ENPC 6TH Edition Exam Test |Correct
Questions & Verified Answers | Latest 2026
The caregiver of a 2-month-old infant states the patient has had trouble
breathing for the past two days. Pediatric assessment triangle (PAT)
reveals an age-appropriate general appearance, rapid breathing with
mild distress, and pink skin. Mucous is noted in both nares. Which of
the following is the best next step?
A. Obtain a history including immunization status
B. Suction nasal passages using a bulb syringe
C. Administer oxygen by nasal cannula with patient in caregiver's arms
D .Respiratory assessment is completed so move to circulatory - ✔✔✔
Correct Answer > B
Infants up to four months old are obligate nose breathers and can
have respiratory distress when nares are occluded. Mucous can be
gently suctioned using a bulb syringe or suction catheter. A good,
thorough history should always include immunization status for
,pediatric patients. The nose needs to be clear before applying oxygen
via nasal cannula. Respiratory assessment includes interventions to
improve breathing so you would not move to move to circulation until
that is accomplished.
The respiratory rate, depth, and regularity all continue to change the
first year of life, making respiratory assessments different than those of
older children. Infants breathe faster and less regularly, with apnea not
considered as such until 20 seconds without a breath or associated with
other physiologic effects such as bradycardia.
An ambulance arrives with a 16-year-old male involved in a dirt bike
crash who was intubated prior to arrival. Which of the following is the
priority assessment or intervention?
A. Assess the oropharynx
B. Assess endotracheal tube placement
C. Insert an orogastric tube
D. Insert a second intravenous access - ✔✔✔ Correct Answer > B
,If a patient arrives with an artificial airway (endotracheal tube or
tracheostomy) in place, assess its placement, patency, and the oral
airway (in that order) before moving to the next step of the primary
survey. The oropharynx should be checked for fluids or objects such as
broken teeth. Inserting a gastric tube in an intubated patient and
starting a second large caliber IV line should also be done, but they
don't take priority over airway.
You need to draw blood from a 2-year-old. Which of the following is the
best approach for this patient?
A. Allow them to hold the blood tubes before drawing
B. Have them watch a cartoon on an I-pad or cell phone
C. Give them an explanation of what will happen
D. Prepare the equipment in the room so they can see - ✔✔✔ Correct
Answer > B
The best approach to a toddler who requires interventions is to
provide distractions whenever possible. They are in the cognitive
development phase of "sensorimotor/preoperational" so having the
caregiver present is helpful. You should move from the least invasive
, to most invasive tasks, and don't let them watch you prepare since it
will increase anxiety.
Assessment of the fontanelle provides the most useful information for
which two components of the primary survey?
A. Circulation and disability
B. Breathing and circulation
C. Disability and exposure
D. Circulation and exposure - ✔✔✔ Correct Answer > A
A sunken fontanelle is a red flag for circulation assessment in
pediatric triage and may indicate dehydration . A bulging fontanel is a
red flag for disability assessment in pediatric triage and can indicate
increased intracranial pressure.
Which of the following indicates the need for additional caregiver
education regarding a urinary tract infection?
A.I should encourage my child to drink extra fluids.
B.I need to make a follow-up appointment with child's physician.
Questions & Verified Answers | Latest 2026
The caregiver of a 2-month-old infant states the patient has had trouble
breathing for the past two days. Pediatric assessment triangle (PAT)
reveals an age-appropriate general appearance, rapid breathing with
mild distress, and pink skin. Mucous is noted in both nares. Which of
the following is the best next step?
A. Obtain a history including immunization status
B. Suction nasal passages using a bulb syringe
C. Administer oxygen by nasal cannula with patient in caregiver's arms
D .Respiratory assessment is completed so move to circulatory - ✔✔✔
Correct Answer > B
Infants up to four months old are obligate nose breathers and can
have respiratory distress when nares are occluded. Mucous can be
gently suctioned using a bulb syringe or suction catheter. A good,
thorough history should always include immunization status for
,pediatric patients. The nose needs to be clear before applying oxygen
via nasal cannula. Respiratory assessment includes interventions to
improve breathing so you would not move to move to circulation until
that is accomplished.
The respiratory rate, depth, and regularity all continue to change the
first year of life, making respiratory assessments different than those of
older children. Infants breathe faster and less regularly, with apnea not
considered as such until 20 seconds without a breath or associated with
other physiologic effects such as bradycardia.
An ambulance arrives with a 16-year-old male involved in a dirt bike
crash who was intubated prior to arrival. Which of the following is the
priority assessment or intervention?
A. Assess the oropharynx
B. Assess endotracheal tube placement
C. Insert an orogastric tube
D. Insert a second intravenous access - ✔✔✔ Correct Answer > B
,If a patient arrives with an artificial airway (endotracheal tube or
tracheostomy) in place, assess its placement, patency, and the oral
airway (in that order) before moving to the next step of the primary
survey. The oropharynx should be checked for fluids or objects such as
broken teeth. Inserting a gastric tube in an intubated patient and
starting a second large caliber IV line should also be done, but they
don't take priority over airway.
You need to draw blood from a 2-year-old. Which of the following is the
best approach for this patient?
A. Allow them to hold the blood tubes before drawing
B. Have them watch a cartoon on an I-pad or cell phone
C. Give them an explanation of what will happen
D. Prepare the equipment in the room so they can see - ✔✔✔ Correct
Answer > B
The best approach to a toddler who requires interventions is to
provide distractions whenever possible. They are in the cognitive
development phase of "sensorimotor/preoperational" so having the
caregiver present is helpful. You should move from the least invasive
, to most invasive tasks, and don't let them watch you prepare since it
will increase anxiety.
Assessment of the fontanelle provides the most useful information for
which two components of the primary survey?
A. Circulation and disability
B. Breathing and circulation
C. Disability and exposure
D. Circulation and exposure - ✔✔✔ Correct Answer > A
A sunken fontanelle is a red flag for circulation assessment in
pediatric triage and may indicate dehydration . A bulging fontanel is a
red flag for disability assessment in pediatric triage and can indicate
increased intracranial pressure.
Which of the following indicates the need for additional caregiver
education regarding a urinary tract infection?
A.I should encourage my child to drink extra fluids.
B.I need to make a follow-up appointment with child's physician.
