ENPC 6th Edition Exam 2026 || Most Recent Exam 2026
-2027 Actual Complete Real Exam Questions and
Correct Answers (Verified Answers) | Already
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A 2-year-old arrives with a 2-day history of vomiting and
diarrhea. The patient has a fever of 38.4oC (101.2°F), resting HR
of 152 beats/minute, RR of 34 breaths/minute, and blood
pressure of 94/ 56 mm Hg. Assessment reveals a capillary refill
time of > 5 seconds. Which of the following would be most
indicative of the need for intravenous rehydration therapy for
this patient? - ANSWER-Capillary refill
Which of the following is a family-centered care concept ? -
ANSWER-Cultural
backgrounds are assessed and incorporated into the
plan of care.
An 8-month-old arrives with a 12-hour history of intermittent
abdominal pain,
non-bilious vomiting, and a low grade fever. On
assessment the child is
intermittently inconsolable followed by periods of normal
activity. A sausage-
,shaped mass is noted during palpation of the abdomen. The
nurse should
prepare for which of the following? - ANSWER-
Enema with air
A caregiver presents to the emergency department with an 18-
month-old and reports the child is not using their left arm after
playing a game with an older sibling. The child is alert and
curious, with regular, even respirations, and skin color is
appropriate. Using the Pediatric Assessment Triangle (PAT),
how would you categorize this patient? - ANSWER-Sick
A 13-year -old male presents to the triage desk complaining of
nausea and vomiting. The patient looks distressed and pale. He
complains of spasming pain in his right scrotum which has
now become constant and more severe. Which of the following
assessment findings would the nurse expect with this patient?
- ANSWER-Elevated right testicle
An 8-year-old trauma patient suddenly develops increased
respiratory distress with a rise in heart rate from 112
beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted.
Which of the following emergent interventions should be
anticipated first? – ANSWER-Drug assisted intubation (wrong)
Remediation feedback:
Tension pneumothorax is a complication of trauma associated
with an original pneumothorax. Air in the pleural space
,increases and compresses the heart and great vessels creating
a type of obstructive shock. A hallmark sign, tracheal deviation,
can be difficult to see in the pediatric patient. Needle
decompression is emergently necessary to release the air and
allow expansion of the lung again.
An 8-year-old pedestrian is thrown onto the hood of a moving
vehicle striking the windshield. On arrival to the ED. the patient
is minimally responsive with active bleeding from the nose and
mouth. The patient is vomiting. Which of the following
interventions would most likely be considered? - ANSWER-
Endotracheal intubation
The nurse is reevaluating the effectiveness of
interventions for a 4-year-old
child with a suspected tension pneumothorax. Which
assessment finding
indicates the interventions were effective? - ANSWER-
Bilateral chest wall rise
with assisted
ventilations.
A 3-year-old is brought by caregivers with generalized tonic-
clonic activity, unresponsiveness, and drooling that began 6
minutes prior to arrival. Which of the following interventions
would be most appropriate for this event? - ANSWER-
Administer intranasal midazolam
, A 6-month-old arrives with swelling to the left thigh. Caregivers
deny any traumatic event. Assessment findings include a
patient who is active and alert, in the 10th percentile for length,
and has blue-grey sclera. Radiographs reveal a
midshaft fracture of the left femur. Which of the following is the
most likely cause? - ANSWER-Ehlers-Danlos syndrome (wrong)
Remediation feedback:
Osteogenesis imperfecta is a genetic disorder that includes
short stature, bluegrey color to the sclera, discolored teeth, and
laxity of the ligaments. Such patients are susceptible to
fractures, especially of the midshaft of long bones. These
patients are often mistaken for victims of child maltreatment.
A 14-year-old patient had a reduction of a temporomandibular
joint dislocation
in the ED. Which of the following should be included in
the discharge
instructions? - ANSWER-Practice yawning three to four
times a day (wrong)
Remediation feedback:
Patients with temporomandibular joint dislocation should avoid
activities that involve extreme jaw joint opening. Cold or warm,
not hot, compresses are recommended along with nonsteroidal
anti-inflammatory medications for pain control.
A 5-year-old patient presents with severe dehydration and signs
of shock due to
-2027 Actual Complete Real Exam Questions and
Correct Answers (Verified Answers) | Already
Graded A+ | Guaranteed Success!! Newest
Exam | Just Released!!
A 2-year-old arrives with a 2-day history of vomiting and
diarrhea. The patient has a fever of 38.4oC (101.2°F), resting HR
of 152 beats/minute, RR of 34 breaths/minute, and blood
pressure of 94/ 56 mm Hg. Assessment reveals a capillary refill
time of > 5 seconds. Which of the following would be most
indicative of the need for intravenous rehydration therapy for
this patient? - ANSWER-Capillary refill
Which of the following is a family-centered care concept ? -
ANSWER-Cultural
backgrounds are assessed and incorporated into the
plan of care.
An 8-month-old arrives with a 12-hour history of intermittent
abdominal pain,
non-bilious vomiting, and a low grade fever. On
assessment the child is
intermittently inconsolable followed by periods of normal
activity. A sausage-
,shaped mass is noted during palpation of the abdomen. The
nurse should
prepare for which of the following? - ANSWER-
Enema with air
A caregiver presents to the emergency department with an 18-
month-old and reports the child is not using their left arm after
playing a game with an older sibling. The child is alert and
curious, with regular, even respirations, and skin color is
appropriate. Using the Pediatric Assessment Triangle (PAT),
how would you categorize this patient? - ANSWER-Sick
A 13-year -old male presents to the triage desk complaining of
nausea and vomiting. The patient looks distressed and pale. He
complains of spasming pain in his right scrotum which has
now become constant and more severe. Which of the following
assessment findings would the nurse expect with this patient?
- ANSWER-Elevated right testicle
An 8-year-old trauma patient suddenly develops increased
respiratory distress with a rise in heart rate from 112
beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted.
Which of the following emergent interventions should be
anticipated first? – ANSWER-Drug assisted intubation (wrong)
Remediation feedback:
Tension pneumothorax is a complication of trauma associated
with an original pneumothorax. Air in the pleural space
,increases and compresses the heart and great vessels creating
a type of obstructive shock. A hallmark sign, tracheal deviation,
can be difficult to see in the pediatric patient. Needle
decompression is emergently necessary to release the air and
allow expansion of the lung again.
An 8-year-old pedestrian is thrown onto the hood of a moving
vehicle striking the windshield. On arrival to the ED. the patient
is minimally responsive with active bleeding from the nose and
mouth. The patient is vomiting. Which of the following
interventions would most likely be considered? - ANSWER-
Endotracheal intubation
The nurse is reevaluating the effectiveness of
interventions for a 4-year-old
child with a suspected tension pneumothorax. Which
assessment finding
indicates the interventions were effective? - ANSWER-
Bilateral chest wall rise
with assisted
ventilations.
A 3-year-old is brought by caregivers with generalized tonic-
clonic activity, unresponsiveness, and drooling that began 6
minutes prior to arrival. Which of the following interventions
would be most appropriate for this event? - ANSWER-
Administer intranasal midazolam
, A 6-month-old arrives with swelling to the left thigh. Caregivers
deny any traumatic event. Assessment findings include a
patient who is active and alert, in the 10th percentile for length,
and has blue-grey sclera. Radiographs reveal a
midshaft fracture of the left femur. Which of the following is the
most likely cause? - ANSWER-Ehlers-Danlos syndrome (wrong)
Remediation feedback:
Osteogenesis imperfecta is a genetic disorder that includes
short stature, bluegrey color to the sclera, discolored teeth, and
laxity of the ligaments. Such patients are susceptible to
fractures, especially of the midshaft of long bones. These
patients are often mistaken for victims of child maltreatment.
A 14-year-old patient had a reduction of a temporomandibular
joint dislocation
in the ED. Which of the following should be included in
the discharge
instructions? - ANSWER-Practice yawning three to four
times a day (wrong)
Remediation feedback:
Patients with temporomandibular joint dislocation should avoid
activities that involve extreme jaw joint opening. Cold or warm,
not hot, compresses are recommended along with nonsteroidal
anti-inflammatory medications for pain control.
A 5-year-old patient presents with severe dehydration and signs
of shock due to
