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ENPC Exam Prep Questions and Answers (150+ Questions, 5th Edition) | Pediatric Assessment, Trauma, Shock, Airway, PAT & Emergency Nursing | Emergency Nurses Association (ENA)

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Prepare effectively for the Emergency Nursing Pediatric Course (ENPC) certification examination with this comprehensive collection of 150+ exam-style questions and detailed answers based on the 5th Edition ENPC curriculum. This study guide covers the highest-yield pediatric emergency nursing topics, including the Pediatric Assessment Triangle (PAT), primary and secondary surveys, pediatric trauma, airway and respiratory emergencies, neonatal care, shock recognition and management, seizures, burns, pediatric infectious diseases, child maltreatment, emergency pharmacology, toxicology, trauma-informed care, fluid resuscitation, pediatric pain management, cardiac emergencies, neurological disorders, and evidence-based emergency interventions. The structured question-and-answer format provides an efficient resource for reinforcing clinical knowledge, improving critical thinking, and preparing for certification examinations. This resource emphasizes rapid identification and management of life-threatening pediatric emergencies encountered in emergency departments and prehospital settings. Topics include pediatric airway assessment, endotracheal tube management, hypovolemic and septic shock, diabetic ketoacidosis (DKA), drowning and submersion injuries, traumatic brain injury, intracranial pressure monitoring, pediatric orthopedic injuries, hematologic disorders, sickle cell disease, cystic fibrosis, neonatal hypoglycemia, seizure management, pediatric poisoning, child abuse recognition, sex trafficking indicators, infectious disease emergencies, medication safety, disaster response, and pediatric discharge education. The exam-focused format allows learners to strengthen clinical reasoning while reviewing essential pediatric emergency concepts frequently tested on ENPC certification examinations. The content aligns with the educational objectives established by the Emergency Nurses Association (ENA) for the Emergency Nursing Pediatric Course (ENPC) and is supported by internationally recognized pediatric emergency care references, including the Emergency Nursing Pediatric Course (ENPC) Provider Manual, the American Heart Association Pediatric Advanced Life Support (PALS) Provider Manual, and the Pediatric Education for Prehospital Professionals (PEPP) textbook published by the American Academy of Pediatrics. These evidence-based references provide the foundation for pediatric emergency assessment, stabilization, resuscitation, trauma management, and emergency nursing best practices. References (APA 7th Edition) Emergency Nurses Association. (2024). Emergency Nursing Pediatric Course (ENPC) Provider Manual (6th ed.). Emergency Nurses Association. American Heart Association. (2020). Pediatric Advanced Life Support (PALS) Provider Manual. American Heart Association. American Academy of Pediatrics, American College of Emergency Physicians, & Emergency Nurses Association. (2023). Pediatric Education for Prehospital Professionals (PEPP) (4th ed.). Jones & Bartlett Learning. Relevant Students: Emergency Nursing Pediatric Course (ENPC) students, ENPC certification candidates, Emergency Department nurses, Pediatric Emergency nurses, Trauma nurses, Critical Care nurses, Flight nurses, Pediatric Intensive Care Unit (PICU) nurses, Paramedic students, Emergency Medical Services (EMS) professionals, Pediatric Advanced Life Support (PALS) students, Nurse Practitioner students, Emergency Medicine residents, Nursing students, Acute Care clinicians, Pediatric healthcare providers. Keywords: ENPC, Emergency Nursing Pediatric Course, ENPC exam, ENPC 5th Edition, ENA, pediatric emergency nursing, pediatric assessment triangle, PAT, pediatric trauma, pediatric shock, pediatric airway, neonatal care, pediatric resuscitation, pediatric trauma assessment, pediatric emergency medicine, pediatric nursing, pediatric seizures, pediatric burns, diabetic ketoacidosis, DKA, septic shock, hypovolemic shock, cystic fibrosis, sickle cell disease, child maltreatment, trauma-informed care, pediatric pharmacology, pediatric triage, emergency department nursing, pediatric critical care, pediatric emergencies, PALS, PEPP, emergency nursing certification, pediatric exam questions, practice questions, emergency medicine

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ENPC Exam Prep / Exam
Questions 5th Edition ENPC
Exam Questions, Open Book
2026/2027 Exam All Answers
and Illustrations Given



Which of the following would be an abnormal finding in a patient with

glomerulonephritis? - ANSWER ✔✔Clear urine There is a decrease

in urine output for patient's with glomerulonephritis. Urine would be

concentrated and dark brown/tea-colored.

Clear urine There is a decrease in urine output for patient's with

glomerulonephritis. Urine would be concentrated and dark brown/tea-

,colored. - ANSWER ✔✔Administration of nebulized epinephrine

Moderate to severe croup is treated with dexamethasone and nebulized

epinephrine.

The neurosurgeon has decided to perform an invasive procedure in the

emergency department to monitor the intracranial pressure on a 5-year-

old patient. The family does not speak English and has identified their

religion as Muslim. Which of the following interventions is most

supportive of the family? - ANSWER ✔✔Allow the extended to family

members to serve as interpreters during the procedure.

Which of the following patient presentations should increase suspicion of

potential child maltreatment? - ANSWER ✔✔Bruising to the left ear of

a newborn from sleeping on his side Any bruise in a non-exploratory

location in children younger than 4 years and any bruising in a child

younger than 4 months (TEN-4) are cause for suspicion of abuse

Bruising to the left ear of a newborn from sleeping on his side Any bruise

in a non-exploratory location in children younger than 4 years and any

bruising in a child younger than 4 months (TEN-4) are cause for

suspicion of abuse - ANSWER ✔✔Commotio cordis Commotio cordis

occurs when the chest is struck during the refractory period of the

cardiac conduction cycle, resulting in a ventricular dysrhythmia or

, asystole. This type of injury usually occurs in recreational sports such as

baseball or ice hockey

A 12-year-old who was recently started on anti-psychotic medication for

schizophrenia is brought to the emergency department with severe

muscle rigidity and hyperthermia. These symptoms are most likely

caused by which of the following? - ANSWER ✔✔Neuroleptic

malignant syndrome These are classic symptoms of neuroleptic

malignant syndrome, which is a rare reaction to antipsychotic

medications.


Which of the following patients should be evaluated first - ANSWER

✔✔An 18-month-old with bilious emesis Bilious emesis in an 18-month-

old is always considered an emergent symptom indicative of a life-

threatening bowel obstruction.

1. Which of the following tasks can the nurse do to decrease adverse

medication events? - ANSWER ✔✔Obtain the patient's weight in

kilograms This is the preferred measurement for medication calculations

for pediatric and adult patients

Acute chest syndrome, stroke, and splenic sequestration are

complications of which of the following diseases? - ANSWER

✔✔Sickle cell anemia These are all complications of sickle cell anemia.

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