ENPC 6th Edition Exam 2025 50 Questions With
Correct Answer
A neonate presents to the emergency department with irritability, weak cry, and
hypotonia. Which of the following is a priority intervention? - ✔✔ANSW✔✔Serum blood
glucose
Head compterized tomography scan
Prostaglandin infusion
Toxin Screening
Which of the following pathologic processes would most likely be attributed to a primary
diagnosis of cystic fibrosis? - ✔✔ANSW✔✔Hypernatremia
*Constipation
Obesity
Epiglottitis
A 12-year-old involved in a house fire has full thickness, circumferential burns to
bilateral lower extremities. Fluid resuscitation is in progress on arrival at the ED. On
assessment the left pedal and posterior tibialis pulses are absent, with delayed capillary
refill. Which of the following is the priority intervention? - ✔✔ANSW✔✔Elevate
A 5-year-old presents with sudden onset nausea, vomiting, abdominal cramping, hives,
and hypotension after eating lunch. Which of the following is the priority intervention? -
✔✔ANSW✔✔IM Epi
An 8-year-old male presents to the emergency department with incoherent speech,
hallucinations, and violent behavior. What is the priority in caring for this patient? -
✔✔ANSW✔✔Ensure safety
A nurse begins making multiple errors in clinical decisions regarding the care of patients
in the pediatric emergency department. The nurse has worked many consecutive shifts
caring for severely ill and injured children and mentioned to a co-worker that they are
not sleeping and feel anxious about coming to work. What condition may this nurse be
experiencing? - ✔✔ANSW✔✔Nurse traumatization
, Pediatric Traumatization
Direct Traumatization
*Vicarious Traumatization
A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted
to the left, decreased sensation to the extremities, and urinary incontinence. The patient
has no history of trauma. Which of the following diagnostics is the priority for this
patient? - ✔✔ANSW✔✔Lumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
*Cervical Spine Radiograph
The caregivers of a 6-year-old report the child developed a cough with nasal congestion
and "pink-eye" that started two days ago. Today they noticed a raised, red rash on the
face, and grey papules in the mouth. Which of the following is the priority intervention
for this patient? - ✔✔ANSW✔✔Obtain a nasopharyngeal swab
*Airborne Isolation
Contact Isolation
Fingerstick Glucose
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of
the following intravenous medication orders should the nurse question? -
✔✔ANSW✔✔Morphine
Acetaminophen
Hydromorphone
*Ketorolac
A child with an injury to the lower cervical spine with spinal cord involvment would most
likely demonstrate which of the following findings during assessment? -
✔✔ANSW✔✔Increased rectal tone
Increased urinary outcomes
Decreased end-tidal CO2
Correct Answer
A neonate presents to the emergency department with irritability, weak cry, and
hypotonia. Which of the following is a priority intervention? - ✔✔ANSW✔✔Serum blood
glucose
Head compterized tomography scan
Prostaglandin infusion
Toxin Screening
Which of the following pathologic processes would most likely be attributed to a primary
diagnosis of cystic fibrosis? - ✔✔ANSW✔✔Hypernatremia
*Constipation
Obesity
Epiglottitis
A 12-year-old involved in a house fire has full thickness, circumferential burns to
bilateral lower extremities. Fluid resuscitation is in progress on arrival at the ED. On
assessment the left pedal and posterior tibialis pulses are absent, with delayed capillary
refill. Which of the following is the priority intervention? - ✔✔ANSW✔✔Elevate
A 5-year-old presents with sudden onset nausea, vomiting, abdominal cramping, hives,
and hypotension after eating lunch. Which of the following is the priority intervention? -
✔✔ANSW✔✔IM Epi
An 8-year-old male presents to the emergency department with incoherent speech,
hallucinations, and violent behavior. What is the priority in caring for this patient? -
✔✔ANSW✔✔Ensure safety
A nurse begins making multiple errors in clinical decisions regarding the care of patients
in the pediatric emergency department. The nurse has worked many consecutive shifts
caring for severely ill and injured children and mentioned to a co-worker that they are
not sleeping and feel anxious about coming to work. What condition may this nurse be
experiencing? - ✔✔ANSW✔✔Nurse traumatization
, Pediatric Traumatization
Direct Traumatization
*Vicarious Traumatization
A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted
to the left, decreased sensation to the extremities, and urinary incontinence. The patient
has no history of trauma. Which of the following diagnostics is the priority for this
patient? - ✔✔ANSW✔✔Lumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
*Cervical Spine Radiograph
The caregivers of a 6-year-old report the child developed a cough with nasal congestion
and "pink-eye" that started two days ago. Today they noticed a raised, red rash on the
face, and grey papules in the mouth. Which of the following is the priority intervention
for this patient? - ✔✔ANSW✔✔Obtain a nasopharyngeal swab
*Airborne Isolation
Contact Isolation
Fingerstick Glucose
A 12-year-old is being prepped for surgical intervention of acute appendicitis. Which of
the following intravenous medication orders should the nurse question? -
✔✔ANSW✔✔Morphine
Acetaminophen
Hydromorphone
*Ketorolac
A child with an injury to the lower cervical spine with spinal cord involvment would most
likely demonstrate which of the following findings during assessment? -
✔✔ANSW✔✔Increased rectal tone
Increased urinary outcomes
Decreased end-tidal CO2
