ENPC 6th Edition Course Exam 2025/2026
With 100% Correct Answers. Real 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?CORRECT ANS:
Hypoglycemia (wrong)
Explanation:
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
increasing manifestations instead of improvement. Which of the following would
be considered to be defCORRECT ANS: Computed tomography (wrong)
Explanation:
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 confirmed, which of the following would be the priority
intervention?CORRECT ANS: 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 ANS: Humidified oxygen (wrong)
Explanation:
Wheezing is most often identified with asthma in the pediatric population. 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 ANS:
Lumbar puncture
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 ANS: Hydromorphone (wrong)
, Explanation:
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 ANS: 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 ANS: Intraosseous in the patient's medial tibia.
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 ANS: Sputum (wrong)
Explanation:
Electrical injuries, though they may appear to be small, can produce large
amounts of damage internally, including muscle damage. 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
With 100% Correct Answers. Real 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?CORRECT ANS:
Hypoglycemia (wrong)
Explanation:
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
increasing manifestations instead of improvement. Which of the following would
be considered to be defCORRECT ANS: Computed tomography (wrong)
Explanation:
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 confirmed, which of the following would be the priority
intervention?CORRECT ANS: 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 ANS: Humidified oxygen (wrong)
Explanation:
Wheezing is most often identified with asthma in the pediatric population. 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 ANS:
Lumbar puncture
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 ANS: Hydromorphone (wrong)
, Explanation:
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 ANS: 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 ANS: Intraosseous in the patient's medial tibia.
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 ANS: Sputum (wrong)
Explanation:
Electrical injuries, though they may appear to be small, can produce large
amounts of damage internally, including muscle damage. 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
