follow-up.
Which of the following is the most appropriate intervention for a child
experiencing a seizure? - correct-answer -Prepare to administer intranasal
midazolam Midazolam has gained favor because of its ease of use and quick onset
of action.
,2|Page
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? - correct-answer -Assess the endotracheal tube placement and
patency If a patient arrives with an artificial airway (endotracheal tube or
tracheostomy) in place, assess its placement, tube patency, and the oral airway
(in that order) before moving to the next step of the primary survey.
A three-year-old is rescued after being submerged in a residential pool for several
minutes. On arrival at the Emergency Department he is responsive to painful
stimuli, has shallow respirations with diminished breath sounds throughout, and
has an occasional cough. What is the initial management priority? - correct-
answer -Endotracheal intubation with positive pressure ventilation Airway control
and positive pressure ventilation are the priority interventions for this patient.
, 3|Page
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 doing which of the following?
- correct-answer -Appointing one staff member to communicate with them. This
will help create a solid patient-staff bond and facilitate communication.
You are discharging a patient to home with a history of depression. Discharge
teaching should include which of the following? - correct-answer -Ensuring all
firearms in the home are locked in a safe place with no access by the patient.
Promote injury prevention with caregivers of patients with a history of depression
or suicidal ideation by encouraging that all firearms and medications are under
lock to prevent overdoses or suicide attempt.
A 3-year-old is injured in a motor vehicle collision. Upon arrival at the emergency
department, the child has a diminished level of consciousness, equal bilateral
breath sounds, and cool, pale skin. Vital signs are HR 140 beats/minute, RR 36
breaths/minute, and BP 70/40 mm Hg. The child is most likely in which of the
