ENPC Test Questions and Answers
(Verified Answers)
1. An unresponsive 2-year-old child was found by his mother with a
bottle labeled "Elavil 50 mg" by his side. Which piece of information is
important to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D.The person for whom the medication was prescribe
ANS C. The number of pills left in the bottle.
2. A nurse providing crisis intervention to the family of a seriously ill
child can best keep the family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them
ANS D. Appointing one staff member to communicate with them.
3. A 16-month-old child was an unrestrained front seat passenger in a
motor vehicle crash. The chest x-ray reveals multiple rib fractures. These
findings suggest what type of injury?
1/5
,A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury
ANS B. Significant underlying injury.
4. Which piece of information is most important to know prior to
transferring a patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis
ANS C. Confirmation of acceptance from the receiving hospital.
5. A 10-year-old child who was struck by a car has a distended, tense
abdomen. The child's heart rate is 144 beats/minute, respirations 24
breaths/minute, and blood pressure 120/80 mm Hg. Capillary refill is more
than 3 seconds, and skin is pale and cool. The patient's signs and
symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock
ANS C. Hypovolemic shock.
2/5
,6. A school-aged child is about to receive stitches. To evaluate his
under- standing of the procedure, you tell him:
A. "Young people your age have questions about getting stitches. What
are your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions
before we restrain you?"
D. "Does your cut hurt? Would you like your mommy to hold you?": A.
"Young people your age have questions about getting stitches. What
are your questions?"
7. 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
8. 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
ANS A. May deny or minimize their pain when friends visit for fear of
losing control.
3/5
,9. An 8-month-old infant with pneumonia has severe intercostal and sub-
sternal retractions, weak muscle tone, lethargy, and gray skin color. The
infant's condition does not improve after bag-mask ventilation. The next
step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol
ANS C. Rapid sequence intubation.
10. Which combination of medications is best to have prepared for a
pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium
ANS B. Epinephrine and glucose.
11. A 20-day-old infant has a 1-week history of not eating well. The infant
has a weak cry and is jittery. Which laboratory test is indicated?
4/5
, A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen
ANS B. Finger-stick glucose.
12. Which intervention should be performed next if tactile stimulation,
posi- tioning, drying, and blow-by oxygen administration do not increase a
new- born's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
D. Bag-mask ventilation
ANS D. Bag-mask ventilation.
13. A 10-kg child has deep partial-thickness burns over 35% of the total
body surface area. Which evaluation parameter indicates that fluid
resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour
ANS D. Urine output of 11 ml/hour.
14. A 7-year-old female sustains a minor head injury and did not lose con-
sciousness. She does not respond to commands and groans in response
to questions. Which action will quickly determine if her behavior indicates
5/5
(Verified Answers)
1. An unresponsive 2-year-old child was found by his mother with a
bottle labeled "Elavil 50 mg" by his side. Which piece of information is
important to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D.The person for whom the medication was prescribe
ANS C. The number of pills left in the bottle.
2. A nurse providing crisis intervention to the family of a seriously ill
child can best keep the family informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them
ANS D. Appointing one staff member to communicate with them.
3. A 16-month-old child was an unrestrained front seat passenger in a
motor vehicle crash. The chest x-ray reveals multiple rib fractures. These
findings suggest what type of injury?
1/5
,A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury
ANS B. Significant underlying injury.
4. Which piece of information is most important to know prior to
transferring a patient to another facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis
ANS C. Confirmation of acceptance from the receiving hospital.
5. A 10-year-old child who was struck by a car has a distended, tense
abdomen. The child's heart rate is 144 beats/minute, respirations 24
breaths/minute, and blood pressure 120/80 mm Hg. Capillary refill is more
than 3 seconds, and skin is pale and cool. The patient's signs and
symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock
ANS C. Hypovolemic shock.
2/5
,6. A school-aged child is about to receive stitches. To evaluate his
under- standing of the procedure, you tell him:
A. "Young people your age have questions about getting stitches. What
are your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions
before we restrain you?"
D. "Does your cut hurt? Would you like your mommy to hold you?": A.
"Young people your age have questions about getting stitches. What
are your questions?"
7. 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
8. 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
ANS A. May deny or minimize their pain when friends visit for fear of
losing control.
3/5
,9. An 8-month-old infant with pneumonia has severe intercostal and sub-
sternal retractions, weak muscle tone, lethargy, and gray skin color. The
infant's condition does not improve after bag-mask ventilation. The next
step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol
ANS C. Rapid sequence intubation.
10. Which combination of medications is best to have prepared for a
pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium
ANS B. Epinephrine and glucose.
11. A 20-day-old infant has a 1-week history of not eating well. The infant
has a weak cry and is jittery. Which laboratory test is indicated?
4/5
, A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen
ANS B. Finger-stick glucose.
12. Which intervention should be performed next if tactile stimulation,
posi- tioning, drying, and blow-by oxygen administration do not increase a
new- born's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
D. Bag-mask ventilation
ANS D. Bag-mask ventilation.
13. A 10-kg child has deep partial-thickness burns over 35% of the total
body surface area. Which evaluation parameter indicates that fluid
resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour
ANS D. Urine output of 11 ml/hour.
14. A 7-year-old female sustains a minor head injury and did not lose con-
sciousness. She does not respond to commands and groans in response
to questions. Which action will quickly determine if her behavior indicates
5/5
