ENPC EXAM 2025-2026 NEWEST
QUESTIONS AND DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) |
EMERGENCY NURSING PEDIATRIC
COURSE
A 6- week-old infant is pale, has marked substernal
retractions, expiratory grunting, and poor muscle tone. The
emergency nurse should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen. Correct Answer D.
Administer 100% oxygen.
The best method to open the airway in an injured child is:
A. Placing the head and neck in hyperextension.
B. Using the jaw thrust maneuver.
C. Placing the head and neck in flexion.
D. Using the head tilt maneuver. Correct Answer B. Using
the jaw thrust maneuver.
A 4-year-old child with a history of the flu has a heart rate
of 80 beats/minute, respirations of 16 breaths/minute, and
capillary refill of more than 3 seconds. The proper
sequence for nursing interventions would be:
,A. Position the airway, administer 100% oxygen, obtain
venous access, and administer 20 ml/kg of an isotonic
solution.
B. Administer 100% oxygen, obtain venous access,
administer 0.
1 mg/kg of epinephrine 1:10,000, and prepare for
endotracheal intubation.
C. Position the airway, provide bag-mask ventilation,
provide synchronized cardioversion, and provide
supplemental warmth.
D. Administer 100% oxygen, prepare for a venous
cutdown, administer 20 ml/kg of an isotonic solution, and
obtain a chest x-ray. Correct Answer A. Position the
airway, administer 100% oxygen, obtain venous access,
and administer 20 ml/kg of an isotonic solution.
A 3-year-old is transported by prehospital personnel after
being struck by a car. The parents are en route. The child
is screaming and uncooperative. Which is the best
approach while conducting the secondary survey?
A. Hold the child to comfort him.
B. Wait for the parent's arrival.
C. Observe for behavioral pain cues.
D. Use a doll to demonstrate the examination. Correct
Answer C. Observe for behavioral pain cues.
Which ocular finding is associated with child
maltreatment?
A. Glaucoma.
B. Conjunctivitis.
C. Iritis.
,D. Retinal hemorrhage. Correct Answer D. Retinal
hemorrhage.
A pregnant 18-year-old woman arrives at the emergency
department about ready to deliver a full-term infant. She
states that she noticed a large amount of dark green fluid
the last time she went to the bathroom. During the
delivery, the nurse should prepare to:
A. Dry and arm the infant as soon as is it delivered.
B. Stimulate and ventilate the infant immediately after
delivery.
C. Suction the mouth and nose of the infant while on the
perineum.
D. Administer blow-by oxygen and rub the back
immediately after delivery. Correct Answer C. Suction the
mouth and nose of the infant while on the perineum.
A 9month old has arrived in the ER after a trauma. Which
of the following actions will the nurse take after assessing
the ABC status?
A. Assess metabolic demands
B. Maintain core temperature
C. Check Level of Consciousness
D. Assess Vital Signs Correct Answer C. Check Level of
Consciousness
A 12 yr old boy is brought into the ER with a broken leg
and is showing signs and symptoms of shock. Which of
the following actions should the nurse do next after
providing 100% O2 by mask?
, A. Check circulation of toes of the affected leg.
B. Establish IV access
C. Provide oral analgesics as ordered.
D. Position the boy on his back with the head elevated.
Correct Answer B. Establish IV access
An unresponsive 2-year-old child was found by his mother
with a bottle labeled "Elavil 50 mg" by his side. Which
piece of information is important to obtain from his
mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe.
Correct Answer C. The number of pills left in the bottle.
A nurse providing crisis intervention to the family of a
seriously ill child can best keep the family informed of the
child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with
them. Correct Answer D. Appointing one staff member to
communicate with them.
A 16-month-old child was an unrestrained front seat
passenger in a motor vehicle crash. The chest x-ray
reveals multiple rib fractures. These findings suggest what
type of injury?
QUESTIONS AND DETAILED CORRECT
ANSWERS (VERIFIED ANSWERS) |
EMERGENCY NURSING PEDIATRIC
COURSE
A 6- week-old infant is pale, has marked substernal
retractions, expiratory grunting, and poor muscle tone. The
emergency nurse should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen. Correct Answer D.
Administer 100% oxygen.
The best method to open the airway in an injured child is:
A. Placing the head and neck in hyperextension.
B. Using the jaw thrust maneuver.
C. Placing the head and neck in flexion.
D. Using the head tilt maneuver. Correct Answer B. Using
the jaw thrust maneuver.
A 4-year-old child with a history of the flu has a heart rate
of 80 beats/minute, respirations of 16 breaths/minute, and
capillary refill of more than 3 seconds. The proper
sequence for nursing interventions would be:
,A. Position the airway, administer 100% oxygen, obtain
venous access, and administer 20 ml/kg of an isotonic
solution.
B. Administer 100% oxygen, obtain venous access,
administer 0.
1 mg/kg of epinephrine 1:10,000, and prepare for
endotracheal intubation.
C. Position the airway, provide bag-mask ventilation,
provide synchronized cardioversion, and provide
supplemental warmth.
D. Administer 100% oxygen, prepare for a venous
cutdown, administer 20 ml/kg of an isotonic solution, and
obtain a chest x-ray. Correct Answer A. Position the
airway, administer 100% oxygen, obtain venous access,
and administer 20 ml/kg of an isotonic solution.
A 3-year-old is transported by prehospital personnel after
being struck by a car. The parents are en route. The child
is screaming and uncooperative. Which is the best
approach while conducting the secondary survey?
A. Hold the child to comfort him.
B. Wait for the parent's arrival.
C. Observe for behavioral pain cues.
D. Use a doll to demonstrate the examination. Correct
Answer C. Observe for behavioral pain cues.
Which ocular finding is associated with child
maltreatment?
A. Glaucoma.
B. Conjunctivitis.
C. Iritis.
,D. Retinal hemorrhage. Correct Answer D. Retinal
hemorrhage.
A pregnant 18-year-old woman arrives at the emergency
department about ready to deliver a full-term infant. She
states that she noticed a large amount of dark green fluid
the last time she went to the bathroom. During the
delivery, the nurse should prepare to:
A. Dry and arm the infant as soon as is it delivered.
B. Stimulate and ventilate the infant immediately after
delivery.
C. Suction the mouth and nose of the infant while on the
perineum.
D. Administer blow-by oxygen and rub the back
immediately after delivery. Correct Answer C. Suction the
mouth and nose of the infant while on the perineum.
A 9month old has arrived in the ER after a trauma. Which
of the following actions will the nurse take after assessing
the ABC status?
A. Assess metabolic demands
B. Maintain core temperature
C. Check Level of Consciousness
D. Assess Vital Signs Correct Answer C. Check Level of
Consciousness
A 12 yr old boy is brought into the ER with a broken leg
and is showing signs and symptoms of shock. Which of
the following actions should the nurse do next after
providing 100% O2 by mask?
, A. Check circulation of toes of the affected leg.
B. Establish IV access
C. Provide oral analgesics as ordered.
D. Position the boy on his back with the head elevated.
Correct Answer B. Establish IV access
An unresponsive 2-year-old child was found by his mother
with a bottle labeled "Elavil 50 mg" by his side. Which
piece of information is important to obtain from his
mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe.
Correct Answer C. The number of pills left in the bottle.
A nurse providing crisis intervention to the family of a
seriously ill child can best keep the family informed of the
child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with
them. Correct Answer D. Appointing one staff member to
communicate with them.
A 16-month-old child was an unrestrained front seat
passenger in a motor vehicle crash. The chest x-ray
reveals multiple rib fractures. These findings suggest what
type of injury?
