ENPC EXAM STUDY GUIDE – MULTIPLE CHOICE PRACTICE Qs & As 2025-26

ENPC EXAM STUDY GUIDE – MULTIPLE CHOICE PRACTICE Qs & As 2025-26 A 4-day-old who is brought to the emergency department with the parental complaint of "not acting right" is found to be hypoglycemic. What is the appropriate glucose concentration to administer to this neonate? A.Dextrose 5% B.Dextrose 10% C.Dextrose 25% D.Dextrose 50% - Correct Answer-B Dextrose 10% is the preferred concentration for neonates with hypoglycemia to protect their fragile vasculature while providing needed glucose. Dextrose 5% is not used to treat hypoglycemia in children. Dextrose 25% is used for children above the age of 5 years. Dextrose 50% is not recommended for use in pediatrics unless it is diluted. Assessment of the fontanelle provides the most useful information for which two components of the primary survey? A.Circulation and disability B.Breathing and circulation C.Disability and exposure D.Circulation and exposure - Correct Answer-A A sunken fontanelle is a red flag for circulation assessment in pediatric triage and may indicate dehydration . A bulging fontanel is a red flag for disability assessment in pediatric triage and can indicate increased intracranial pressure. Which of the following indicates the need for additional caregiver education regarding a urinary tract infection? A.I should encourage my child to drink extra fluids. B.I need to make a follow-up appointment with child's physician. C.My child will grow out of their frequent urinary tract infections. D.My child should complete all of their antibiotic medication. - Correct Answer-C A nurse providing trauma informed care to the family of a seriously ill child should be doing which of the following? A.Placing the family in a quiet, secluded room B.Referring to their child as "the patient" C.Making sure the family does not stay at the bedside. D.Appointing one staff member to stay with the family - Correct Answer-D Caregivers experiencing the crisis of a critically ill child have low attentiveness and increased stress so would benefit from having a member of the healthcare team to stay with them as much as possible and communicate updates on the plan of care. Caregivers should be allowed to stay with their child as much as possible and not placed in a secluded room away for them. The caregiver of a 7-year old reports witnessing a seizure at home, but no seizure history. The patient is post-ictal with a heart rate of 142 beats per