Emergency Nursing Pediatric Course
(ENPC) 2026| Actual Exam Questions
and Correct Answers
A 9-month-old has arrived in the ER after a trauma. Which of the following actions will the
nurse take after assessing the ABC status?
A) Assess metabolic demands
B) Maintain core temperature
C) Check Level of Consciousness
D) Assess Vital Signs
Correct Answer: C
Explanation: After ABC (Airway, Breathing, Circulation), the next step in pediatric assessment
is Disability (D), which includes checking level of consciousness using tools like Glasgow Coma
Scale.
A 12-year-old boy is brought into the ER with a broken leg and is showing signs and symptoms
of shock. Which of the following actions should the nurse do next after providing 100% O2 by
mask?
A) Check circulation of toes of the affected leg
B) Establish IV access
C) Provide oral analgesics as ordered
D) Position the boy on his back with the head elevated
Correct Answer: B
Explanation: In shock, after oxygen, establishing IV access is critical for fluid resuscitation
(e.g., 20 ml/kg bolus) to restore perfusion, as children lose volume quickly.
Which of the following is NOT a common reason why children come to the ER?
,A) Trauma
B) Near drowning
C) Burns
D) Chronic diabetes management
Correct Answer: D
Explanation: Common pediatric ER visits include trauma, near drowning, burns, injuries from
falls/accidents/sports, acute illness, and respiratory issues; chronic conditions like diabetes are
typically managed outpatient unless acute.
What is the leading cause of mortality for children under 1 year old?
A) Birth defects
B) Short pregnancy
C) SIDS
D) Pregnancy complications
Correct Answer: A
Explanation: Ranking: 1. Birth defects, 2. Short pregnancy, 3. SIDS, 4. Pregnancy
complications, 5. Pregnancy problems.
What is the leading cause of mortality for children aged 1-4 years?
A) Accidental
B) Birth defects
C) Cancer
D) Homicide
Correct Answer: A
Explanation: Ranking: 1. Accidental, 2. Birth defects, 3. Cancer, 4. Homicide, 5. Heart disease.
What is the leading cause of mortality for children aged 5-9 years?
A) Accidental
, B) Cancer
C) Birth defects
D) Homicide
Correct Answer: A
Explanation: Ranking: 1. Accidental, 2. Cancer, 3. Birth defects, 4. Homicide, 5. Heart disease.
What is the leading cause of mortality for children aged 10-14 years?
A) Accidental
B) Cancer
C) Suicide
D) Homicide
Correct Answer: A
Explanation: Ranking: 1. Accidental, 2. Cancer, 3. Suicide, 4. Homicide, 5. Birth defects.
What is the leading cause of mortality for children aged 15-24 years?
A) Accidental
B) Suicide
C) Homicide
D) Cancer
Correct Answer: A
Explanation: Ranking: 1. Accidental, 2. Suicide, 3. Homicide, 4. Cancer, 5. Heart disease.
Which of the following is NOT among the most preventable causes of pediatric mortality?
A) Suffocation (infants)
B) MVA
C) Cancer
D) Drowning
(ENPC) 2026| Actual Exam Questions
and Correct Answers
A 9-month-old has arrived in the ER after a trauma. Which of the following actions will the
nurse take after assessing the ABC status?
A) Assess metabolic demands
B) Maintain core temperature
C) Check Level of Consciousness
D) Assess Vital Signs
Correct Answer: C
Explanation: After ABC (Airway, Breathing, Circulation), the next step in pediatric assessment
is Disability (D), which includes checking level of consciousness using tools like Glasgow Coma
Scale.
A 12-year-old boy is brought into the ER with a broken leg and is showing signs and symptoms
of shock. Which of the following actions should the nurse do next after providing 100% O2 by
mask?
A) Check circulation of toes of the affected leg
B) Establish IV access
C) Provide oral analgesics as ordered
D) Position the boy on his back with the head elevated
Correct Answer: B
Explanation: In shock, after oxygen, establishing IV access is critical for fluid resuscitation
(e.g., 20 ml/kg bolus) to restore perfusion, as children lose volume quickly.
Which of the following is NOT a common reason why children come to the ER?
,A) Trauma
B) Near drowning
C) Burns
D) Chronic diabetes management
Correct Answer: D
Explanation: Common pediatric ER visits include trauma, near drowning, burns, injuries from
falls/accidents/sports, acute illness, and respiratory issues; chronic conditions like diabetes are
typically managed outpatient unless acute.
What is the leading cause of mortality for children under 1 year old?
A) Birth defects
B) Short pregnancy
C) SIDS
D) Pregnancy complications
Correct Answer: A
Explanation: Ranking: 1. Birth defects, 2. Short pregnancy, 3. SIDS, 4. Pregnancy
complications, 5. Pregnancy problems.
What is the leading cause of mortality for children aged 1-4 years?
A) Accidental
B) Birth defects
C) Cancer
D) Homicide
Correct Answer: A
Explanation: Ranking: 1. Accidental, 2. Birth defects, 3. Cancer, 4. Homicide, 5. Heart disease.
What is the leading cause of mortality for children aged 5-9 years?
A) Accidental
, B) Cancer
C) Birth defects
D) Homicide
Correct Answer: A
Explanation: Ranking: 1. Accidental, 2. Cancer, 3. Birth defects, 4. Homicide, 5. Heart disease.
What is the leading cause of mortality for children aged 10-14 years?
A) Accidental
B) Cancer
C) Suicide
D) Homicide
Correct Answer: A
Explanation: Ranking: 1. Accidental, 2. Cancer, 3. Suicide, 4. Homicide, 5. Birth defects.
What is the leading cause of mortality for children aged 15-24 years?
A) Accidental
B) Suicide
C) Homicide
D) Cancer
Correct Answer: A
Explanation: Ranking: 1. Accidental, 2. Suicide, 3. Homicide, 4. Cancer, 5. Heart disease.
Which of the following is NOT among the most preventable causes of pediatric mortality?
A) Suffocation (infants)
B) MVA
C) Cancer
D) Drowning
