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ENPC Exam Questions – 2025/2026 | 150+ Pediatric Emergency Q&A | Triage, Trauma, Shock, PAT, Neonatal Resuscitation

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This exam-prep document for the Emergency Nursing Pediatric Course (ENPC) includes over 150 expertly verified multiple-choice questions and answers, fully aligned with the 2025/2026 ENA (Emergency Nurses Association) curriculum. Designed to reflect the most up-to-date guidelines, it covers both foundational knowledge and applied pediatric emergency care practices tested in ENPC exams. Each question is paired with concise, evidence-based rationales, enabling effective comprehension of pediatric clinical decision-making. The document is formatted similarly to the actual exam and is suitable for repeated review sessions. Key topics covered include: Pediatric Assessment Triangle (PAT): Appearance, work of breathing, circulation Neonatal and Pediatric Resuscitation: Airway management, oxygenation, CPR, endotracheal tube placement Shock Recognition and Management: Hypovolemic, distributive, obstructive, and cardiogenic shock Trauma Care: Abdominal injury assessment, splinting, triage procedures, head trauma signs Growth and Development Considerations: Erikson’s stages, communication techniques, procedural approaches Common Pediatric Emergencies: Seizures, burns, respiratory distress, dehydration, child maltreatment Medical Toxicology and Ingestions: Button batteries, magnets, hyponatremia, chemical poisoning Legal & Ethical Scenarios: Consent for minors, human trafficking signs, trauma-informed care Vital Signs and Red Flags by Age Group: HR/RR benchmarks, fever evaluation, apneic episodes This document is particularly helpful for healthcare professionals who are: Preparing for ENPC certification or recertification Nursing students and graduate nursing students (BSN, MSN, DNP) Working in pediatric emergency departments, urgent care, or trauma units Studying for NCLEX, PALS, or pediatric-focused licensure exams Enrolled in emergency nursing programs at colleges or teaching hospitals This is a complete, well-organized review built for retention and success—ideal for last-minute cramming or methodical study. Keywords: ENPC 2025, pediatric emergency care, PAT, neonatal resuscitation, pediatric shock, trauma nursing, fluid bolus, pediatric burns, peds vital signs, Erikson stages, pediatric trauma triage, child maltreatment signs, suction techniques, pediatric assessment triangle, hypovolemic shock, CPR in infants, sepsis management, airway management, ENPC practice questions, emergency nursing certification

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ENPC 2025/2026 Exam Questions and
Verified Answers | Already Graded A+



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% - 🧠 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 - 🧠 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. - 🧠 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 - 🧠 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
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, minute, respiratory rate of 36 breaths per minute, and blood pressure of

86/72 mm Hg. Significant burns are noted to the patient's back and lower

extremities. The caregiver states the burns accidentally occurred three

days ago, but was afraid to bring the patient in due to an ongoing child

welfare investigation.Which of the following groups of interventions are the

priority for this patient?

A.Call police and child welfare authorities and have security detain the

caregiver

B.Administer intravenous analgesics and obtain a point of care glucose

C.Draw a metabolic panel, point of care glucose, and administer a fluid

bolus

D.Administer lorazepam and a fluid bolus and place on seizure precautions

- 🧠 ANSWER ✔✔C




Burn injuries result in fluid and electrolyte shifts leading to hypovolemia and

electrolyte imbalances. Early identification and treatment of electrolyte

imbalances can help prevent further seizures. Contacting child protective

services and other authorities can wait. The patient is post-ictal so does not
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