ENPC 6th Edition Practice Exam 2026 | Most Tested
Questions | Graded A+
1. What is the primary physiologic response that can improve cardiac output in a
patient with viral gastroenteritis?
Decreased contractility
Increased afterload
Increased heart rate
Decreased preload
2. What is the immediate priority intervention for a child who has lost
consciousness and has no pulses after being hit in the chest?
Utilize AED/defibrillator
Prepare for needle decompression
Intubate with endotracheal tube
Administer intravenous epinephrine
3. What is a key aspect of family-centered care in pediatric emergency
situations?
Cultural backgrounds are assessed and incorporated into the plan
of care.
Information is shared with family only when medical decisions are
made by the provider.
Lounges and waiting rooms are the designated areas for caregivers
until emergency care is completed.
Procedures are completed and then caregivers are brought to room
to console the patient.
,4. What is the most appropriate airway adjunct for an unresponsive patient with
snoring respirations and an absent gag reflex?
Oropharyngeal airway (OPA)
Head tilt - chin lift maneuver
Elevate the head of the bed
Nasopharyngeal airway (NPA)
5. Which one of the following is the major early priority in the management of
circumferential burns around a limb?
Application of a tourniquet to reduce blood loss
Escharotomy to prevent reduction of arterial blood flow
Elevation of the limb to prevent oedema
Splinting to avoid the development of contractures
Skin grafting and mobilisation as early as possible
6. According to EMTALA provisions, a patient transfer to another facility should
occur for which of the following reasons?
The hospital does not have the necessary resources to provide the
best medical or surgical care for the patient
The hospital does not have an available bed for admitting the patient
Any other reasons that are in the best interest of the patient
All of the above
7. What is the primary intervention indicated for a child presenting with a
sausage-shaped abdominal mass and intermittent inconsolability?
Surgical intervention
, Enema with air
Computerized tomography
Gastric tube insertion
8. What is the recommended site for intraosseous access in a pediatric patient
experiencing hypovolemic shock?
Clavicle
Scapula
Medial tibia
Femur
9. What is the significance of a capillary refill time greater than 5 seconds in a
pediatric patient?
It indicates poor perfusion and potential dehydration.
It is a sign of respiratory distress.
It indicates a stable blood pressure.
It suggests normal hydration status.
10. Why is the Faces scale considered appropriate for assessing pain in children,
particularly in the case of an 11-year-old?
The Faces scale allows children to express their pain through facial
expressions, making it easier for them to communicate their
feelings.
The Faces scale is only suitable for infants and toddlers.
The Faces scale is not validated for use in pediatric populations.
, The Faces scale requires children to use numbers, which can be
confusing.
11. An infant presents to the emergency department with difficulty breathing.
The patient is pale and respirations appear rapid and shallow. Which location
on the torso is the most effective site for assessing bilateral breath sounds?
Over the epigastrium
Bilateral midaxillary
Bilateral posterior back
Bilateral anterior chest
12. In a scenario where a child is unresponsive and has a suspected airway
obstruction, what would be the most appropriate initial action before
intubation?
Start chest compressions immediately.
Give a dose of epinephrine.
Administer oxygen via nasal cannula.
Perform a jaw-thrust maneuver to open the airway.
13. Why is decontamination prioritized in cases of chemical exposure in
children?
Decontamination is less important than identifying the chemical
involved.
Decontamination prevents further absorption of the chemical and
reduces the risk of complications.
Decontamination is only necessary if the child shows severe
symptoms.
Questions | Graded A+
1. What is the primary physiologic response that can improve cardiac output in a
patient with viral gastroenteritis?
Decreased contractility
Increased afterload
Increased heart rate
Decreased preload
2. What is the immediate priority intervention for a child who has lost
consciousness and has no pulses after being hit in the chest?
Utilize AED/defibrillator
Prepare for needle decompression
Intubate with endotracheal tube
Administer intravenous epinephrine
3. What is a key aspect of family-centered care in pediatric emergency
situations?
Cultural backgrounds are assessed and incorporated into the plan
of care.
Information is shared with family only when medical decisions are
made by the provider.
Lounges and waiting rooms are the designated areas for caregivers
until emergency care is completed.
Procedures are completed and then caregivers are brought to room
to console the patient.
,4. What is the most appropriate airway adjunct for an unresponsive patient with
snoring respirations and an absent gag reflex?
Oropharyngeal airway (OPA)
Head tilt - chin lift maneuver
Elevate the head of the bed
Nasopharyngeal airway (NPA)
5. Which one of the following is the major early priority in the management of
circumferential burns around a limb?
Application of a tourniquet to reduce blood loss
Escharotomy to prevent reduction of arterial blood flow
Elevation of the limb to prevent oedema
Splinting to avoid the development of contractures
Skin grafting and mobilisation as early as possible
6. According to EMTALA provisions, a patient transfer to another facility should
occur for which of the following reasons?
The hospital does not have the necessary resources to provide the
best medical or surgical care for the patient
The hospital does not have an available bed for admitting the patient
Any other reasons that are in the best interest of the patient
All of the above
7. What is the primary intervention indicated for a child presenting with a
sausage-shaped abdominal mass and intermittent inconsolability?
Surgical intervention
, Enema with air
Computerized tomography
Gastric tube insertion
8. What is the recommended site for intraosseous access in a pediatric patient
experiencing hypovolemic shock?
Clavicle
Scapula
Medial tibia
Femur
9. What is the significance of a capillary refill time greater than 5 seconds in a
pediatric patient?
It indicates poor perfusion and potential dehydration.
It is a sign of respiratory distress.
It indicates a stable blood pressure.
It suggests normal hydration status.
10. Why is the Faces scale considered appropriate for assessing pain in children,
particularly in the case of an 11-year-old?
The Faces scale allows children to express their pain through facial
expressions, making it easier for them to communicate their
feelings.
The Faces scale is only suitable for infants and toddlers.
The Faces scale is not validated for use in pediatric populations.
, The Faces scale requires children to use numbers, which can be
confusing.
11. An infant presents to the emergency department with difficulty breathing.
The patient is pale and respirations appear rapid and shallow. Which location
on the torso is the most effective site for assessing bilateral breath sounds?
Over the epigastrium
Bilateral midaxillary
Bilateral posterior back
Bilateral anterior chest
12. In a scenario where a child is unresponsive and has a suspected airway
obstruction, what would be the most appropriate initial action before
intubation?
Start chest compressions immediately.
Give a dose of epinephrine.
Administer oxygen via nasal cannula.
Perform a jaw-thrust maneuver to open the airway.
13. Why is decontamination prioritized in cases of chemical exposure in
children?
Decontamination is less important than identifying the chemical
involved.
Decontamination prevents further absorption of the chemical and
reduces the risk of complications.
Decontamination is only necessary if the child shows severe
symptoms.
