ENPC Test 6th Edition Comprehensive Emergency Nursing
Pediatric Course EXAM 2026-2027 LATEST UPDATED
VERSION 130 QUESTIONS AND ANSWERS JUST RELEASED
Which ocular finding is associated with child maltreatment?
A. Glaucoma.
B. Conjunctivitis.
C. Iritis.
D. Retinal hemorrhage.
Retinal hemorrhage.
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia
D. Anteromedial tibia
An important consideration in the assessment of pain for an adolescent patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong.
A. May deny or minimize their pain when friends visit for fear of losing control.
Which of the following is the priority intervention for the nurse caring for an
immunocompromised pediatric patient with a fever?
Placement in a negative pressure room
,A parent brings in a 4-month-old infant reporting seizure-like activity at home. The parent
denies a fever and reports that the infant is otherwise healthy. Which of the following is most
important for the nurse to inquire about?
The ratio of formula to water used when mixing a bottle
A 6-year-old involved in a boating crash is awaiting admission for surgical repair of a fractured
ankle. Which of the following manifestations during reassessments would cause the greatest
concern for possible intra-abdominal trauma?
Diagnosis of intra-abdominal injury in a child can be challenging. Distracting injuries, pain, and
anxiety can alter their ability to assist in pinpointing these types of injuries post-trauma. Intra-
abdominal injuries can present with abdominal pain, but other important findings are shoulder
pain, due to irritation of the phrenic nerve from the presence of blood or fluid in the peritoneal
cavity, or umbilical or flank ecchymosis.
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 arrive in the ED.
D. Determine the severity of the child's illness or injury using the "across-the-room" assessment.
D. Determine the severity of the child's illness or injury using the "across-the-room" assessment.
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?"
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?"
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.
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.
A. Ask the physician to stop the intubation attempt and perform bag-mask ventilation.
A child with an electrical injury is seen 1 hour post event. Which of the following specimen
samples would provide visual information regarding a potential complication of this injury?
Electrical injuries, though they may appear to be small, can produce large amounts of damage
internally, including muscle damage. Myoglobin is excreted in the urine and is evidenced by
dark, red-tinged urine.
A 10-year-old arrives at the ED post motor vehicle crash. The following assessment is noted:
hypotension, tachycardia, absent breath sounds from the left chest with an increased
respiratory rate, pain on palpation of the pelvis, tinge of blood noted at the urinary meatus,
Pediatric Course EXAM 2026-2027 LATEST UPDATED
VERSION 130 QUESTIONS AND ANSWERS JUST RELEASED
Which ocular finding is associated with child maltreatment?
A. Glaucoma.
B. Conjunctivitis.
C. Iritis.
D. Retinal hemorrhage.
Retinal hemorrhage.
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia
D. Anteromedial tibia
An important consideration in the assessment of pain for an adolescent patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong.
A. May deny or minimize their pain when friends visit for fear of losing control.
Which of the following is the priority intervention for the nurse caring for an
immunocompromised pediatric patient with a fever?
Placement in a negative pressure room
,A parent brings in a 4-month-old infant reporting seizure-like activity at home. The parent
denies a fever and reports that the infant is otherwise healthy. Which of the following is most
important for the nurse to inquire about?
The ratio of formula to water used when mixing a bottle
A 6-year-old involved in a boating crash is awaiting admission for surgical repair of a fractured
ankle. Which of the following manifestations during reassessments would cause the greatest
concern for possible intra-abdominal trauma?
Diagnosis of intra-abdominal injury in a child can be challenging. Distracting injuries, pain, and
anxiety can alter their ability to assist in pinpointing these types of injuries post-trauma. Intra-
abdominal injuries can present with abdominal pain, but other important findings are shoulder
pain, due to irritation of the phrenic nerve from the presence of blood or fluid in the peritoneal
cavity, or umbilical or flank ecchymosis.
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 arrive in the ED.
D. Determine the severity of the child's illness or injury using the "across-the-room" assessment.
D. Determine the severity of the child's illness or injury using the "across-the-room" assessment.
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?"
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?"
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.
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.
A. Ask the physician to stop the intubation attempt and perform bag-mask ventilation.
A child with an electrical injury is seen 1 hour post event. Which of the following specimen
samples would provide visual information regarding a potential complication of this injury?
Electrical injuries, though they may appear to be small, can produce large amounts of damage
internally, including muscle damage. Myoglobin is excreted in the urine and is evidenced by
dark, red-tinged urine.
A 10-year-old arrives at the ED post motor vehicle crash. The following assessment is noted:
hypotension, tachycardia, absent breath sounds from the left chest with an increased
respiratory rate, pain on palpation of the pelvis, tinge of blood noted at the urinary meatus,
