1|P a g e
ENPC PRACTICE EXAM Questions
With 100% Correct Answers Latest
Versions 2025 TOP RATED A+
Which ocular finding is associated with child maltreatment?
A. Glaucoma.
B. Conjunctivitis.
C. Iritis.
D. Retinal hemorrhage.
D. Retinal hemorrhage.
A pregnant 18-year-old woman arrives at the emergency department about ready to
deliver a full-term infant. She states that she noticed a large amount of dark green
fluid the last time she went to the bathroom. During the delivery, the nurse should
prepare to:
10 | P a g e
A. Dry and arm the infant as soon as is it delivered.
B. Stimulate and ventilate the infant immediately after delivery.
C. Suction the mouth and nose of the infant while on the perineum.
D. Administer blow-by oxygen and rub the back immediately after delivery.
C. Suction the mouth and nose of the infant while on the perineum
Ask about any new bed-wetting or sleep disturbances
Pediatric patients with anxiety and PTSD may present with physical complaints.
,Assess for other behavioral symptoms to facilitate appropriate care and follow-up.
- ANSWER: A 5 year-old with no health problems presents to the Emergency
Department with a sudden onset of chest pain and shortness of breath. Parents state
that the family was involved in a bad car crash one week ago. A thorough
assessment and workup has not revealed any abnormalities. Which of the
following steps is the best next step to take?
Ensuring all firearms in the home are locked in a safe place with no access by the
patient.
Promoting injury prevention with caregivers of patients with a history of
depression or suicidal ideation by encouraging that all firearms and medications
are under lock to prevent overdoses or suicide attempt. - ANSWER: You are
discharging a patient to home with a history of depression. Discharge teaching
should include which of the following?
Obtain vascular access for rapid fluid administration
Rapid vascular access and fluid administration are the priority interventions. -
ANSWER: A 2-year old has uniformly demarcated burns to bilateral lower
extremities, approximately 30% of the childs total body surface area. The father
,states he briefly left the room while the child was in the bath and the child
apparently played with the faucet. Which of the following interventions has the
highest priority?
Draw and send a metabolic panel and venous blood gas, administer a fluid bolus,
and obtain a point of care glucose
Electrolyte imbalances need to be identified and treated to prevent another seizure.
- ANSWER: A 7-year-old arrives via ambulance. The patient's mother reports
witnessing a seizure at home. The patient has no seizure history. Upon
examination, the patient is post-ictal with a heart rate of 142 beats per minute,
respiratory rate of 36 breaths per minute, and blood pressure of 86/72 mm Hg.
Significant burns are noted to the patient's back and lower extremities. The mother
states the burns accidentally occurred 3 days ago, but she was afraid to bring
patient in due to an ongoing child welfare investigation. Which of the following
are the MOST appropriate immediate interventions?
ventilation to address hypoxia is the priority intervention. - ANSWER: What is the
priority intervention for symptomatic bradycardia in a four-year-old child?
Commotio cordis
Comotio Cordis "occurs when chest is struck during the refractory period of the
cardiac conduction cycle. This type of injury usually occurs in recreational sports
such as baseball or ice hockey." - ANSWER: A 14-year-old high school student
who was pitching for his baseball team was hit in the chest by the ball and had a
sudden cardiac arrest. Of the following, which is the most likely cause of the
cardiac arrest?
, Focused Assessment: Vital Signs: "As the patient compensates for altered tissue
perfusion, the pulse pressure narrows and the heart rate increases" - (need to
rewrite either the question or the answers)
Widening Pulse pressure - not correct (suppose to be narrow pulse pressure)
Bradycardia - not correct
Decreasing diastolic blood pressure - late sign
Weak peripheral pulses - late sign - ANSWER: A 5-year-old child presents to the
emergency department after being hit by a car. She complains of left upper
quadrant pain and the focused assessment with sonography for trauma (FAST)
exam shows fluid around her spleen. Which of the following findings would be an
early indication of ongoing blood loss?
Increasing heart rate
Pathophysiology: Cardiac Output. In pediatric patients, cardiac out is primarily
regulate by increasing heart rate - ANSWER: A 5-year-old patient presents to the
emergency department with severe dehydration due to viral gastroenteritis. He has
signs of shock due to his hypovolemia. Which of the following physiologic
responses to shock has the greatest impact on improving cardiac output in the
pediatric patient?
Bruising to the left ear of a newborn from sleeping on his side
Pg 10- Any bruises in a non exploratory location (especially torso ears, neck) in
children younger than 4
Pg 11Any bruising in a child younger than 4 months. - ANSWER: Which of the
following patient presentations should increase suspicion of potential child
maltreatment?
ENPC PRACTICE EXAM Questions
With 100% Correct Answers Latest
Versions 2025 TOP RATED A+
Which ocular finding is associated with child maltreatment?
A. Glaucoma.
B. Conjunctivitis.
C. Iritis.
D. Retinal hemorrhage.
D. Retinal hemorrhage.
A pregnant 18-year-old woman arrives at the emergency department about ready to
deliver a full-term infant. She states that she noticed a large amount of dark green
fluid the last time she went to the bathroom. During the delivery, the nurse should
prepare to:
10 | P a g e
A. Dry and arm the infant as soon as is it delivered.
B. Stimulate and ventilate the infant immediately after delivery.
C. Suction the mouth and nose of the infant while on the perineum.
D. Administer blow-by oxygen and rub the back immediately after delivery.
C. Suction the mouth and nose of the infant while on the perineum
Ask about any new bed-wetting or sleep disturbances
Pediatric patients with anxiety and PTSD may present with physical complaints.
,Assess for other behavioral symptoms to facilitate appropriate care and follow-up.
- ANSWER: A 5 year-old with no health problems presents to the Emergency
Department with a sudden onset of chest pain and shortness of breath. Parents state
that the family was involved in a bad car crash one week ago. A thorough
assessment and workup has not revealed any abnormalities. Which of the
following steps is the best next step to take?
Ensuring all firearms in the home are locked in a safe place with no access by the
patient.
Promoting injury prevention with caregivers of patients with a history of
depression or suicidal ideation by encouraging that all firearms and medications
are under lock to prevent overdoses or suicide attempt. - ANSWER: You are
discharging a patient to home with a history of depression. Discharge teaching
should include which of the following?
Obtain vascular access for rapid fluid administration
Rapid vascular access and fluid administration are the priority interventions. -
ANSWER: A 2-year old has uniformly demarcated burns to bilateral lower
extremities, approximately 30% of the childs total body surface area. The father
,states he briefly left the room while the child was in the bath and the child
apparently played with the faucet. Which of the following interventions has the
highest priority?
Draw and send a metabolic panel and venous blood gas, administer a fluid bolus,
and obtain a point of care glucose
Electrolyte imbalances need to be identified and treated to prevent another seizure.
- ANSWER: A 7-year-old arrives via ambulance. The patient's mother reports
witnessing a seizure at home. The patient has no seizure history. Upon
examination, the patient is post-ictal with a heart rate of 142 beats per minute,
respiratory rate of 36 breaths per minute, and blood pressure of 86/72 mm Hg.
Significant burns are noted to the patient's back and lower extremities. The mother
states the burns accidentally occurred 3 days ago, but she was afraid to bring
patient in due to an ongoing child welfare investigation. Which of the following
are the MOST appropriate immediate interventions?
ventilation to address hypoxia is the priority intervention. - ANSWER: What is the
priority intervention for symptomatic bradycardia in a four-year-old child?
Commotio cordis
Comotio Cordis "occurs when chest is struck during the refractory period of the
cardiac conduction cycle. This type of injury usually occurs in recreational sports
such as baseball or ice hockey." - ANSWER: A 14-year-old high school student
who was pitching for his baseball team was hit in the chest by the ball and had a
sudden cardiac arrest. Of the following, which is the most likely cause of the
cardiac arrest?
, Focused Assessment: Vital Signs: "As the patient compensates for altered tissue
perfusion, the pulse pressure narrows and the heart rate increases" - (need to
rewrite either the question or the answers)
Widening Pulse pressure - not correct (suppose to be narrow pulse pressure)
Bradycardia - not correct
Decreasing diastolic blood pressure - late sign
Weak peripheral pulses - late sign - ANSWER: A 5-year-old child presents to the
emergency department after being hit by a car. She complains of left upper
quadrant pain and the focused assessment with sonography for trauma (FAST)
exam shows fluid around her spleen. Which of the following findings would be an
early indication of ongoing blood loss?
Increasing heart rate
Pathophysiology: Cardiac Output. In pediatric patients, cardiac out is primarily
regulate by increasing heart rate - ANSWER: A 5-year-old patient presents to the
emergency department with severe dehydration due to viral gastroenteritis. He has
signs of shock due to his hypovolemia. Which of the following physiologic
responses to shock has the greatest impact on improving cardiac output in the
pediatric patient?
Bruising to the left ear of a newborn from sleeping on his side
Pg 10- Any bruises in a non exploratory location (especially torso ears, neck) in
children younger than 4
Pg 11Any bruising in a child younger than 4 months. - ANSWER: Which of the
following patient presentations should increase suspicion of potential child
maltreatment?
