ENPC 6th Edition Questions & Answers 2026 | High-Yield
Review | Graded A+
1. In a pediatric emergency scenario, how would you implement the 'teach-
back' method after explaining a treatment plan to a child's parent?
Ask the parent to explain the treatment plan in their own words to
ensure understanding.
Summarize the treatment plan without seeking feedback.
Provide a written pamphlet without further discussion.
Only ask the child to repeat the treatment plan.
2. A 7-year-old is being seen for new onset of headaches. Which of the
following manifestations would most likely rule out the potential of a primary
etiology?
Occurrence of photophobia
Nausea, vomiting
Presence of ataxia
Pulsating, unilateral pain
3. 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?
Low pH level
Hypoglycemia
Elevated serum bicarbonate
, Severe anemia
4. A child has a nondisplaced fracture of the radius that has been splinted, with
a sling in place and NSAIDs given for pain. Prior to discharge home with
follow-up at a pediatric facility, what actions must be completed?
Complete doctor-to-doctor communication with receiving facility.
Ensure the receiving facility has space and qualified personnel.
Discharge instructions including follow-up contact information.
Certify that medical benefits of discharge outweigh risks.
5. In an obstetrical emergency, which of the following actions should the nurse
perform first after the baby delivers?
Cut the umbilical cord using sterile scissors
Place extra padding under the mother to absorb blood from the
delivery
Wrap the baby in a clean blanket to preserve warmth
Suction the baby's mouth and nose
6. If 30 seconds have passed after birth and the newborn remains apneic and
has a heart rate of 88 bpm following initial routine interventions and
stimulation, which action is most important at this time?
Provide positive-pressure ventilation
Administer epinephrine
Begin chest compressions
Provide warmth
,7. A school-age child has been seen in the pediatric clinic three times in the last
two months for complaints of abdominal pain. Physical exam and all ordered
lab work have been normal. Which question by the nurse would most likely
help determine the etiology of the child's abdominal pain?
How many meals does your child eat each day?
Have there been any changes in your child's school or home life
recently?
Has your child had any fevers or viral illnesses in the last three
months?
Are your child's immunizations up to date?
8. Why is it crucial to confirm acceptance from the receiving hospital before
transferring a patient?
It ensures that the receiving facility is prepared to accept and treat
the patient, preventing potential delays in care.
It allows for the transfer of medical records to the new facility.
It helps in documenting the patient's health insurance details.
It guarantees that the patient's family will be informed about the
transfer.
9. What is the recommended approach for communicating with the family of a
seriously ill child during crisis intervention?
Telling the family how they should feel.
Placing them in a secluded room.
Referring to their child as 'the patient'.
Appointing one staff member to communicate with them.
, 10. In a scenario where a 2-year-old presents with similar symptoms but is also
showing signs of severe dehydration, how would the choice of urine sample
collection method change?
Bladder scan would be performed to assess urine volume instead.
Urinary catheterization would still be the preferred method to
ensure accurate results and avoid complications.
Suprapubic aspiration would be used to minimize discomfort.
Clean catch would be sufficient due to the child's age.
11. What is the minimum urine output per hour that indicates adequate fluid
resuscitation in a pediatric patient?
10 ml/kg/hour
5 ml/kg/hour
15 ml/kg/hour
1 ml/kg/hour
12. What is the primary goal of the Pediatric Assessment Triangle in emergency
nursing?
Identify all life-threatening conditions that the child presents with.
Perform a complete head-to-toe assessment on the child.
Determine the severity of the child's illness or injury using the
"across-the-room" assessment.
Assess the status of the child's airway only upon arrival in the ED.
13. What is one recommended action for a caregiver to take when a 9-month-
old infant is crying loudly during a nursing assessment?
Review | Graded A+
1. In a pediatric emergency scenario, how would you implement the 'teach-
back' method after explaining a treatment plan to a child's parent?
Ask the parent to explain the treatment plan in their own words to
ensure understanding.
Summarize the treatment plan without seeking feedback.
Provide a written pamphlet without further discussion.
Only ask the child to repeat the treatment plan.
2. A 7-year-old is being seen for new onset of headaches. Which of the
following manifestations would most likely rule out the potential of a primary
etiology?
Occurrence of photophobia
Nausea, vomiting
Presence of ataxia
Pulsating, unilateral pain
3. 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?
Low pH level
Hypoglycemia
Elevated serum bicarbonate
, Severe anemia
4. A child has a nondisplaced fracture of the radius that has been splinted, with
a sling in place and NSAIDs given for pain. Prior to discharge home with
follow-up at a pediatric facility, what actions must be completed?
Complete doctor-to-doctor communication with receiving facility.
Ensure the receiving facility has space and qualified personnel.
Discharge instructions including follow-up contact information.
Certify that medical benefits of discharge outweigh risks.
5. In an obstetrical emergency, which of the following actions should the nurse
perform first after the baby delivers?
Cut the umbilical cord using sterile scissors
Place extra padding under the mother to absorb blood from the
delivery
Wrap the baby in a clean blanket to preserve warmth
Suction the baby's mouth and nose
6. If 30 seconds have passed after birth and the newborn remains apneic and
has a heart rate of 88 bpm following initial routine interventions and
stimulation, which action is most important at this time?
Provide positive-pressure ventilation
Administer epinephrine
Begin chest compressions
Provide warmth
,7. A school-age child has been seen in the pediatric clinic three times in the last
two months for complaints of abdominal pain. Physical exam and all ordered
lab work have been normal. Which question by the nurse would most likely
help determine the etiology of the child's abdominal pain?
How many meals does your child eat each day?
Have there been any changes in your child's school or home life
recently?
Has your child had any fevers or viral illnesses in the last three
months?
Are your child's immunizations up to date?
8. Why is it crucial to confirm acceptance from the receiving hospital before
transferring a patient?
It ensures that the receiving facility is prepared to accept and treat
the patient, preventing potential delays in care.
It allows for the transfer of medical records to the new facility.
It helps in documenting the patient's health insurance details.
It guarantees that the patient's family will be informed about the
transfer.
9. What is the recommended approach for communicating with the family of a
seriously ill child during crisis intervention?
Telling the family how they should feel.
Placing them in a secluded room.
Referring to their child as 'the patient'.
Appointing one staff member to communicate with them.
, 10. In a scenario where a 2-year-old presents with similar symptoms but is also
showing signs of severe dehydration, how would the choice of urine sample
collection method change?
Bladder scan would be performed to assess urine volume instead.
Urinary catheterization would still be the preferred method to
ensure accurate results and avoid complications.
Suprapubic aspiration would be used to minimize discomfort.
Clean catch would be sufficient due to the child's age.
11. What is the minimum urine output per hour that indicates adequate fluid
resuscitation in a pediatric patient?
10 ml/kg/hour
5 ml/kg/hour
15 ml/kg/hour
1 ml/kg/hour
12. What is the primary goal of the Pediatric Assessment Triangle in emergency
nursing?
Identify all life-threatening conditions that the child presents with.
Perform a complete head-to-toe assessment on the child.
Determine the severity of the child's illness or injury using the
"across-the-room" assessment.
Assess the status of the child's airway only upon arrival in the ED.
13. What is one recommended action for a caregiver to take when a 9-month-
old infant is crying loudly during a nursing assessment?
