ENP-C — Emergency Nurse Practitioner Certified Exam
Certified WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+ (2025/2026)
Question 1
A 45-year-old male presents to the emergency department with a deep
laceration to the palmar surface of the hand. During the physical exam,
what is the most critical structure to assess?
• A) Tendon function and sensation
• B) Capillary refill only
• C) Range of motion without sensation
• D) Bleeding time
Correct ,,,,Answer,,,,: A
Rationale: Deep palmar lacerations require assessment of tendon
integrity (flexor tendons) and sensory nerve function to identify injuries
requiring surgical repair. Capillary refill alone is insufficient for a complete
neurovascular assessment .
Question 2
A 7-month-old infant presents with fever. Assessment reveals a patent
airway, slight perioral and nail bed cyanosis, alert and interactive status,
temperature 38.5°C (101.3°F), HR 134, RR 32, BP 78/54 mm Hg, and
,SpO2 84%. A healed surgical scar is noted on the chest. What is the
nurse's priority?
• A) Administer ibuprofen to treat the fever
• B) Begin oxygen via nonrebreather mask
• C) Obtain a surgical history
• D) Ask if the SpO2 is normal for this child
Correct ,,,,Answer,,,,: D
Rationale: The chest scar likely indicates prior congenital heart defect
repair. Children with special healthcare needs may have different
baselines. The caregiver's chief complaint is fever, not oxygenation. The
child's baseline must be obtained before any intervention .
Question 3
Using the pediatric assessment triangle (PAT), all pediatric patients
presenting to the emergency department are classified as:
• A) Well
• B) Sick
• C) Sicker
• D) Sickest
Correct ,,,,Answer,,,,: B
Rationale: In using the PAT, there is no "Well" category. A child may
appear well without disruption in any PAT component but is still
designated "sick" simply because the caregiver was concerned enough to
bring the child to the ED .
,Question 4
An 11-year-old presents after hitting his head while playing soccer.
Across-the-room assessment reveals he is staring at the wall, has no
increased work of breathing, and pink color. Using the PAT, what
classification will the nurse assign?
• A) Well
• B) Sick
• C) Sicker
• D) Sickest
Correct ,,,,Answer,,,,: C
Rationale: This child has disruption in one PAT component—general
appearance (staring at wall). While this may indicate anxiety, it could
result from head injury. Disruption in any component classifies the child
as "sicker" requiring further assessment .
Question 5
Which combination of medications is best to have prepared for a pediatric
resuscitation?
• A) Dopamine and sodium bicarbonate
• B) Epinephrine and glucose
• C) Naloxone and lidocaine
• D) Pentothal and vecuronium
Correct ,,,,Answer,,,,: B
, Rationale: Epinephrine is the primary medication for pediatric cardiac
arrest. Children have limited glycogen stores, making hypoglycemia
common during stress and critical illness. Both should be readily
available .
Question 6
A 16-month-old unrestrained front seat passenger was in a motor vehicle
crash. Chest x-ray reveals multiple rib fractures. These findings suggest:
• A) Minor surface injury
• B) Significant underlying injury
• C) Significant surface injury
• D) Minor underlying injury
Correct ,,,,Answer,,,,: B
Rationale: Rib fractures in young children require significant force. This
mechanism suggests potential underlying injuries including pulmonary
contusion, cardiac injury, or vascular trauma. Age-inappropriate fractures
should also raise concern for non-accidental trauma .
Question 7
A 10-year-old struck by a car has a distended, tense abdomen, HR 144,
RR 24, BP 120/80 mm Hg, capillary refill >3 seconds, and pale, cool skin.
These signs suggest:
• A) Obstructive shock
• B) Distributive shock
Certified WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+ (2025/2026)
Question 1
A 45-year-old male presents to the emergency department with a deep
laceration to the palmar surface of the hand. During the physical exam,
what is the most critical structure to assess?
• A) Tendon function and sensation
• B) Capillary refill only
• C) Range of motion without sensation
• D) Bleeding time
Correct ,,,,Answer,,,,: A
Rationale: Deep palmar lacerations require assessment of tendon
integrity (flexor tendons) and sensory nerve function to identify injuries
requiring surgical repair. Capillary refill alone is insufficient for a complete
neurovascular assessment .
Question 2
A 7-month-old infant presents with fever. Assessment reveals a patent
airway, slight perioral and nail bed cyanosis, alert and interactive status,
temperature 38.5°C (101.3°F), HR 134, RR 32, BP 78/54 mm Hg, and
,SpO2 84%. A healed surgical scar is noted on the chest. What is the
nurse's priority?
• A) Administer ibuprofen to treat the fever
• B) Begin oxygen via nonrebreather mask
• C) Obtain a surgical history
• D) Ask if the SpO2 is normal for this child
Correct ,,,,Answer,,,,: D
Rationale: The chest scar likely indicates prior congenital heart defect
repair. Children with special healthcare needs may have different
baselines. The caregiver's chief complaint is fever, not oxygenation. The
child's baseline must be obtained before any intervention .
Question 3
Using the pediatric assessment triangle (PAT), all pediatric patients
presenting to the emergency department are classified as:
• A) Well
• B) Sick
• C) Sicker
• D) Sickest
Correct ,,,,Answer,,,,: B
Rationale: In using the PAT, there is no "Well" category. A child may
appear well without disruption in any PAT component but is still
designated "sick" simply because the caregiver was concerned enough to
bring the child to the ED .
,Question 4
An 11-year-old presents after hitting his head while playing soccer.
Across-the-room assessment reveals he is staring at the wall, has no
increased work of breathing, and pink color. Using the PAT, what
classification will the nurse assign?
• A) Well
• B) Sick
• C) Sicker
• D) Sickest
Correct ,,,,Answer,,,,: C
Rationale: This child has disruption in one PAT component—general
appearance (staring at wall). While this may indicate anxiety, it could
result from head injury. Disruption in any component classifies the child
as "sicker" requiring further assessment .
Question 5
Which combination of medications is best to have prepared for a pediatric
resuscitation?
• A) Dopamine and sodium bicarbonate
• B) Epinephrine and glucose
• C) Naloxone and lidocaine
• D) Pentothal and vecuronium
Correct ,,,,Answer,,,,: B
, Rationale: Epinephrine is the primary medication for pediatric cardiac
arrest. Children have limited glycogen stores, making hypoglycemia
common during stress and critical illness. Both should be readily
available .
Question 6
A 16-month-old unrestrained front seat passenger was in a motor vehicle
crash. Chest x-ray reveals multiple rib fractures. These findings suggest:
• A) Minor surface injury
• B) Significant underlying injury
• C) Significant surface injury
• D) Minor underlying injury
Correct ,,,,Answer,,,,: B
Rationale: Rib fractures in young children require significant force. This
mechanism suggests potential underlying injuries including pulmonary
contusion, cardiac injury, or vascular trauma. Age-inappropriate fractures
should also raise concern for non-accidental trauma .
Question 7
A 10-year-old struck by a car has a distended, tense abdomen, HR 144,
RR 24, BP 120/80 mm Hg, capillary refill >3 seconds, and pale, cool skin.
These signs suggest:
• A) Obstructive shock
• B) Distributive shock
