2026 ENPC ACTUAL EXAM TEST WITH
REAL EXAM QUESTIONS AND
CORRECT ANSWERS GRADED A+
A child has a nondisplaced fracture of the radius that has been
splinted, with a sling in place and NSAIDs given for pain. Prior to
discharge home with follow-up at a pediatric facility, what actions
must be completed?
A. Discharge instructions including follow-up contact information.
B. Ensure the receiving facility has space and qualified personnel.
C. Certify that medical benefits of discharge outweigh risks.
D. Complete doctor-to-doctor communication with receiving
facility. Correct Answer A. Discharge instructions including
follow-up contact information.
The nurse is triaging an infant brought to the emergency
department by their caregiver. Which finding by the nurse leads
the infant to be placed in isolation?
A. Barking cough
B. Purpuric rash
C. High-pitched cry
D. Mottled skin Correct Answer B. Purpuric rash
,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distressed and withdrawn.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?
A. Taking the child to the radiographic studies while the parents
rest in the room
B. Providing frequent updates and re-educating them on the care
that is being provided
C. Ensuring adequate lighting and keeping the door closed to
provide privacy
D. Answering questions only when the parents ask them in order
to reduce information overload Correct Answer B. Providing
frequent updates and re-educating them on the care that is
being provided
An infant presents to the emergency department with difficulty
breathing. The patient is pale and respirations appear rapid and
shallow. Which location on the torso is the most effective site for
assessing bilateral breath sounds?
A. Bilateral posterior back
B. Over the epigastrium
C. Bilateral midaxillary
D. Bilateral anterior chest Correct Answer C. Bilateral
midaxillary
,A child was found unresponsive under the monkey bars during
recess and arrives with the following assessment: eyes open only
with supraorbital pressure stimulus, no verbal response is elicited,
and withdraws arms and legs when a swab is inserted in the
nose. Which of the following is the priority intervention for this
child?
A. Infuse a bolus of crystalloid solution
B. Expose the child's body for full exam
C. Log roll to assess posterior aspect
D. Prepare for immediate intubation Correct Answer D. Prepare
for immediate intubation
A 5-year-old presents with sudden onset nausea, vomiting,
abdominal cramping, hives, and hypotension after eating lunch.
Which of the following is the priority intervention?
A. Intramuscular epinephrine
B. Inhaled albuterol
C. Oral diphenhydramine
D. Intravenous ondansetron Correct Answer A. Intramuscular
epinephrine
A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders
should the nurse question?
, A. Morphine
B. Acetaminophen
C. Hydromorphone
D. Ketorolac Correct Answer D. Ketorolac
A laceration on a toddler's arm is prepared for suturing. Which of
the following preparations for topical anesthesia would be the best
choice for this procedure?
A. EMLA (lidocaine 2.5% and prilocaine 2.5%)
B. LET (lidocaine/epinephrine/tetracaine)
C. LMX (lidocaine 4%)
D. Tetracaine 4% Correct Answer B. LET
(lidocaine/epinephrine/tetracaine)
A 6-month-old arrives with swelling to the left thigh. Caregivers
deny any traumatic event. Assessment findings include a patient
who is active and alert, in the 10th percentile for length, and has
blue-grey sclera. Radiographs reveal a midshaft fracture of the
left femur. Which of the following is the most likely cause?
A. Osteomyelitis
B. Physical maltreatment
C. Ehlers-Danlos syndrome
D. Osteogenesis imperfecta Correct Answer D. Osteogenesis
imperfecta
REAL EXAM QUESTIONS AND
CORRECT ANSWERS GRADED A+
A child has a nondisplaced fracture of the radius that has been
splinted, with a sling in place and NSAIDs given for pain. Prior to
discharge home with follow-up at a pediatric facility, what actions
must be completed?
A. Discharge instructions including follow-up contact information.
B. Ensure the receiving facility has space and qualified personnel.
C. Certify that medical benefits of discharge outweigh risks.
D. Complete doctor-to-doctor communication with receiving
facility. Correct Answer A. Discharge instructions including
follow-up contact information.
The nurse is triaging an infant brought to the emergency
department by their caregiver. Which finding by the nurse leads
the infant to be placed in isolation?
A. Barking cough
B. Purpuric rash
C. High-pitched cry
D. Mottled skin Correct Answer B. Purpuric rash
,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?
A. Taking the child to the radiographic studies while the parents
rest in the room
B. Providing frequent updates and re-educating them on the care
that is being provided
C. Ensuring adequate lighting and keeping the door closed to
provide privacy
D. Answering questions only when the parents ask them in order
to reduce information overload Correct Answer B. Providing
frequent updates and re-educating them on the care that is
being provided
An infant presents to the emergency department with difficulty
breathing. The patient is pale and respirations appear rapid and
shallow. Which location on the torso is the most effective site for
assessing bilateral breath sounds?
A. Bilateral posterior back
B. Over the epigastrium
C. Bilateral midaxillary
D. Bilateral anterior chest Correct Answer C. Bilateral
midaxillary
,A child was found unresponsive under the monkey bars during
recess and arrives with the following assessment: eyes open only
with supraorbital pressure stimulus, no verbal response is elicited,
and withdraws arms and legs when a swab is inserted in the
nose. Which of the following is the priority intervention for this
child?
A. Infuse a bolus of crystalloid solution
B. Expose the child's body for full exam
C. Log roll to assess posterior aspect
D. Prepare for immediate intubation Correct Answer D. Prepare
for immediate intubation
A 5-year-old presents with sudden onset nausea, vomiting,
abdominal cramping, hives, and hypotension after eating lunch.
Which of the following is the priority intervention?
A. Intramuscular epinephrine
B. Inhaled albuterol
C. Oral diphenhydramine
D. Intravenous ondansetron Correct Answer A. Intramuscular
epinephrine
A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders
should the nurse question?
, A. Morphine
B. Acetaminophen
C. Hydromorphone
D. Ketorolac Correct Answer D. Ketorolac
A laceration on a toddler's arm is prepared for suturing. Which of
the following preparations for topical anesthesia would be the best
choice for this procedure?
A. EMLA (lidocaine 2.5% and prilocaine 2.5%)
B. LET (lidocaine/epinephrine/tetracaine)
C. LMX (lidocaine 4%)
D. Tetracaine 4% Correct Answer B. LET
(lidocaine/epinephrine/tetracaine)
A 6-month-old arrives with swelling to the left thigh. Caregivers
deny any traumatic event. Assessment findings include a patient
who is active and alert, in the 10th percentile for length, and has
blue-grey sclera. Radiographs reveal a midshaft fracture of the
left femur. Which of the following is the most likely cause?
A. Osteomyelitis
B. Physical maltreatment
C. Ehlers-Danlos syndrome
D. Osteogenesis imperfecta Correct Answer D. Osteogenesis
imperfecta
