ENPC 6th EDITION EXAM 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED A+|BRAND
NEW!!!|GUARANTEED PASS |LATEST UPDATE
A 14-year-old patient sustained a displaced fracture of the radius and ulna after falling from a bicycle.
Which of the following pain control interventions is most likely to result in improvement in symptoms
related to pain?
A.Applying a topical lidocaine-based cream
B.Elevating the extremity to the level of the heart
C.Placing warm compresses on the affected extremity
D.Applying a splint to the affected extremity
D
Splinting is an effective non-pharmacologic intervention to reduce pain associated with fractures. This
will also help to minimize complications. Topical creams and elevation of the extremity will not help
with pain control. The application of ice in an appropriate manner can help, but not warmth which
would be contraindicated in the early stages of the injury.
Which of the following is a known cause of pediatric seizures?
A.Benzodiazepine overdose
B.Supraventricular tachycardia
C.Overdiluted formula
D.Congenital heart disease
C
Water overload is a well-documented etiology of hyponatremia in infants, which can be caused by
excess dilution of formula. Hyponatremia is a known cause of seizures. Benzodiazepine overdose is
more likely to result is respiratory depression and coma. CHD and SVT are not readily known to cause
seizures.
For the infant, what duration of time is consider apneic?
A.10 seconds
B.20 seconds
C.5 seconds
D.15 seconds
1|Page
,B
The respiratory rate, depth, and regularity all continue to change the first year of life, making
respiratory assessments different than those of older children. Infants breathe faster and less
regularly, with apnea not considered as such until 20 seconds without a breath or associated with
other physiologic effects such as bradycardia.
An ambulance arrives with a 16-year-old male involved in a dirt bike crash who was intubated prior to
arrival. Which of the following is the priority assessment or intervention?
A.Assess the oropharynx
B.Assess endotracheal tube placement
C.Insert an orogastric tube
D.Insert a second intravenous access
B
If a patient arrives with an artificial airway (endotracheal tube or tracheostomy) in place, assess its
placement, patency, and the oral airway (in that order) before moving to the next step of the primary
survey. The oropharynx should be checked for fluids or objects such as broken teeth. Inserting a
gastric tube in an intubated patient and starting a second large caliber IV line should also be done, but
they don't take priority over airway.
A 9 month pregnant woman presents to the emergency department and delivers a term neonate
vaginally. The neonate is dried and stimulated and the mouth and nose are suctioned using a bulb
syringe. After repositioning the head, the neonate remains limp and apneic and the HR is 80
beats/minute. What is the priority intervention?
A. Begin chest compressions
B. Suction the oropharynx with a catheter
C. Obtain vascular access
D. Initiate positive pressure ventilation
D
Immediately after delivery all neonates should be warmed, stimulated, and have their mouth then
nose suctioned using a bulb syringe. Following this, if the neonate is not breathing or is gasping
and/or has a heart rate of less than 100 beats per minute positive pressure ventilation at 21% FiO2 at
a rate of 40-60 breaths per minute should be immediately initiated. The heart rate should be assessed
after 15 seconds of PPV and if not improving additional measures should be taken (MRSOPA).
Vascular access is not always needed but can be worked on by another team member while airway
and breathing interventions are being completed.
A 5-year-old with no health problems presents to the emergency department with a sudden onset of
chest pain and shortness of breath. Parents state that the family was involved in a bad car crash one
2|Page
, week ago. A thorough assessment and workup has not revealed any abnormalities. Which of the
following the best next step to take?
A.Ask about any new bed-wetting or sleep disturbances
B.Discharge to home and follow-up with their primary care physician
C.Repeat a head-to-toe exam to identify any missed traumatic injuries
D.Consult cardiology for appropriate follow-up
A
Physical complaints are not uncommon in children following a traumatic event. Once any physical
injuries or illnesses have been ruled out, assessment for any other behavioral symptoms to facilitate
appropriate care and follow-up would be indicated. The incident occurred a week ago so the
likelihood any an severe medical issues is pretty low.
Which of the following patient presentations should increase suspicion of potential child maltreatment?
A.Closed greenstick wrist fracture in a 4-year-old child who fell off his bicycle
B.Bruises in various stages of healing to the lower extremities of a 2-year-old child
C.Right radial spiral fracture in a 10 year old practicing martial arts
D.Bruising to the left ear of a newborn from sleeping on his side
D
Any bruises in a non-exploratory location (especially torso, ears, and neck) in children younger than 4
years old and ANY bruising in a child younger than 4 months old is suspicious for child maltreatment.
Bruises to the lower extremities of a 2-year-old who is learning to walk on their own is not
uncommon. Greenstick fractures are a more common fracture is children due to the immaturity of
their bone structure. Martial arts includes many moves that could produce a spiral fracture.
The caregiver of a 2-month-old infant states the patient has had trouble breathing for the past two days.
Pediatric assessment triangle (PAT) reveals an age-appropriate general appearance, rapid breathing with
mild distress, and pink skin. Mucous is noted in both nares. Which of the following is the best next step?
A.Obtain a history including immunization status
B.Suction nasal passages using a bulb syringe
C.Administer oxygen by nasal cannula with patient in caregiver's arms
D.Respiratory assessment is completed so move to circulatory
B
Infants up to four months old are obligate nose breathers and can have respiratory distress when
nares are occluded. Mucous can be gently suctioned using a bulb syringe or suction catheter. A good,
thorough history should always include immunization status for pediatric patients. The nose needs to
be clear before applying oxygen via nasal cannula. Respiratory assessment includes interventions to
improve breathing so you would not move to move to circulation until that is accomplished.
You need to draw blood from a 2-year-old. Which of the following is the best approach for this patient?
A.Allow them to hold the blood tubes before drawing
B.Have them watch a cartoon on an I-pad or cell phone
3|Page
CORRECT QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED A+|BRAND
NEW!!!|GUARANTEED PASS |LATEST UPDATE
A 14-year-old patient sustained a displaced fracture of the radius and ulna after falling from a bicycle.
Which of the following pain control interventions is most likely to result in improvement in symptoms
related to pain?
A.Applying a topical lidocaine-based cream
B.Elevating the extremity to the level of the heart
C.Placing warm compresses on the affected extremity
D.Applying a splint to the affected extremity
D
Splinting is an effective non-pharmacologic intervention to reduce pain associated with fractures. This
will also help to minimize complications. Topical creams and elevation of the extremity will not help
with pain control. The application of ice in an appropriate manner can help, but not warmth which
would be contraindicated in the early stages of the injury.
Which of the following is a known cause of pediatric seizures?
A.Benzodiazepine overdose
B.Supraventricular tachycardia
C.Overdiluted formula
D.Congenital heart disease
C
Water overload is a well-documented etiology of hyponatremia in infants, which can be caused by
excess dilution of formula. Hyponatremia is a known cause of seizures. Benzodiazepine overdose is
more likely to result is respiratory depression and coma. CHD and SVT are not readily known to cause
seizures.
For the infant, what duration of time is consider apneic?
A.10 seconds
B.20 seconds
C.5 seconds
D.15 seconds
1|Page
,B
The respiratory rate, depth, and regularity all continue to change the first year of life, making
respiratory assessments different than those of older children. Infants breathe faster and less
regularly, with apnea not considered as such until 20 seconds without a breath or associated with
other physiologic effects such as bradycardia.
An ambulance arrives with a 16-year-old male involved in a dirt bike crash who was intubated prior to
arrival. Which of the following is the priority assessment or intervention?
A.Assess the oropharynx
B.Assess endotracheal tube placement
C.Insert an orogastric tube
D.Insert a second intravenous access
B
If a patient arrives with an artificial airway (endotracheal tube or tracheostomy) in place, assess its
placement, patency, and the oral airway (in that order) before moving to the next step of the primary
survey. The oropharynx should be checked for fluids or objects such as broken teeth. Inserting a
gastric tube in an intubated patient and starting a second large caliber IV line should also be done, but
they don't take priority over airway.
A 9 month pregnant woman presents to the emergency department and delivers a term neonate
vaginally. The neonate is dried and stimulated and the mouth and nose are suctioned using a bulb
syringe. After repositioning the head, the neonate remains limp and apneic and the HR is 80
beats/minute. What is the priority intervention?
A. Begin chest compressions
B. Suction the oropharynx with a catheter
C. Obtain vascular access
D. Initiate positive pressure ventilation
D
Immediately after delivery all neonates should be warmed, stimulated, and have their mouth then
nose suctioned using a bulb syringe. Following this, if the neonate is not breathing or is gasping
and/or has a heart rate of less than 100 beats per minute positive pressure ventilation at 21% FiO2 at
a rate of 40-60 breaths per minute should be immediately initiated. The heart rate should be assessed
after 15 seconds of PPV and if not improving additional measures should be taken (MRSOPA).
Vascular access is not always needed but can be worked on by another team member while airway
and breathing interventions are being completed.
A 5-year-old with no health problems presents to the emergency department with a sudden onset of
chest pain and shortness of breath. Parents state that the family was involved in a bad car crash one
2|Page
, week ago. A thorough assessment and workup has not revealed any abnormalities. Which of the
following the best next step to take?
A.Ask about any new bed-wetting or sleep disturbances
B.Discharge to home and follow-up with their primary care physician
C.Repeat a head-to-toe exam to identify any missed traumatic injuries
D.Consult cardiology for appropriate follow-up
A
Physical complaints are not uncommon in children following a traumatic event. Once any physical
injuries or illnesses have been ruled out, assessment for any other behavioral symptoms to facilitate
appropriate care and follow-up would be indicated. The incident occurred a week ago so the
likelihood any an severe medical issues is pretty low.
Which of the following patient presentations should increase suspicion of potential child maltreatment?
A.Closed greenstick wrist fracture in a 4-year-old child who fell off his bicycle
B.Bruises in various stages of healing to the lower extremities of a 2-year-old child
C.Right radial spiral fracture in a 10 year old practicing martial arts
D.Bruising to the left ear of a newborn from sleeping on his side
D
Any bruises in a non-exploratory location (especially torso, ears, and neck) in children younger than 4
years old and ANY bruising in a child younger than 4 months old is suspicious for child maltreatment.
Bruises to the lower extremities of a 2-year-old who is learning to walk on their own is not
uncommon. Greenstick fractures are a more common fracture is children due to the immaturity of
their bone structure. Martial arts includes many moves that could produce a spiral fracture.
The caregiver of a 2-month-old infant states the patient has had trouble breathing for the past two days.
Pediatric assessment triangle (PAT) reveals an age-appropriate general appearance, rapid breathing with
mild distress, and pink skin. Mucous is noted in both nares. Which of the following is the best next step?
A.Obtain a history including immunization status
B.Suction nasal passages using a bulb syringe
C.Administer oxygen by nasal cannula with patient in caregiver's arms
D.Respiratory assessment is completed so move to circulatory
B
Infants up to four months old are obligate nose breathers and can have respiratory distress when
nares are occluded. Mucous can be gently suctioned using a bulb syringe or suction catheter. A good,
thorough history should always include immunization status for pediatric patients. The nose needs to
be clear before applying oxygen via nasal cannula. Respiratory assessment includes interventions to
improve breathing so you would not move to move to circulation until that is accomplished.
You need to draw blood from a 2-year-old. Which of the following is the best approach for this patient?
A.Allow them to hold the blood tubes before drawing
B.Have them watch a cartoon on an I-pad or cell phone
3|Page
