ULTIMATE ENPC 2025 EXAM
QUESTIONS WITH CORRECT
DETAILED ANSWERS ALREADY
GRADED A+
< LATEST VERSION >
1. 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? - ANSWER 🗸 Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifestations include signs of dehydration ( dry mucous membranes,
hypotension, tachycardia), incontinence (polyuria), vomiting, abdominal
pain, Kussmaul respirations (to counter the acidosis), polydipsia, anorexia,
and weight loss. Expected laboratory values would reveal an acidotic state
with a ph level below 7.3, an elevated serum bicarbonate level, and an
elevated blood glucose level > 200 mg.dl.
,2. An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing
noted on auscultation in the right upper lobe of the lung field after a choking
event 4 days ago. The white blood cell count is elevated and the patient
noted to be tachypneic, tachycardic, agitated, and has an increased
respiratory effort. At the time of the event, the patient was started on
antibiotics with subsequent increasing manifestations instead of
improvement. Which of the following would be considered to be definitive
treatment for the suspected diagnosis? - ANSWER 🗸 The definitive
treatment would be a bronchoscopy in order to retrieve the suspected foreign
body instead of diagnostic tests to locate the foreign body itself.
3. A 3-year-old has a two-day history of runny nose, low-grade fever, and a
"barky" cough at night. The child is awake and alert with noted stridor. Pulse
oximetry is 96% on room air. Which of the following interventions would be
the most appropriated for this child? - ANSWER 🗸 Administration of
nebulized epinephrine
4. A pediatric resuscitation has ended with the death of the child. Coroner
notification has not been made yet. In dealing with the family of this child,
how can the nurse facilitate their grieving process until legally required
notification has been made? - ANSWER 🗸 Provide simple, straightforward
information
5. During your primary assessment of a 3-year-old, the child is pale, with a
respiratory rate of 70 breaths/minute, costal retractions, poor air movement,
and a pulse oximetry reading of 89%. What is the priority intervention for
this patient? - ANSWER 🗸 Prepare for intubation
6. A parent brings in a 4-month-old infant reporting seizure-like activity at
home. The parent denies a fever and reports that the infant is otherwise
healthy. Which of the following is most important for the nurse to inquire
about? - ANSWER 🗸 hyponatremia is the leading cause of new-onset non-
, febrile seizures. The most common contributing factor is over-dilution of
infant formula.
7. A 5-year-old presents with decreased level of consciousness and a wide
complex and rapid rate on the electrocardiogram. Which of the following
characteristics would indicate ventricular tachycardia as opposed to other
tachydysrhythmias? - ANSWER 🗸 Heart rate between 120 to 200
beats/minute
8. A 6-year-old involved in a boating crash is awaiting admission for surgical
repair of a fractured ankle. Which of the following manifestations during
reassessments would cause the greatest concern for possible intra-abdominal
trauma? - ANSWER 🗸 Constant left shoulder pain
9. Which of the following questions reflects the concept of the "teach-back"
method? - ANSWER 🗸 "Would you repeat those instructions, so I can make
sure I was clear?"
10.Which of the following physiological changes in an infant increase the
chances of drowning? - ANSWER 🗸 Weak neck muscles
11.Immediately following birth, a full-term neonate is not breathing and has a
heart rate of 45 beats/minute. The neonate has been warmed, dried,
stimulated, and suctioned without improvement. What the next step in
resuscitation? - ANSWER 🗸 Initiate positive-pressure ventilation with 21%
oxygen at 40-60 breaths per minute.
12.A parent presents to the emergency department carrying her 12-week-old
infant. The PAT reveals an infant who is quiet and opens eyes with
stimulation, whose breathing is regular and even, and whose skin is pale,
, with a scattered vesicular rash. What is the priority intervention for this
infant? - ANSWER 🗸 Obtain a full set of vital signs (wrong)
Place patient in isolation (correct)
Remediation feedback:
An abnormal PAT in the presence of a rash should be considered life-
threatening until proven otherwise and the patient placed in isolation.
13.After an explosion at a school, you are helping triage patients. In your field
triage room you find a 5-year-old patient who is not breathing. What is the
appropriate initial intervention? - ANSWER 🗸 Open the airway and assess
for breathing.
14.A school-aged child arrives in the emergency department with a 2-day
history of vomiting. The child is cool and pale, with weak pulses, elevated
heart rate, and capillary refill of 4 to 5 seconds. Which of the following is
the priority intervention for the child? - ANSWER 🗸 Initiate a fluid bolus
15.A 12-year-old restrained, back -seat passenger involved in a motor vehicle
crash is noted to have hypotension, tachycardia, and contusions and
discoloration across the lap area. On exam a splenic rupture is suspected.
Which of the following diagnoses should be suspected as a companion
injury with these findings and associated mechanism of injury? - ANSWER
🗸 A chance fracture (fracture of the lumbar spine) is often associated with
belted passengers. Injuries associated with the "seatbelt sign" are small
bowel, abdominal vasculature, ureteral, and splenic and liver injuries.
16.A caregiver states their 3-year-old child ate some marijuana gummies
approximately 3 hours prior to arrival. The PAT reveals the child is pink,
difficult to arouse, and work of breathing is normal. What is your initial
QUESTIONS WITH CORRECT
DETAILED ANSWERS ALREADY
GRADED A+
< LATEST VERSION >
1. 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? - ANSWER 🗸 Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifestations include signs of dehydration ( dry mucous membranes,
hypotension, tachycardia), incontinence (polyuria), vomiting, abdominal
pain, Kussmaul respirations (to counter the acidosis), polydipsia, anorexia,
and weight loss. Expected laboratory values would reveal an acidotic state
with a ph level below 7.3, an elevated serum bicarbonate level, and an
elevated blood glucose level > 200 mg.dl.
,2. An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing
noted on auscultation in the right upper lobe of the lung field after a choking
event 4 days ago. The white blood cell count is elevated and the patient
noted to be tachypneic, tachycardic, agitated, and has an increased
respiratory effort. At the time of the event, the patient was started on
antibiotics with subsequent increasing manifestations instead of
improvement. Which of the following would be considered to be definitive
treatment for the suspected diagnosis? - ANSWER 🗸 The definitive
treatment would be a bronchoscopy in order to retrieve the suspected foreign
body instead of diagnostic tests to locate the foreign body itself.
3. A 3-year-old has a two-day history of runny nose, low-grade fever, and a
"barky" cough at night. The child is awake and alert with noted stridor. Pulse
oximetry is 96% on room air. Which of the following interventions would be
the most appropriated for this child? - ANSWER 🗸 Administration of
nebulized epinephrine
4. A pediatric resuscitation has ended with the death of the child. Coroner
notification has not been made yet. In dealing with the family of this child,
how can the nurse facilitate their grieving process until legally required
notification has been made? - ANSWER 🗸 Provide simple, straightforward
information
5. During your primary assessment of a 3-year-old, the child is pale, with a
respiratory rate of 70 breaths/minute, costal retractions, poor air movement,
and a pulse oximetry reading of 89%. What is the priority intervention for
this patient? - ANSWER 🗸 Prepare for intubation
6. A parent brings in a 4-month-old infant reporting seizure-like activity at
home. The parent denies a fever and reports that the infant is otherwise
healthy. Which of the following is most important for the nurse to inquire
about? - ANSWER 🗸 hyponatremia is the leading cause of new-onset non-
, febrile seizures. The most common contributing factor is over-dilution of
infant formula.
7. A 5-year-old presents with decreased level of consciousness and a wide
complex and rapid rate on the electrocardiogram. Which of the following
characteristics would indicate ventricular tachycardia as opposed to other
tachydysrhythmias? - ANSWER 🗸 Heart rate between 120 to 200
beats/minute
8. A 6-year-old involved in a boating crash is awaiting admission for surgical
repair of a fractured ankle. Which of the following manifestations during
reassessments would cause the greatest concern for possible intra-abdominal
trauma? - ANSWER 🗸 Constant left shoulder pain
9. Which of the following questions reflects the concept of the "teach-back"
method? - ANSWER 🗸 "Would you repeat those instructions, so I can make
sure I was clear?"
10.Which of the following physiological changes in an infant increase the
chances of drowning? - ANSWER 🗸 Weak neck muscles
11.Immediately following birth, a full-term neonate is not breathing and has a
heart rate of 45 beats/minute. The neonate has been warmed, dried,
stimulated, and suctioned without improvement. What the next step in
resuscitation? - ANSWER 🗸 Initiate positive-pressure ventilation with 21%
oxygen at 40-60 breaths per minute.
12.A parent presents to the emergency department carrying her 12-week-old
infant. The PAT reveals an infant who is quiet and opens eyes with
stimulation, whose breathing is regular and even, and whose skin is pale,
, with a scattered vesicular rash. What is the priority intervention for this
infant? - ANSWER 🗸 Obtain a full set of vital signs (wrong)
Place patient in isolation (correct)
Remediation feedback:
An abnormal PAT in the presence of a rash should be considered life-
threatening until proven otherwise and the patient placed in isolation.
13.After an explosion at a school, you are helping triage patients. In your field
triage room you find a 5-year-old patient who is not breathing. What is the
appropriate initial intervention? - ANSWER 🗸 Open the airway and assess
for breathing.
14.A school-aged child arrives in the emergency department with a 2-day
history of vomiting. The child is cool and pale, with weak pulses, elevated
heart rate, and capillary refill of 4 to 5 seconds. Which of the following is
the priority intervention for the child? - ANSWER 🗸 Initiate a fluid bolus
15.A 12-year-old restrained, back -seat passenger involved in a motor vehicle
crash is noted to have hypotension, tachycardia, and contusions and
discoloration across the lap area. On exam a splenic rupture is suspected.
Which of the following diagnoses should be suspected as a companion
injury with these findings and associated mechanism of injury? - ANSWER
🗸 A chance fracture (fracture of the lumbar spine) is often associated with
belted passengers. Injuries associated with the "seatbelt sign" are small
bowel, abdominal vasculature, ureteral, and splenic and liver injuries.
16.A caregiver states their 3-year-old child ate some marijuana gummies
approximately 3 hours prior to arrival. The PAT reveals the child is pink,
difficult to arouse, and work of breathing is normal. What is your initial
