2025 ENPC EXAM | ACTUAL EXAM BANK WITH
CORRECT VERIFIED ANSWERS. GUARANTEED
CERTIFICATION EXCELLENCE.
A neonate presents to the emergency department with irritability, weak cry, and hypotonia. Which of
the following is a priority intervention?
A. Prostaglandin infusion
B. Toxin screening
C. Head compterized tomography scan
D. Serum blood glucose
D. Serum blood glucose
An 8-year-old arrives post bicycle crash with swelling and bleeding from the right side of his face,
deformities to the jawline, nasal swelling, and epistaxis. He is unresponsive with snoring respirations and
an absent gag reflex. Which of the following airway adjuncts would be most appropriate for this patient?
A. Nasopharyngeal airway (NPA)
B. Head tilt - chin lift maneuver
C. Elevate the head of the bed
D. Oropharyngeal airway (OPA)
D. Oropharyngeal airway (OPA)
A 3-year-old is assessed for the presence of increasing amounts of serosanguineous drainage from his
left nares over the past 6 hours. Which of the following foreign bodies is the most likely etiology?
A. Magnet
B. Button battery
C. Dried bean
D. Fishing weight
,A. Magnet
A caregiver presents to the emergency department with an 18-month-old and reports the child is not
using their left arm after playing a game with an older sibling. The child is alert and curious, with regular,
even respirations, and skin color is appropriate. Using the Pediatric Assessment Triangle (PAT), how
would you categorize this patient?
A. Sicker
B. Sickest
C. Stable
D. Sick
D. Sick
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?
A. Administer antipsychotic medications
B. Evaluate laboratory values
C. Allow family and friend visitation
D. Ensure safety of the patient and staff
D. Ensure safety of the patient and staff
A 2-year-old child is seen with acute respiratory distress after playing alone. Caregiver statements
indicate the child was found playing with irregular, ½ - ¾ inch sized pieces of a game. Which of the
following assessment findings would most likely be expected for this situation?
A. Audible wheezing and retractions
B. Inspiratory stridor and coughing
C. Grunting respirations and tachypnea
D. Quiet tachypnea and coarse crackles
B. Inspiratory stridor and coughing
,A 15-year-old presents alone requesting care. Which of the following chief complaints would most likely
be considered legal or appropriate to treat without parental consent?
A. Lower back pain
B. Itching rash to arms
C. Possible pregnancy
D. Dental pain
C. Possible pregnancy
An 11-year-old child presents with right arm pain after falling off a bicycle. The child is tearful and
holding his right arm. What pain scale would be the most appropriate to use when assessing this child's
pain?
A. Faces scale
B. FLACC scale
C. Numbers scale
D. NIPS scale
C. Numbers scale
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, moderate active bleeding
from a laceration to left thigh, pulse oximetry of 86% without supplemental oxygen, deformity to the
left upper leg, and a Glasgow Coma Score of 7. Which of the following orders will prompt the nurse to
have a discussion with the provider before initiating?
A. Insert urinary catheter
B. Prepare for intubation
C. Assist with chest tube insertion
D. Place orogastric tube
A. Insert urinary catheter
, A six-week-old infant presents to the emergency department with seizures. The infant is afebrile with a
normal glucose level ,and caregivers report no signs of illness other than formula intolerance, which
they treated by adding extra water to the formula. The nurse would expect to find which of the
following laboratory abnormalities?
A. Hypokalemia
B. Hyponatremia
C. Hyperkalemia
D. Hypernatremia
B. Hyponatremia
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?
A. Application of compression dressings
B. Elevation of left lower extremity
C. Assist with escharotomy
D. Preparation for thrombectomy
C. Assist with escharotomy
A 2-year-old arrives with parents stating the child may have ingested a button battery. The patient
initially choked and coughed and is now drooling with bloody sputum. Which of the following is the
priority intervention?
A. Prepare the patient for hospitalization
B. Administer 5 -10 ml of honey orally
C. Discharge with specific return instructions
D. Offer the child sips of water intermittently
A. Prepare the patient for hospitalization
CORRECT VERIFIED ANSWERS. GUARANTEED
CERTIFICATION EXCELLENCE.
A neonate presents to the emergency department with irritability, weak cry, and hypotonia. Which of
the following is a priority intervention?
A. Prostaglandin infusion
B. Toxin screening
C. Head compterized tomography scan
D. Serum blood glucose
D. Serum blood glucose
An 8-year-old arrives post bicycle crash with swelling and bleeding from the right side of his face,
deformities to the jawline, nasal swelling, and epistaxis. He is unresponsive with snoring respirations and
an absent gag reflex. Which of the following airway adjuncts would be most appropriate for this patient?
A. Nasopharyngeal airway (NPA)
B. Head tilt - chin lift maneuver
C. Elevate the head of the bed
D. Oropharyngeal airway (OPA)
D. Oropharyngeal airway (OPA)
A 3-year-old is assessed for the presence of increasing amounts of serosanguineous drainage from his
left nares over the past 6 hours. Which of the following foreign bodies is the most likely etiology?
A. Magnet
B. Button battery
C. Dried bean
D. Fishing weight
,A. Magnet
A caregiver presents to the emergency department with an 18-month-old and reports the child is not
using their left arm after playing a game with an older sibling. The child is alert and curious, with regular,
even respirations, and skin color is appropriate. Using the Pediatric Assessment Triangle (PAT), how
would you categorize this patient?
A. Sicker
B. Sickest
C. Stable
D. Sick
D. Sick
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?
A. Administer antipsychotic medications
B. Evaluate laboratory values
C. Allow family and friend visitation
D. Ensure safety of the patient and staff
D. Ensure safety of the patient and staff
A 2-year-old child is seen with acute respiratory distress after playing alone. Caregiver statements
indicate the child was found playing with irregular, ½ - ¾ inch sized pieces of a game. Which of the
following assessment findings would most likely be expected for this situation?
A. Audible wheezing and retractions
B. Inspiratory stridor and coughing
C. Grunting respirations and tachypnea
D. Quiet tachypnea and coarse crackles
B. Inspiratory stridor and coughing
,A 15-year-old presents alone requesting care. Which of the following chief complaints would most likely
be considered legal or appropriate to treat without parental consent?
A. Lower back pain
B. Itching rash to arms
C. Possible pregnancy
D. Dental pain
C. Possible pregnancy
An 11-year-old child presents with right arm pain after falling off a bicycle. The child is tearful and
holding his right arm. What pain scale would be the most appropriate to use when assessing this child's
pain?
A. Faces scale
B. FLACC scale
C. Numbers scale
D. NIPS scale
C. Numbers scale
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, moderate active bleeding
from a laceration to left thigh, pulse oximetry of 86% without supplemental oxygen, deformity to the
left upper leg, and a Glasgow Coma Score of 7. Which of the following orders will prompt the nurse to
have a discussion with the provider before initiating?
A. Insert urinary catheter
B. Prepare for intubation
C. Assist with chest tube insertion
D. Place orogastric tube
A. Insert urinary catheter
, A six-week-old infant presents to the emergency department with seizures. The infant is afebrile with a
normal glucose level ,and caregivers report no signs of illness other than formula intolerance, which
they treated by adding extra water to the formula. The nurse would expect to find which of the
following laboratory abnormalities?
A. Hypokalemia
B. Hyponatremia
C. Hyperkalemia
D. Hypernatremia
B. Hyponatremia
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?
A. Application of compression dressings
B. Elevation of left lower extremity
C. Assist with escharotomy
D. Preparation for thrombectomy
C. Assist with escharotomy
A 2-year-old arrives with parents stating the child may have ingested a button battery. The patient
initially choked and coughed and is now drooling with bloody sputum. Which of the following is the
priority intervention?
A. Prepare the patient for hospitalization
B. Administer 5 -10 ml of honey orally
C. Discharge with specific return instructions
D. Offer the child sips of water intermittently
A. Prepare the patient for hospitalization
