ENPC 6th Edition Exam Prep 2026/2027
– Practice Questions & Key Concepts
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?
A.Widening pulse pressure
B.Bradycardia
C.Decreasing diastolic blood pressure
D.Weak peripheral pulses - correct answer-D.Weak peripheral pulses
Rationale:
Early signs of hypovolemic shock include tachycardia and delayed capillary refill.
The nurse may note a strong central pulse but weaker peripheral pulses,
indicating the child is compensating by shunting blood to their core.
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.
C.My child will grow out of their frequent urinary tract infections.
, D.My child should complete all of their antibiotic medication - correct answer-
C.My child will grow out of their frequent urinary tract infections.
Rationale
Urinary tract infections are not a normal occurrence in children and are not
something children will "grow out of." Additional investigation and follow-up are
needed when a child has frequent urinary tract infections. Drinking extra fluids
should be encouraged. Patients should always finish the complete course of
antibiotics to eliminate the infection. And follow-up should be done to make sure
the infection has been eliminated.
A 4-day-old who is brought to the emergency department with the parental
complaint of "not acting right" is found to be hypoglycemic. What is the
appropriate glucose concentration to administer to this neonate?
A.Dextrose 5%
B.Dextrose 10%
C.Dextrose 25%
D.Dextrose 50% - correct answer-B.Dextrose 10%
Rationale
Dextrose 10% is the preferred concentration for neonates with hypoglycemia to
protect their fragile vasculature while providing needed glucose. Dextrose 5% is
not used to treat hypoglycemia in children. Dextrose 25% is used for children
above the age of 5 years. Dextrose 50% is not recommended for use in pediatrics
unless it is diluted.
Which of the following patient presentations should increase suspicion of
potential child maltreatment?
– Practice Questions & Key Concepts
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?
A.Widening pulse pressure
B.Bradycardia
C.Decreasing diastolic blood pressure
D.Weak peripheral pulses - correct answer-D.Weak peripheral pulses
Rationale:
Early signs of hypovolemic shock include tachycardia and delayed capillary refill.
The nurse may note a strong central pulse but weaker peripheral pulses,
indicating the child is compensating by shunting blood to their core.
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.
C.My child will grow out of their frequent urinary tract infections.
, D.My child should complete all of their antibiotic medication - correct answer-
C.My child will grow out of their frequent urinary tract infections.
Rationale
Urinary tract infections are not a normal occurrence in children and are not
something children will "grow out of." Additional investigation and follow-up are
needed when a child has frequent urinary tract infections. Drinking extra fluids
should be encouraged. Patients should always finish the complete course of
antibiotics to eliminate the infection. And follow-up should be done to make sure
the infection has been eliminated.
A 4-day-old who is brought to the emergency department with the parental
complaint of "not acting right" is found to be hypoglycemic. What is the
appropriate glucose concentration to administer to this neonate?
A.Dextrose 5%
B.Dextrose 10%
C.Dextrose 25%
D.Dextrose 50% - correct answer-B.Dextrose 10%
Rationale
Dextrose 10% is the preferred concentration for neonates with hypoglycemia to
protect their fragile vasculature while providing needed glucose. Dextrose 5% is
not used to treat hypoglycemia in children. Dextrose 25% is used for children
above the age of 5 years. Dextrose 50% is not recommended for use in pediatrics
unless it is diluted.
Which of the following patient presentations should increase suspicion of
potential child maltreatment?
