ENPC Exam Prep 2026 | Questions & Verified Answers |
Latest Update | Graded A+
1. A 10-year-old child presents with diabetic ketoacidosis. After initiating fluid
replacement, what should be the next step in management?
Start oral rehydration therapy
Initiate a high-carbohydrate diet
Perform a rapid glucose test
Administer insulin
2. Describe how analgesics help manage pain in pediatric patients with
fractures.
Analgesics enhance the body's immune response to injury.
Analgesics help reduce pain by blocking pain signals in the nervous
system.
Analgesics are used to sedate the patient during procedures.
Analgesics increase inflammation to promote healing.
3. A nurse is caring for a child with a suspected diagnosis of acute
glomerulonephritis. Which of the following findings would support the
diagnosis?
decreased urine output; projectile vomiting
cloudy, smoky brown urine; decreased urine output
anorexia; hypoglycemia
hypertension; SVT
,4. A 5-year-old child presents to the emergency department after being hit by a
car. The patient 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?
Decreasing diastolic blood pressure
Bradycardia
Widening pulse pressure
Weak peripheral pulses
5. What is the recommended position for a neonate in a car according to the
American Academy of Pediatrics?
In a booster seat until age 8
Rear facing in a convertible car seat until at least the age of 2
Forward facing in a car seat after 1 year
In the front seat with an adult
6. In a scenario where an infant presents with bulging fontanels and irritability,
which primary survey component should be prioritized for further
assessment?
Circulatory assessment
Neurological assessment
Head assessment
Respiratory assessment
,7. In a scenario where a 3-year-old presents with burns and is showing signs of
shock, what should be the immediate action taken by the nurse?
Document the child's condition before any treatment
Provide wound care immediately
Monitor the child's vital signs for changes
Obtain vascular access for analgesic and fluid administration
8. A three-year-old is rescued after being submerged in a pool for several
minutes. On arrival the patient is responsive to painful stimuli with shallow
respirations, diminished breath sounds, and an occasional cough. Which of
the following interventions is the initial management priority?
Endotracheal intubation to provide positive pressure ventilation
Initiation of abdominal thrusts to remove fluid from the lungs
Removal of wet clothing to prevent hypothermia
Insertion of orogastric to remove of water and debris from stomach
9. In a scenario where an emergency nurse administers a medication that is
contraindicated for a patient with a suspected globe rupture, what could be a
potential consequence?
Reduction in pain perception
Worsening of the eye injury
Immediate recovery of vision
Improvement in overall patient condition
10. What is the highest priority care principle in a trauma-informed approach for
a potential sex trafficking victim?
, Safety
Empowerment
Confidentiality
Trustworthiness
11. A pediatric patient with a fever and a recent diagnosis of leukemia presents
to the emergency department. What is the most appropriate immediate
nursing intervention?
Intravenous antibiotics
Administer antipyretics only
Monitor vital signs without treatment
Oral antibiotics
12. Which client does the nurse anticipate will have the best outcomes after a
submersion injury?
Child submerged for 3 minutes who required cardiopulmonary
resuscitation at the scene
Child submerged for 3 minutes with no pupillary response upon
arrival at the hospital
Child submerged for 3 minutes who had absent gag reflex upon
arrival at the hospital
Child submerged for 3 minutes who required positive pressure
ventilation at the scene
13. Which of the four pediatric patients in the emergency department should
the nurse make apriority for diagnostic testing?
Latest Update | Graded A+
1. A 10-year-old child presents with diabetic ketoacidosis. After initiating fluid
replacement, what should be the next step in management?
Start oral rehydration therapy
Initiate a high-carbohydrate diet
Perform a rapid glucose test
Administer insulin
2. Describe how analgesics help manage pain in pediatric patients with
fractures.
Analgesics enhance the body's immune response to injury.
Analgesics help reduce pain by blocking pain signals in the nervous
system.
Analgesics are used to sedate the patient during procedures.
Analgesics increase inflammation to promote healing.
3. A nurse is caring for a child with a suspected diagnosis of acute
glomerulonephritis. Which of the following findings would support the
diagnosis?
decreased urine output; projectile vomiting
cloudy, smoky brown urine; decreased urine output
anorexia; hypoglycemia
hypertension; SVT
,4. A 5-year-old child presents to the emergency department after being hit by a
car. The patient 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?
Decreasing diastolic blood pressure
Bradycardia
Widening pulse pressure
Weak peripheral pulses
5. What is the recommended position for a neonate in a car according to the
American Academy of Pediatrics?
In a booster seat until age 8
Rear facing in a convertible car seat until at least the age of 2
Forward facing in a car seat after 1 year
In the front seat with an adult
6. In a scenario where an infant presents with bulging fontanels and irritability,
which primary survey component should be prioritized for further
assessment?
Circulatory assessment
Neurological assessment
Head assessment
Respiratory assessment
,7. In a scenario where a 3-year-old presents with burns and is showing signs of
shock, what should be the immediate action taken by the nurse?
Document the child's condition before any treatment
Provide wound care immediately
Monitor the child's vital signs for changes
Obtain vascular access for analgesic and fluid administration
8. A three-year-old is rescued after being submerged in a pool for several
minutes. On arrival the patient is responsive to painful stimuli with shallow
respirations, diminished breath sounds, and an occasional cough. Which of
the following interventions is the initial management priority?
Endotracheal intubation to provide positive pressure ventilation
Initiation of abdominal thrusts to remove fluid from the lungs
Removal of wet clothing to prevent hypothermia
Insertion of orogastric to remove of water and debris from stomach
9. In a scenario where an emergency nurse administers a medication that is
contraindicated for a patient with a suspected globe rupture, what could be a
potential consequence?
Reduction in pain perception
Worsening of the eye injury
Immediate recovery of vision
Improvement in overall patient condition
10. What is the highest priority care principle in a trauma-informed approach for
a potential sex trafficking victim?
, Safety
Empowerment
Confidentiality
Trustworthiness
11. A pediatric patient with a fever and a recent diagnosis of leukemia presents
to the emergency department. What is the most appropriate immediate
nursing intervention?
Intravenous antibiotics
Administer antipyretics only
Monitor vital signs without treatment
Oral antibiotics
12. Which client does the nurse anticipate will have the best outcomes after a
submersion injury?
Child submerged for 3 minutes who required cardiopulmonary
resuscitation at the scene
Child submerged for 3 minutes with no pupillary response upon
arrival at the hospital
Child submerged for 3 minutes who had absent gag reflex upon
arrival at the hospital
Child submerged for 3 minutes who required positive pressure
ventilation at the scene
13. Which of the four pediatric patients in the emergency department should
the nurse make apriority for diagnostic testing?
