ENPC Exam 2025/2026 | Emergency Nursing
Pediatric Course | Verified Exam Questions with
100% Correct Answers
ENPC Certification Exam | Pediatric Assessment Triangle, Triage & Prioritization, Trauma &
Medical Emergencies, Respiratory & Shock Management, Neurological Emergencies,
Family-Centered Care, and Ethical/Legal Considerations | Expert-Verified Q&A |
Certification-Ready
Introduction
This document provides a comprehensive set of questions and answers for the Emergency
Nursing Pediatric Course (ENPC) Exam for the 2025/2026 cycle. The ENPC, offered by the
Emergency Nurses Association (ENA), is designed to equip nurses with the knowledge and skills
to provide evidence-based care for pediatric patients in emergency settings. The exam covers
critical domains including the Pediatric Assessment Triangle (PAT), triage and prioritization,
trauma and medical emergencies, respiratory and shock management, neurological
emergencies, child abuse recognition, family-centered care, and ethical/legal considerations. All
answers are verified to align with current ENA standards, ensuring candidates are prepared for
certification and effective pediatric emergency care.
Answer Format
All correct answers are highlighted in bold and green, with concise rationales that reinforce
key ENPC concepts, clinical decision-making, and safe pediatric emergency care practice.
Questions reflect real-world scenarios to ensure practical application of knowledge.
ENPC Exam Q&A | Verified 2025/2026 Content | Exam-Aligned | Prepared for
Emergency Nursing Excellence
1. What are the three components of the Pediatric Assessment Triangle
(PAT)?
a) Pulse, respiration, oxygen saturation
b) Appearance, work of breathing, circulation to skin
c) Blood pressure, temperature, heart rate
d) Level of consciousness, airway, breathing
b) Appearance, work of breathing, circulation to skin
Rationale: The PAT is a rapid assessment tool used to evaluate pediatric patients based on
appearance (mental status), work of breathing (respiratory effort), and circulation to skin
(perfusion status).
, 2. What does an abnormal "appearance" in the PAT indicate?
a) Stable vital signs
b) Potential neurological or systemic compromise
c) Normal respiratory effort
d) Adequate perfusion
b) Potential neurological or systemic compromise
Rationale: Abnormal appearance (e.g., lethargy, irritability) suggests neurological issues,
hypoxia, or systemic illness requiring urgent intervention.
3. What is the first priority in managing a pediatric airway emergency?
a) Administer IV fluids
b) Ensure airway patency
c) Obtain a chest X-ray
d) Start antibiotics
b) Ensure airway patency
Rationale: Airway patency is the top priority in pediatric emergencies to ensure adequate
oxygenation and ventilation.
4. Which triage category is assigned to a child with life-threatening
conditions requiring immediate intervention?
a) Emergent
b) Urgent
c) Non-urgent
d) Expectant
a) Emergent
Rationale: The emergent category (Level 1) is for life-threatening conditions requiring
immediate action, per the Emergency Severity Index (ESI).
5. What is a common sign of respiratory distress in a pediatric patient?
a) Normal respiratory rate
b) Nasal flaring and retractions
c) Stable oxygen saturation
d) Clear lung sounds
b) Nasal flaring and retractions
Rationale: Nasal flaring, retractions, and grunting are signs of increased work of breathing,
indicating respiratory distress.
6. What is the initial fluid bolus dose for a pediatric patient in hypovolemic
shock?
a) 5 mL/kg of normal saline
b) 10 mL/kg of normal saline
c) 20 mL/kg of normal saline
d) 30 mL/kg of normal saline
c) 20 mL/kg of normal saline
Rationale: The standard initial fluid bolus for pediatric hypovolemic shock is 20 mL/kg of
isotonic crystalloid (e.g., normal saline), administered rapidly.
Pediatric Course | Verified Exam Questions with
100% Correct Answers
ENPC Certification Exam | Pediatric Assessment Triangle, Triage & Prioritization, Trauma &
Medical Emergencies, Respiratory & Shock Management, Neurological Emergencies,
Family-Centered Care, and Ethical/Legal Considerations | Expert-Verified Q&A |
Certification-Ready
Introduction
This document provides a comprehensive set of questions and answers for the Emergency
Nursing Pediatric Course (ENPC) Exam for the 2025/2026 cycle. The ENPC, offered by the
Emergency Nurses Association (ENA), is designed to equip nurses with the knowledge and skills
to provide evidence-based care for pediatric patients in emergency settings. The exam covers
critical domains including the Pediatric Assessment Triangle (PAT), triage and prioritization,
trauma and medical emergencies, respiratory and shock management, neurological
emergencies, child abuse recognition, family-centered care, and ethical/legal considerations. All
answers are verified to align with current ENA standards, ensuring candidates are prepared for
certification and effective pediatric emergency care.
Answer Format
All correct answers are highlighted in bold and green, with concise rationales that reinforce
key ENPC concepts, clinical decision-making, and safe pediatric emergency care practice.
Questions reflect real-world scenarios to ensure practical application of knowledge.
ENPC Exam Q&A | Verified 2025/2026 Content | Exam-Aligned | Prepared for
Emergency Nursing Excellence
1. What are the three components of the Pediatric Assessment Triangle
(PAT)?
a) Pulse, respiration, oxygen saturation
b) Appearance, work of breathing, circulation to skin
c) Blood pressure, temperature, heart rate
d) Level of consciousness, airway, breathing
b) Appearance, work of breathing, circulation to skin
Rationale: The PAT is a rapid assessment tool used to evaluate pediatric patients based on
appearance (mental status), work of breathing (respiratory effort), and circulation to skin
(perfusion status).
, 2. What does an abnormal "appearance" in the PAT indicate?
a) Stable vital signs
b) Potential neurological or systemic compromise
c) Normal respiratory effort
d) Adequate perfusion
b) Potential neurological or systemic compromise
Rationale: Abnormal appearance (e.g., lethargy, irritability) suggests neurological issues,
hypoxia, or systemic illness requiring urgent intervention.
3. What is the first priority in managing a pediatric airway emergency?
a) Administer IV fluids
b) Ensure airway patency
c) Obtain a chest X-ray
d) Start antibiotics
b) Ensure airway patency
Rationale: Airway patency is the top priority in pediatric emergencies to ensure adequate
oxygenation and ventilation.
4. Which triage category is assigned to a child with life-threatening
conditions requiring immediate intervention?
a) Emergent
b) Urgent
c) Non-urgent
d) Expectant
a) Emergent
Rationale: The emergent category (Level 1) is for life-threatening conditions requiring
immediate action, per the Emergency Severity Index (ESI).
5. What is a common sign of respiratory distress in a pediatric patient?
a) Normal respiratory rate
b) Nasal flaring and retractions
c) Stable oxygen saturation
d) Clear lung sounds
b) Nasal flaring and retractions
Rationale: Nasal flaring, retractions, and grunting are signs of increased work of breathing,
indicating respiratory distress.
6. What is the initial fluid bolus dose for a pediatric patient in hypovolemic
shock?
a) 5 mL/kg of normal saline
b) 10 mL/kg of normal saline
c) 20 mL/kg of normal saline
d) 30 mL/kg of normal saline
c) 20 mL/kg of normal saline
Rationale: The standard initial fluid bolus for pediatric hypovolemic shock is 20 mL/kg of
isotonic crystalloid (e.g., normal saline), administered rapidly.
