ENPC 6TH EDITION EXAM 2025/2026 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS|
An 8-month-old arrives with a 12-hour history of intermittent abdominal pain, non-bilious
vomiting, and a low grade fever. On assessment the child is intermittently inconsolable followed
by periods of normal activity. A sausage-shaped mass is noted during palpation of the abdomen.
The nurse should prepare for which of the following?
Enema with air
Which of the following is a family-centered care concept ?
Cultural backgrounds are assessed and incorporated into the plan of care.
Which of the following parameters would indicate that appropriate post resuscitation
interventions were successfully carried out in the pediatric patient?
Pulse oximetry reading of 96%
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?
Heart rate between 120 to 200 beats/minute
A child with bipolar disorder is brought to the emergency department for increasing irritability,
agitation, pressured speech, and a decreased need for sleep. What should be included in the
plan of care for this child?
Performing a suicide risk assessment
Which of the following is the priority intervention for the nurse caring for an
immunocompromised pediatric patient with a fever?
1|Page
,Placement in a negative pressure room
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?
The ratio of formula to water used when mixing a bottle
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?
Diagnosis of intra-abdominal injury in a child can be challenging. Distracting injuries, pain, and
anxiety can alter their ability to assist in pinpointing these types of injuries post-trauma. Intra-
abdominal injuries can present with abdominal pain, but other important findings are shoulder
pain, due to irritation of the phrenic nerve from the presence of blood or fluid in the peritoneal
cavity, or umbilical or flank ecchymosis.
A child with an electrical injury is seen 1 hour post event. Which of the following specimen
samples would provide visual information regarding a potential complication of this injury?
Electrical injuries, though they may appear to be small, can produce large amounts of damage
internally, including muscle damage. Myoglobin is excreted in the urine and is evidenced by
dark, red-tinged urine.
A 10-year-old arrives at the ED post motor vehicle crash. The following assessment is noted:
hypotension, tachycardia, absent breath sounds from the left chest with an increased
respiratory rate, pain on palpation of the pelvis, tinge of blood noted at the urinary meatus,
moderate active bleeding from a laceration to left thigh, pulse oximetry of 86% without
supplemental oxygen, deformity to the left upper leg, and a Glasgow Coma Score of 7. Which of
the following orders will prompt the nurse to have a discussion with the provider before
initiating?
Insert urinary catheter
A child with an injury to the lower cervical spine with spinal cord involvement would most likely
demonstrate which of the following findings during assessment?
Decreased respiratory effort
A 2-year-old arrives with parents stating the child may have ingested a button battery. The
patient initially choked and coughed and is now drooling with bloody sputum. Which of the
following is the priority intervention?
2|Page
, Children who have ingested button batteries are at risk for multiple potential complications. The
leaking battery fluids and electrical charge can cause ulcerations and necrosis and can lead to
bleeding and airway compromise. For symptomatic patients, the child should be NPO and
admitted for potential endoscopic removal. Children with esophageal burns should be
hospitalized. Honey is recommended only for asymptomatic patients.
The neurosurgeon has decided to perform an invasive procedure in the emergency department
to monitor the intracranial pressure on a 5-year-old patient. The family does not speak the local
language. Which of the following interventions is most supportive of the family during the
procedure?
Presenting the option for family presence with an assigned team member to facilitate
communication and the presence of an interpreter is most supportive of the family.
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.
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.
D. Appointing one staff member to communicate with them.
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.
B. Significant underlying injury.
3|Page
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS|
An 8-month-old arrives with a 12-hour history of intermittent abdominal pain, non-bilious
vomiting, and a low grade fever. On assessment the child is intermittently inconsolable followed
by periods of normal activity. A sausage-shaped mass is noted during palpation of the abdomen.
The nurse should prepare for which of the following?
Enema with air
Which of the following is a family-centered care concept ?
Cultural backgrounds are assessed and incorporated into the plan of care.
Which of the following parameters would indicate that appropriate post resuscitation
interventions were successfully carried out in the pediatric patient?
Pulse oximetry reading of 96%
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?
Heart rate between 120 to 200 beats/minute
A child with bipolar disorder is brought to the emergency department for increasing irritability,
agitation, pressured speech, and a decreased need for sleep. What should be included in the
plan of care for this child?
Performing a suicide risk assessment
Which of the following is the priority intervention for the nurse caring for an
immunocompromised pediatric patient with a fever?
1|Page
,Placement in a negative pressure room
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?
The ratio of formula to water used when mixing a bottle
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?
Diagnosis of intra-abdominal injury in a child can be challenging. Distracting injuries, pain, and
anxiety can alter their ability to assist in pinpointing these types of injuries post-trauma. Intra-
abdominal injuries can present with abdominal pain, but other important findings are shoulder
pain, due to irritation of the phrenic nerve from the presence of blood or fluid in the peritoneal
cavity, or umbilical or flank ecchymosis.
A child with an electrical injury is seen 1 hour post event. Which of the following specimen
samples would provide visual information regarding a potential complication of this injury?
Electrical injuries, though they may appear to be small, can produce large amounts of damage
internally, including muscle damage. Myoglobin is excreted in the urine and is evidenced by
dark, red-tinged urine.
A 10-year-old arrives at the ED post motor vehicle crash. The following assessment is noted:
hypotension, tachycardia, absent breath sounds from the left chest with an increased
respiratory rate, pain on palpation of the pelvis, tinge of blood noted at the urinary meatus,
moderate active bleeding from a laceration to left thigh, pulse oximetry of 86% without
supplemental oxygen, deformity to the left upper leg, and a Glasgow Coma Score of 7. Which of
the following orders will prompt the nurse to have a discussion with the provider before
initiating?
Insert urinary catheter
A child with an injury to the lower cervical spine with spinal cord involvement would most likely
demonstrate which of the following findings during assessment?
Decreased respiratory effort
A 2-year-old arrives with parents stating the child may have ingested a button battery. The
patient initially choked and coughed and is now drooling with bloody sputum. Which of the
following is the priority intervention?
2|Page
, Children who have ingested button batteries are at risk for multiple potential complications. The
leaking battery fluids and electrical charge can cause ulcerations and necrosis and can lead to
bleeding and airway compromise. For symptomatic patients, the child should be NPO and
admitted for potential endoscopic removal. Children with esophageal burns should be
hospitalized. Honey is recommended only for asymptomatic patients.
The neurosurgeon has decided to perform an invasive procedure in the emergency department
to monitor the intracranial pressure on a 5-year-old patient. The family does not speak the local
language. Which of the following interventions is most supportive of the family during the
procedure?
Presenting the option for family presence with an assigned team member to facilitate
communication and the presence of an interpreter is most supportive of the family.
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.
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.
D. Appointing one staff member to communicate with them.
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.
B. Significant underlying injury.
3|Page
