ULTIMATE ENPC EXAM 2025|ACTUAL
EXAM WITH 100% VERIFIED
QUESTIONS & CORRECT SOLUTIONS
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? - correct-
answer-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.
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
Page | 1
,increasing manifestations instead of improvement. Which of the following would
be considered to be definitive treatment for the suspected diagnosis? - correct-
answer-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 confirmed, which of the following would be the priority intervention? -
correct-answer-Establishing a secure airway
Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on inspiration and
expiration. What medication would be appropriate to administer first? - correct-
answer-initial medication intervention includes an inhaled short-acting beta
agonist.
A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C), and a
bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings
what is the most likely diagnostic test the nurse should anticipate? - correct-
answer-Lumbar puncture
Page | 2
,A 12-year-old is being prepped for surgical intervention of acute appendicitis.
Which of the following intravenous medication orders should the nurse question?
- correct-answer-Ketorolac
Remediation feedback:
Ketorolac is an appropriate medication for moderate to severe pain, however, it
should not be used pre-operatively due to its potential to increase the bleeding
risk.
A 17-year-old female arrives in the ED with her boyfriend who states she is
pregnant and having vaginal bleeding. The patient is unsure of the gestational age
and has not had any prenatal treatment. The patient is quiet and lets her
boyfriend answer most of the questions. Which of the following is the most
appropriate action for the nurse to take at this point? - correct-answer-Have the
boyfriend leave the room during the pelvic exam.
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately.
After several attempts, your team has been unsuccessful at establishing vascular
access. Of the following, which is the next best option for establishing access
quickly? - correct-answer-Intraosseous in the patient's medial tibia.
Page | 3
, A child with an electrical injury is seen 1 hour post event. Which of the following
types of specimen samples would provide visual information regarding a potential
complication of this injury? - correct-answer-Myoglobin is excreted in the urine
and is evidenced by dark, red-tinged urine.
Parents with an infant requiring multiple laboratory tests, radiographic studies,
and invasive procedures appear to be distressed and withdrawn. Which of the
following interventions would best ensure a sense of comfort and control for
these parents? - correct-answer-Providing frequent updates and re-educating
them on the care that is being provided
A parent presents to the emergency department carrying her 12-week-old infant.
The PAT reveals an infant who is quiet and opens eyes with stimulation, whose
breathing is regular and even, and whose skin is pale, with a scattered vesicular
rash. What is the priority intervention for this infant? - correct-answer-Obtain a
full set of vital signs (wrong)
Place patient in isolation (correct)
Remediation feedback:
An abnormal PAT in the presence of a rash should be considered life-threatening
until proven otherwise and the patient placed in isolation.
Page | 4
EXAM WITH 100% VERIFIED
QUESTIONS & CORRECT SOLUTIONS
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? - correct-
answer-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.
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
Page | 1
,increasing manifestations instead of improvement. Which of the following would
be considered to be definitive treatment for the suspected diagnosis? - correct-
answer-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 confirmed, which of the following would be the priority intervention? -
correct-answer-Establishing a secure airway
Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on inspiration and
expiration. What medication would be appropriate to administer first? - correct-
answer-initial medication intervention includes an inhaled short-acting beta
agonist.
A 6-week-old is brought to the emergency department by the caregivers for poor
feeding, listlessness, and fever. Assessment reveals a crying infant, HR 160
beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F (35.5 C), and a
bulging anterior fontanel. Capillary refill is 4 seconds. Based on these findings
what is the most likely diagnostic test the nurse should anticipate? - correct-
answer-Lumbar puncture
Page | 2
,A 12-year-old is being prepped for surgical intervention of acute appendicitis.
Which of the following intravenous medication orders should the nurse question?
- correct-answer-Ketorolac
Remediation feedback:
Ketorolac is an appropriate medication for moderate to severe pain, however, it
should not be used pre-operatively due to its potential to increase the bleeding
risk.
A 17-year-old female arrives in the ED with her boyfriend who states she is
pregnant and having vaginal bleeding. The patient is unsure of the gestational age
and has not had any prenatal treatment. The patient is quiet and lets her
boyfriend answer most of the questions. Which of the following is the most
appropriate action for the nurse to take at this point? - correct-answer-Have the
boyfriend leave the room during the pelvic exam.
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids immediately.
After several attempts, your team has been unsuccessful at establishing vascular
access. Of the following, which is the next best option for establishing access
quickly? - correct-answer-Intraosseous in the patient's medial tibia.
Page | 3
, A child with an electrical injury is seen 1 hour post event. Which of the following
types of specimen samples would provide visual information regarding a potential
complication of this injury? - correct-answer-Myoglobin is excreted in the urine
and is evidenced by dark, red-tinged urine.
Parents with an infant requiring multiple laboratory tests, radiographic studies,
and invasive procedures appear to be distressed and withdrawn. Which of the
following interventions would best ensure a sense of comfort and control for
these parents? - correct-answer-Providing frequent updates and re-educating
them on the care that is being provided
A parent presents to the emergency department carrying her 12-week-old infant.
The PAT reveals an infant who is quiet and opens eyes with stimulation, whose
breathing is regular and even, and whose skin is pale, with a scattered vesicular
rash. What is the priority intervention for this infant? - correct-answer-Obtain a
full set of vital signs (wrong)
Place patient in isolation (correct)
Remediation feedback:
An abnormal PAT in the presence of a rash should be considered life-threatening
until proven otherwise and the patient placed in isolation.
Page | 4
