ENPC PRE-COURSE EXAM NEWEST VERSION 2025
WITH COMPLETE QUESTIONS AND SOLUTION 100%
VERIFIED ANSWERS A+ GRADED FREE ENPC PRE-
COURSE EXAM
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry
mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP
of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory
values would be most expected in this child? - ✔✔ANSW✔✔Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis. Manifestations
include signs of dehydration ( dry mucous membranes, hypotension, tachycardia),
incontinence (polyuria), vomiting, abdominal pain, Kussmaul respirations (to counter the
acidosis), polydipsia, anorexia, and weight loss. Expected laboratory values would
reveal an acidotic state with a pH level below 7.3, an elevated serum bIcarbonate level,
and an elevated blood glucose level > 200 mg.dL.
Which of the following is a family-centered care concept ? - ✔✔ANSW✔✔Cultural
backgrounds are assessed and incorporated into the plan of care.
An 8-month-old arrives with a 12-hour history of intermittent abdominal pain, non-bilious
vomiting, and a low grade fever. On assessment the child is intermittently inconsolable
followed by periods of normal activity. A sausage-shaped mass is noted during
palpation of the abdomen. The nurse should prepare for which of the following? -
✔✔ANSW✔✔Enema with air
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? -
✔✔ANSW✔✔Sick
A 13-year -old male presents to the triage desk complaining of nausea and vomiting.
The patient looks distressed and pale. He complains of spasming pain in his right
scrotum which has now become constant and more severe. Which of the following
assessment findings would the nurse expect with this patient? - ✔✔ANSW✔✔Elevated
right testicle
, An 8-year-old trauma patient suddenly develops increased respiratory distress with a
rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted. Which of the following
emergent interventions should be anticipated first? - ✔✔ANSW✔✔Drug assisted
intubation (wrong)
Remediation feedback:
Tension pneumothorax is a complication of trauma associated with an original
pneumothorax. Air in the pleural space increases and compresses the heart and great
vessels creating a type of obstructive shock. A hallmark sign, tracheal deviation, can be
difficult to see in the pediatric patient. Needle decompression is emergently necessary
to release the air and allow expansion of the lung again.
An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the
windshield. On arrival to the ED. the patient is minimally responsive with active bleeding
from the nose and mouth. The patient is vomiting. Which of the following interventions
would most likely be considered? - ✔✔ANSW✔✔Endotracheal intubation
The nurse is reevaluating the effectiveness of interventions for a 4-year-old child with a
suspected tension pneumothorax. Which assessment finding indicates the interventions
were effective? - ✔✔ANSW✔✔Bilateral chest wall rise with assisted ventilations.
A 3-year-old is brought by caregivers with generalized tonic-clonic activity,
unresponsiveness, and drooling that began 6 minutes prior to arrival. Which of the
following interventions would be most appropriate for this event? -
✔✔ANSW✔✔Administer intranasal midazolam
An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on
auscultation in the right upper lobe of the lung field after a choking event 4 days ago.
The white blood cell count is elevated and the patient noted to be tachypneic,
tachycardic, agitated, and has an increased respiratory effort. At the time of the event,
the patient was started on antibiotics with subsequent increasing manifestations instead
of improvement. Which of the following would be considered to be definitive treatment
for the suspected diagnosis? - ✔✔ANSW✔✔Computed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident with
subsequent failure to improve on antibiotics. Wheezing or decreased lung sounds in
one area of the pulmonary system is a high indicator for a foreign body along with signs
of hypoxia such as cyanosis, tachypnea, tachycardia, increased respiratory effort,
agitation or lethargy, and elevated white blood cell counts indicating an infectious
process. The definitive treatment would be a bronchoscopy in order to retrieve the
suspected foreign body instead of diagnostic tests to locate the foreign body itself.
A child in cardiopulmonary arrest is receiving chest compressions and manual
ventilations with a bag-mask device. Once return of spontaneous circulation has been
WITH COMPLETE QUESTIONS AND SOLUTION 100%
VERIFIED ANSWERS A+ GRADED FREE ENPC PRE-
COURSE EXAM
A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and dry
mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute, BP
of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory
values would be most expected in this child? - ✔✔ANSW✔✔Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis. Manifestations
include signs of dehydration ( dry mucous membranes, hypotension, tachycardia),
incontinence (polyuria), vomiting, abdominal pain, Kussmaul respirations (to counter the
acidosis), polydipsia, anorexia, and weight loss. Expected laboratory values would
reveal an acidotic state with a pH level below 7.3, an elevated serum bIcarbonate level,
and an elevated blood glucose level > 200 mg.dL.
Which of the following is a family-centered care concept ? - ✔✔ANSW✔✔Cultural
backgrounds are assessed and incorporated into the plan of care.
An 8-month-old arrives with a 12-hour history of intermittent abdominal pain, non-bilious
vomiting, and a low grade fever. On assessment the child is intermittently inconsolable
followed by periods of normal activity. A sausage-shaped mass is noted during
palpation of the abdomen. The nurse should prepare for which of the following? -
✔✔ANSW✔✔Enema with air
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? -
✔✔ANSW✔✔Sick
A 13-year -old male presents to the triage desk complaining of nausea and vomiting.
The patient looks distressed and pale. He complains of spasming pain in his right
scrotum which has now become constant and more severe. Which of the following
assessment findings would the nurse expect with this patient? - ✔✔ANSW✔✔Elevated
right testicle
, An 8-year-old trauma patient suddenly develops increased respiratory distress with a
rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted. Which of the following
emergent interventions should be anticipated first? - ✔✔ANSW✔✔Drug assisted
intubation (wrong)
Remediation feedback:
Tension pneumothorax is a complication of trauma associated with an original
pneumothorax. Air in the pleural space increases and compresses the heart and great
vessels creating a type of obstructive shock. A hallmark sign, tracheal deviation, can be
difficult to see in the pediatric patient. Needle decompression is emergently necessary
to release the air and allow expansion of the lung again.
An 8-year-old pedestrian is thrown onto the hood of a moving vehicle striking the
windshield. On arrival to the ED. the patient is minimally responsive with active bleeding
from the nose and mouth. The patient is vomiting. Which of the following interventions
would most likely be considered? - ✔✔ANSW✔✔Endotracheal intubation
The nurse is reevaluating the effectiveness of interventions for a 4-year-old child with a
suspected tension pneumothorax. Which assessment finding indicates the interventions
were effective? - ✔✔ANSW✔✔Bilateral chest wall rise with assisted ventilations.
A 3-year-old is brought by caregivers with generalized tonic-clonic activity,
unresponsiveness, and drooling that began 6 minutes prior to arrival. Which of the
following interventions would be most appropriate for this event? -
✔✔ANSW✔✔Administer intranasal midazolam
An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted on
auscultation in the right upper lobe of the lung field after a choking event 4 days ago.
The white blood cell count is elevated and the patient noted to be tachypneic,
tachycardic, agitated, and has an increased respiratory effort. At the time of the event,
the patient was started on antibiotics with subsequent increasing manifestations instead
of improvement. Which of the following would be considered to be definitive treatment
for the suspected diagnosis? - ✔✔ANSW✔✔Computed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident with
subsequent failure to improve on antibiotics. Wheezing or decreased lung sounds in
one area of the pulmonary system is a high indicator for a foreign body along with signs
of hypoxia such as cyanosis, tachypnea, tachycardia, increased respiratory effort,
agitation or lethargy, and elevated white blood cell counts indicating an infectious
process. The definitive treatment would be a bronchoscopy in order to retrieve the
suspected foreign body instead of diagnostic tests to locate the foreign body itself.
A child in cardiopulmonary arrest is receiving chest compressions and manual
ventilations with a bag-mask device. Once return of spontaneous circulation has been
