ENPC 6th Edition Newest Exam Practice Guide with
the Latest 200 Questions and Correct Answers/ ENPC
6th Edition Exam Prep (Newest 2026-2027)
The Pediatric Assessment Triangle is used to:
A) Identify all life-threatening conditions that the child presents with
B) Perform a complete head-to-toe assessment on the child
C) Assess the status of the child's airway only upon arrival in the ED
D) Determine the severity of the child's illness or injury using the "across-the-
room" assessment
-ANSWER- D) Determine the severity of the child's illness or injury using the
"across-the-room" assessment
A 2-year-old is seen with a 3-day history of irritability, vomiting, and the presence
of foul-smelling urine. The child is hypotensive and tachycardic. Which of the
following methods for obtaining a urine sample is most appropriate in this
circumstance?
A) Clean catch
B) Urinary catheterization
C) Suprapubic aspiration
D) Bag specimen
-ANSWER- B) Urinary catheterization
A child has a nondisplaced fracture of the radius that has been splinted, with a
sling in place and NSAIDs given for pain. Prior to discharge home with follow-up
at a pediatric facility, what actions must be completed?
A) Discharge instructions including follow-up contact information
B) Ensure the receiving facility has space and qualified personnel
C) Certify that medical benefits of discharge outweigh risks
D) Complete doctor-to-doctor communication with receiving facility
-ANSWER- A) Discharge instructions including follow-up contact information
The caregivers of a 6-year-old boy who is brought to the emergency department for
abdominal pain should first be asked:
A) "Are his immunizations current?"
1
,B) "Has anything happened to him at school recently?"
C) "What is the reason for the child's visit and how long has he been ill?"
D) "Has he been complaining of a sore throat or earache?"
-ANSWER- C) "What is the reason for the child's visit and how long has he been
ill?"
A 9-month-old infant is crying loudly through the nursing assessment, and the
caregiver is becoming distraught. The nurse should ask the caregiver to:
A) Read a story to the infant
B) Offer the infant a pacifier
C) Return when the infant is consoled
D) Ignore the infant's behavior
-ANSWER- B) Offer the infant a pacifier
During an intubation attempt, the child's heart rate drops to 40 beats/minute. Which
intervention is indicated?
A) Ask the physician to stop the intubation attempt and perform bag-mask
ventilation
B) Apply cricoid pressure and establish intravenous access
C) Inform the physician of the heart rate and ask the physician to intubate faster
D) Administer blow-by oxygen and begin chest compressions
-ANSWER- A) Ask the physician to stop the intubation attempt and perform bag-
mask ventilation
A 6-week-old infant is pale, has marked substernal retractions, expiratory grunting,
and poor muscle tone. The emergency nurse should first:
A) Obtain intravenous access
B) Apply a pulse oximeter
C) Prepare a chest x-ray
D) Administer 100% oxygen
-ANSWER- D) Administer 100% oxygen
The best method to open the airway in an injured child is:
A) Placing the head and neck in hyperextension
B) Using the jaw thrust maneuver
C) Placing the head and neck in flexion
D) Using the head tilt maneuver
-ANSWER- B) Using the jaw thrust maneuver
2
,A 4-year-old child with a history of the flu has a heart rate of 80 beats/minute,
respirations of 16 breaths/minute, and capillary refill of more than 3 seconds. The
proper sequence for nursing interventions would be:
A) Position the airway, administer 100% oxygen, obtain venous access, and
administer 20 ml/kg of an isotonic solution
B) Administer 100% oxygen, obtain venous access, administer 0.1 mg/kg of
epinephrine 1:10,000, and prepare for endotracheal intubation
C) Position the airway, provide bag-mask ventilation, provide synchronized
cardioversion, and provide supplemental warmth
D) Administer 100% oxygen, prepare for a venous cutdown, administer 20 ml/kg
of an isotonic solution, and obtain a chest x-ray
-ANSWER- A) Position the airway, administer 100% oxygen, obtain venous
access, and administer 20 ml/kg of an isotonic solution
A 3-year-old is transported by prehospital personnel after being struck by a car.
The parents are en route. The child is screaming and uncooperative. Which is the
best approach while conducting the secondary survey?
A) Hold the child to comfort him
B) Wait for the parent's arrival
C) Observe for behavioral pain cues
D) Use a doll to demonstrate the examination
-ANSWER- C) Observe for behavioral pain cues
Which ocular finding is associated with child maltreatment?
A) Glaucoma
B) Conjunctivitis
C) Iritis
D) Retinal hemorrhage
-ANSWER- D) Retinal hemorrhage
A pregnant 18-year-old woman arrives at the emergency department about ready to
deliver a full-term infant. She states that she noticed a large amount of dark green
fluid the last time she went to the bathroom. During the delivery, the nurse should
prepare to:
A) Dry and warm the infant as soon as it is delivered
B) Stimulate and ventilate the infant immediately after delivery
C) Suction the mouth and nose of the infant while on the perineum
3
, D) Administer blow-by oxygen and rub the back immediately after delivery
-ANSWER- C) Suction the mouth and nose of the infant while on the perineum
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and
dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per
minute, BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the
following laboratory values would be most expected in this child?
A) Hypoglycemia
B) Severe anemia
C) Low pH level
D) Elevated serum bicarbonate
-ANSWER- C) Low pH level
A teenager presents to the ED for evaluation of pain with deep inspiration. The
pain was a sudden onset after running track at school. While obtaining the history,
the patient states that they have Marfan Syndrome. What would be a priority triage
question based on this information?
A) "Are you current on your immunizations?"
B) "Have you ever had a pneumothorax?"
C) "Have you recently taken any recreational or illegal drugs?"
D) "Do you have a history of asthma?"
-ANSWER- B) "Have you ever had a pneumothorax?"
A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0°F (35.5°C), and a
bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings,
what is the most likely diagnostic test the nurse should anticipate?
A) Chest x-ray
B) Lumbar puncture
C) Complete blood count
D) Head CT scan
-ANSWER- B) Lumbar puncture
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?
4
the Latest 200 Questions and Correct Answers/ ENPC
6th Edition Exam Prep (Newest 2026-2027)
The Pediatric Assessment Triangle is used to:
A) Identify all life-threatening conditions that the child presents with
B) Perform a complete head-to-toe assessment on the child
C) Assess the status of the child's airway only upon arrival in the ED
D) Determine the severity of the child's illness or injury using the "across-the-
room" assessment
-ANSWER- D) Determine the severity of the child's illness or injury using the
"across-the-room" assessment
A 2-year-old is seen with a 3-day history of irritability, vomiting, and the presence
of foul-smelling urine. The child is hypotensive and tachycardic. Which of the
following methods for obtaining a urine sample is most appropriate in this
circumstance?
A) Clean catch
B) Urinary catheterization
C) Suprapubic aspiration
D) Bag specimen
-ANSWER- B) Urinary catheterization
A child has a nondisplaced fracture of the radius that has been splinted, with a
sling in place and NSAIDs given for pain. Prior to discharge home with follow-up
at a pediatric facility, what actions must be completed?
A) Discharge instructions including follow-up contact information
B) Ensure the receiving facility has space and qualified personnel
C) Certify that medical benefits of discharge outweigh risks
D) Complete doctor-to-doctor communication with receiving facility
-ANSWER- A) Discharge instructions including follow-up contact information
The caregivers of a 6-year-old boy who is brought to the emergency department for
abdominal pain should first be asked:
A) "Are his immunizations current?"
1
,B) "Has anything happened to him at school recently?"
C) "What is the reason for the child's visit and how long has he been ill?"
D) "Has he been complaining of a sore throat or earache?"
-ANSWER- C) "What is the reason for the child's visit and how long has he been
ill?"
A 9-month-old infant is crying loudly through the nursing assessment, and the
caregiver is becoming distraught. The nurse should ask the caregiver to:
A) Read a story to the infant
B) Offer the infant a pacifier
C) Return when the infant is consoled
D) Ignore the infant's behavior
-ANSWER- B) Offer the infant a pacifier
During an intubation attempt, the child's heart rate drops to 40 beats/minute. Which
intervention is indicated?
A) Ask the physician to stop the intubation attempt and perform bag-mask
ventilation
B) Apply cricoid pressure and establish intravenous access
C) Inform the physician of the heart rate and ask the physician to intubate faster
D) Administer blow-by oxygen and begin chest compressions
-ANSWER- A) Ask the physician to stop the intubation attempt and perform bag-
mask ventilation
A 6-week-old infant is pale, has marked substernal retractions, expiratory grunting,
and poor muscle tone. The emergency nurse should first:
A) Obtain intravenous access
B) Apply a pulse oximeter
C) Prepare a chest x-ray
D) Administer 100% oxygen
-ANSWER- D) Administer 100% oxygen
The best method to open the airway in an injured child is:
A) Placing the head and neck in hyperextension
B) Using the jaw thrust maneuver
C) Placing the head and neck in flexion
D) Using the head tilt maneuver
-ANSWER- B) Using the jaw thrust maneuver
2
,A 4-year-old child with a history of the flu has a heart rate of 80 beats/minute,
respirations of 16 breaths/minute, and capillary refill of more than 3 seconds. The
proper sequence for nursing interventions would be:
A) Position the airway, administer 100% oxygen, obtain venous access, and
administer 20 ml/kg of an isotonic solution
B) Administer 100% oxygen, obtain venous access, administer 0.1 mg/kg of
epinephrine 1:10,000, and prepare for endotracheal intubation
C) Position the airway, provide bag-mask ventilation, provide synchronized
cardioversion, and provide supplemental warmth
D) Administer 100% oxygen, prepare for a venous cutdown, administer 20 ml/kg
of an isotonic solution, and obtain a chest x-ray
-ANSWER- A) Position the airway, administer 100% oxygen, obtain venous
access, and administer 20 ml/kg of an isotonic solution
A 3-year-old is transported by prehospital personnel after being struck by a car.
The parents are en route. The child is screaming and uncooperative. Which is the
best approach while conducting the secondary survey?
A) Hold the child to comfort him
B) Wait for the parent's arrival
C) Observe for behavioral pain cues
D) Use a doll to demonstrate the examination
-ANSWER- C) Observe for behavioral pain cues
Which ocular finding is associated with child maltreatment?
A) Glaucoma
B) Conjunctivitis
C) Iritis
D) Retinal hemorrhage
-ANSWER- D) Retinal hemorrhage
A pregnant 18-year-old woman arrives at the emergency department about ready to
deliver a full-term infant. She states that she noticed a large amount of dark green
fluid the last time she went to the bathroom. During the delivery, the nurse should
prepare to:
A) Dry and warm the infant as soon as it is delivered
B) Stimulate and ventilate the infant immediately after delivery
C) Suction the mouth and nose of the infant while on the perineum
3
, D) Administer blow-by oxygen and rub the back immediately after delivery
-ANSWER- C) Suction the mouth and nose of the infant while on the perineum
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and
dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per
minute, BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the
following laboratory values would be most expected in this child?
A) Hypoglycemia
B) Severe anemia
C) Low pH level
D) Elevated serum bicarbonate
-ANSWER- C) Low pH level
A teenager presents to the ED for evaluation of pain with deep inspiration. The
pain was a sudden onset after running track at school. While obtaining the history,
the patient states that they have Marfan Syndrome. What would be a priority triage
question based on this information?
A) "Are you current on your immunizations?"
B) "Have you ever had a pneumothorax?"
C) "Have you recently taken any recreational or illegal drugs?"
D) "Do you have a history of asthma?"
-ANSWER- B) "Have you ever had a pneumothorax?"
A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0°F (35.5°C), and a
bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings,
what is the most likely diagnostic test the nurse should anticipate?
A) Chest x-ray
B) Lumbar puncture
C) Complete blood count
D) Head CT scan
-ANSWER- B) Lumbar puncture
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?
4
