ENPC Test Questions 6th Edition Actual 2026 Newest
Updated Questions and Correct Answers (Latest
Update) (Verified Answers by Expert)
Question 1
An unresponsive 2-year-old child was found by his mother with a bottle labeled
"Elavil 50 mg" by his side. Which piece of information is important to obtain from
his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe.
C. The number of pills left in the bottle.
Provide answer and rationale
Correct Answer: C. The number of pills left in the bottle.
Rationale: Elavil (amitriptyline) is a tricyclic antidepressant that can cause life-
threatening toxicity in children, even after a relatively small ingestion.
Determining how many pills remain helps estimate the maximum possible
amount ingested, which is critical for assessing the severity of the overdose and
guiding emergency treatment.
Question 2
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:
,A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them. (Correct)
Correct Answer D. Appointing one staff member to communicate with them
Rationale: Assigning one staff member to communicate with the family provides
consistent, accurate, and timely information. It also gives the family a reliable
person to approach with questions, helping reduce confusion and anxiety during a
crisis.
Question 3
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle
crash. The chest x-ray reveals multiple rib fractures. These findings suggest what
type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
Correct Answer: B. Significant underlying injury.
Rationale: Multiple rib fractures in a young child indicate that substantial force
was involved. Because children's ribs are relatively flexible, fractures are
concerning for significant underlying injuries, such as pulmonary contusion,
pneumothorax, hemothorax, or other thoracic trauma.
Question 4
,Which piece of information is most important to know prior to transferring a
patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
Correct Answer: C. Confirmation of acceptance from the receiving hospital.
Rationale: Before transferring a patient, the sending facility must confirm that the
receiving hospital or facility has accepted the patient and is prepared to provide the
required level of care. This ensures continuity of care and prevents the patient from
arriving at a facility that cannot receive or appropriately manage them.
Question 5
A 10-year-old child who was struck by a car has a distended, tense abdomen. The
child's heart rate is 144 beats/minute, respirations 24 breaths/minute, and blood
pressure 120/80 mm Hg. Capillary refill is more than 3 seconds, and skin is pale
and cool. The patient's signs and symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock.
Correct Answer: C. Hypovolemic shock.
Rationale: A distended, tense abdomen after significant trauma suggests internal
bleeding. The tachycardia, delayed capillary refill, pale cool skin, and other signs
of poor peripheral perfusion are consistent with hypovolemic shock caused by
blood loss. Children can maintain a normal blood pressure despite significant
blood loss, so the normal blood pressure does not exclude early shock.
, Question 6
A school-aged child is about to receive stitches. To evaluate his understanding of
the procedure, you tell him:
A. "Young people your age have questions about getting stitches. What are your
questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions before we
restrain you?"
D. "Does your cut hurt? Would you like your mommy to hold you?"
Correct Answer: A. "Young people your age have questions about getting
stitches. What are your questions?"
Rationale: This open-ended, age-appropriate question encourages the child to
express concerns and demonstrates what he understands about the procedure. It
avoids leading the child, minimizing his feelings, or using language that may
increase anxiety.
Question 7
What is the preferred site for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia
Correct Answer: D. Anteromedial tibia
Updated Questions and Correct Answers (Latest
Update) (Verified Answers by Expert)
Question 1
An unresponsive 2-year-old child was found by his mother with a bottle labeled
"Elavil 50 mg" by his side. Which piece of information is important to obtain from
his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe.
C. The number of pills left in the bottle.
Provide answer and rationale
Correct Answer: C. The number of pills left in the bottle.
Rationale: Elavil (amitriptyline) is a tricyclic antidepressant that can cause life-
threatening toxicity in children, even after a relatively small ingestion.
Determining how many pills remain helps estimate the maximum possible
amount ingested, which is critical for assessing the severity of the overdose and
guiding emergency treatment.
Question 2
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:
,A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them. (Correct)
Correct Answer D. Appointing one staff member to communicate with them
Rationale: Assigning one staff member to communicate with the family provides
consistent, accurate, and timely information. It also gives the family a reliable
person to approach with questions, helping reduce confusion and anxiety during a
crisis.
Question 3
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle
crash. The chest x-ray reveals multiple rib fractures. These findings suggest what
type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
Correct Answer: B. Significant underlying injury.
Rationale: Multiple rib fractures in a young child indicate that substantial force
was involved. Because children's ribs are relatively flexible, fractures are
concerning for significant underlying injuries, such as pulmonary contusion,
pneumothorax, hemothorax, or other thoracic trauma.
Question 4
,Which piece of information is most important to know prior to transferring a
patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
Correct Answer: C. Confirmation of acceptance from the receiving hospital.
Rationale: Before transferring a patient, the sending facility must confirm that the
receiving hospital or facility has accepted the patient and is prepared to provide the
required level of care. This ensures continuity of care and prevents the patient from
arriving at a facility that cannot receive or appropriately manage them.
Question 5
A 10-year-old child who was struck by a car has a distended, tense abdomen. The
child's heart rate is 144 beats/minute, respirations 24 breaths/minute, and blood
pressure 120/80 mm Hg. Capillary refill is more than 3 seconds, and skin is pale
and cool. The patient's signs and symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock.
Correct Answer: C. Hypovolemic shock.
Rationale: A distended, tense abdomen after significant trauma suggests internal
bleeding. The tachycardia, delayed capillary refill, pale cool skin, and other signs
of poor peripheral perfusion are consistent with hypovolemic shock caused by
blood loss. Children can maintain a normal blood pressure despite significant
blood loss, so the normal blood pressure does not exclude early shock.
, Question 6
A school-aged child is about to receive stitches. To evaluate his understanding of
the procedure, you tell him:
A. "Young people your age have questions about getting stitches. What are your
questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions before we
restrain you?"
D. "Does your cut hurt? Would you like your mommy to hold you?"
Correct Answer: A. "Young people your age have questions about getting
stitches. What are your questions?"
Rationale: This open-ended, age-appropriate question encourages the child to
express concerns and demonstrates what he understands about the procedure. It
avoids leading the child, minimizing his feelings, or using language that may
increase anxiety.
Question 7
What is the preferred site for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia
Correct Answer: D. Anteromedial tibia
