ENPC Test EXAM PRACTICE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
1. A 3-year-old presents with stridor and drooling. The priority action is:
A. Obtain throat culture
B. Give oral fluids
C. Prepare for advanced airway
D. Administer nebulized albuterol
Answer: C
Rationale: Stridor with drooling suggests epiglottitis—secure airway first.
2. The most reliable sign of adequate ventilation in a child is:
A. Chest rise
B. Respiratory rate
C. Oxygen saturation
D. End-tidal CO₂
Answer: D
Rationale: ETCO₂ best reflects ventilation.
3. A child with croup should be positioned:
A. Supine
B. Prone
C. Upright
D. Trendelenburg
Answer: C
Rationale: Upright positioning reduces airway obstruction.
4. Bradypnea in an infant is most concerning because it indicates:
A. Anxiety
B. Impending respiratory failure
C. Pain
D. Normal sleep pattern
Answer: B
, 5. Which oxygen delivery method provides the highest FiO₂?
A. Nasal cannula
B. Simple mask
C. Non-rebreather
D. Venturi mask
Answer: C
Circulation & Shock
6. The earliest sign of shock in children is:
A. Hypotension
B. Tachycardia
C. Cyanosis
D. Decreased urine output
Answer: B
7. Capillary refill time greater than ___ seconds is abnormal:
A. 1
B. 2
C. 3
D. 5
Answer: C
8. Initial fluid bolus for pediatric shock:
A. 5 mL/kg
B. 10 mL/kg
C. 20 mL/kg
D. 30 mL/kg
Answer: C
9. Hypotension in children is a:
A. Late sign of shock
B. Early sign of shock
C. Normal finding
D. Pain response
Answer: A
10. Which shock type is most common in pediatrics?
A. Cardiogenic
B. Neurogenic
C. Septic
D. Hypovolemic
Answer: D
Neurological / Trauma
, 11. The pediatric GCS verbal response for a crying but consolable infant is:
A. 3
B. 4
C. 5
D. 6
Answer: C
12. Signs of increased intracranial pressure include:
A. Tachycardia
B. Narrow pulse pressure
C. Bulging fontanelle
D. Hypotension
Answer: C
13. The first priority in head trauma is:
A. CT scan
B. IV access
C. Airway management
D. Pain control
Answer: C
14. A posturing child demonstrates:
A. Normal reflexes
B. Severe brain injury
C. Mild concussion
D. Anxiety
Answer: B
15. Unequal pupils indicate:
A. Hypoglycemia
B. Increased ICP
C. Normal finding
D. Otitis media
Answer: B
Medical Emergencies
16. The most common cause of altered mental status in children is:
A. Infection
B. Trauma
C. Hypoglycemia
D. Poisoning
Answer: C
17. First treatment for hypoglycemia:
A. Insulin
B. Dextrose
C. Glucagon only
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
1. A 3-year-old presents with stridor and drooling. The priority action is:
A. Obtain throat culture
B. Give oral fluids
C. Prepare for advanced airway
D. Administer nebulized albuterol
Answer: C
Rationale: Stridor with drooling suggests epiglottitis—secure airway first.
2. The most reliable sign of adequate ventilation in a child is:
A. Chest rise
B. Respiratory rate
C. Oxygen saturation
D. End-tidal CO₂
Answer: D
Rationale: ETCO₂ best reflects ventilation.
3. A child with croup should be positioned:
A. Supine
B. Prone
C. Upright
D. Trendelenburg
Answer: C
Rationale: Upright positioning reduces airway obstruction.
4. Bradypnea in an infant is most concerning because it indicates:
A. Anxiety
B. Impending respiratory failure
C. Pain
D. Normal sleep pattern
Answer: B
, 5. Which oxygen delivery method provides the highest FiO₂?
A. Nasal cannula
B. Simple mask
C. Non-rebreather
D. Venturi mask
Answer: C
Circulation & Shock
6. The earliest sign of shock in children is:
A. Hypotension
B. Tachycardia
C. Cyanosis
D. Decreased urine output
Answer: B
7. Capillary refill time greater than ___ seconds is abnormal:
A. 1
B. 2
C. 3
D. 5
Answer: C
8. Initial fluid bolus for pediatric shock:
A. 5 mL/kg
B. 10 mL/kg
C. 20 mL/kg
D. 30 mL/kg
Answer: C
9. Hypotension in children is a:
A. Late sign of shock
B. Early sign of shock
C. Normal finding
D. Pain response
Answer: A
10. Which shock type is most common in pediatrics?
A. Cardiogenic
B. Neurogenic
C. Septic
D. Hypovolemic
Answer: D
Neurological / Trauma
, 11. The pediatric GCS verbal response for a crying but consolable infant is:
A. 3
B. 4
C. 5
D. 6
Answer: C
12. Signs of increased intracranial pressure include:
A. Tachycardia
B. Narrow pulse pressure
C. Bulging fontanelle
D. Hypotension
Answer: C
13. The first priority in head trauma is:
A. CT scan
B. IV access
C. Airway management
D. Pain control
Answer: C
14. A posturing child demonstrates:
A. Normal reflexes
B. Severe brain injury
C. Mild concussion
D. Anxiety
Answer: B
15. Unequal pupils indicate:
A. Hypoglycemia
B. Increased ICP
C. Normal finding
D. Otitis media
Answer: B
Medical Emergencies
16. The most common cause of altered mental status in children is:
A. Infection
B. Trauma
C. Hypoglycemia
D. Poisoning
Answer: C
17. First treatment for hypoglycemia:
A. Insulin
B. Dextrose
C. Glucagon only
