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ENPC Exam Prep – 2025/2026 | 100+ Verified Pediatric Emergency Q&A | PAT, Shock, Trauma, Resuscitation, Abuse, Crisis Response | Emergency Nursing

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This document offers over 100 expertly written and verified multiple-choice questions and answers designed to prepare candidates for the Emergency Nursing Pediatric Course (ENPC) exam, following the latest 2025/2026 ENA guidelines. It provides a full-spectrum review of pediatric emergency care topics critical to exam success and real-world practice in acute pediatric settings. The content mirrors real ENPC exam structure and provides immediate rationales, evidence-based responses, and clinical prioritization strategies. It is especially useful for nurses and students looking for high-yield material on shock states, trauma assessment, legal/ethical care, and age-specific interventions. Key focus areas include: Pediatric Assessment Triangle (PAT): Differentiating appearance, respiratory effort, and circulation Types of Shock: Hypovolemic, septic, cardiogenic, obstructive — early signs and interventions Pediatric Trauma Management: Blunt force, fractures, burns, pelvic injury, head trauma, triage Medical Conditions & Crisis Response: DKA, seizures, respiratory distress, submersion injuries Legal/Ethical Concerns: Child abuse (TEN-4 criteria), human trafficking, confidentiality, discharge planning Psychosocial Emergencies: Pediatric PTSD, behavioral red flags, family communication Medication Safety & Procedures: Dosing by weight (kg), safe med prep, intranasal vs. IV options Toxicology & Ingestions: Cyclic antidepressants, button batteries, overdose recognition Immunology & Infectious Disease: UTIs, measles (Rubeola), flu protocols, vaccine education This prep guide is ideal for: Emergency department nurses (adult or pediatric) preparing for ENPC certification or recertification BSN, MSN, or DNP students in acute care or pediatrics NCLEX-PN/RN candidates seeking peds review Healthcare professionals in trauma centers, pediatric urgent care, EMS/prehospital roles It provides real clinical context for each question, reinforcing not just test knowledge but also the decision-making skills essential for pediatric emergency care. Keywords: ENPC exam 2025, pediatric emergency nursing, PAT triangle, pediatric trauma, pediatric shock, neonatal assessment, child abuse indicators, pediatric airway, crisis intervention, pediatric resuscitation, ENPC questions, intranasal midazolam, sex trafficking red flags, glucose management neonate, fluid bolus peds, pediatric legal consent, fever risk sickle cell, Rubeola symptoms, peds burns, trauma-informed care

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ENPC Exam Prep / Exam 2025/2026
Exam Questions and Answers | 100%
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Which of the following would be an abnormal finding in a patient with

glomerulonephritis? - 🧠 ANSWER ✔✔Clear urine There is a decrease in

urine output for patient's with glomerulonephritis. Urine would be

concentrated and dark brown/tea-colored.

Clear urine There is a decrease in urine output for patient's with

glomerulonephritis. Urine would be concentrated and dark brown/tea-

colored. - 🧠 ANSWER ✔✔Administration of nebulized epinephrine

Moderate to severe croup is treated with dexamethasone and nebulized

epinephrine.

The neurosurgeon has decided to perform an invasive procedure in the

emergency department to monitor the intracranial pressure on a 5-year-old

patient. The family does not speak English and has identified their religion

,as Muslim. Which of the following interventions is most supportive of the

family? - 🧠 ANSWER ✔✔Allow the extended to family members to serve as

interpreters during the procedure.

Which of the following patient presentations should increase suspicion of

potential child maltreatment? - 🧠 ANSWER ✔✔Bruising to the left ear of a

newborn from sleeping on his side Any bruise in a non-exploratory location

in children younger than 4 years and any bruising in a child younger than 4

months (TEN-4) are cause for suspicion of abuse

Bruising to the left ear of a newborn from sleeping on his side Any bruise in

a non-exploratory location in children younger than 4 years and any

bruising in a child younger than 4 months (TEN-4) are cause for suspicion

of abuse - 🧠 ANSWER ✔✔Commotio cordis Commotio cordis occurs when

the chest is struck during the refractory period of the cardiac conduction

cycle, resulting in a ventricular dysrhythmia or asystole. This type of injury

usually occurs in recreational sports such as baseball or ice hockey

A 12-year-old who was recently started on anti-psychotic medication for

schizophrenia is brought to the emergency department with severe muscle

rigidity and hyperthermia. These symptoms are most likely caused by

which of the following? - 🧠 ANSWER ✔✔Neuroleptic malignant syndrome

, These are classic symptoms of neuroleptic malignant syndrome, which is a

rare reaction to antipsychotic medications.

Which of the following patients should be evaluated first - 🧠 ANSWER

✔✔An 18-month-old with bilious emesis Bilious emesis in an 18-month-old

is always considered an emergent symptom indicative of a life-threatening

bowel obstruction.

1. Which of the following tasks can the nurse do to decrease adverse

medication events? - 🧠 ANSWER ✔✔Obtain the patient's weight in

kilograms This is the preferred measurement for medication calculations for

pediatric and adult patients

Acute chest syndrome, stroke, and splenic sequestration are complications

of which of the following diseases? - 🧠 ANSWER ✔✔Sickle cell anemia

These are all complications of sickle cell anemia.

During the assessment of a 16-year-old male patient, the ED nurse

identifies him as a potential sex trafficking victim. The trauma informed

approach to care emphasizes certain principles in caring for these types of

patients. Which of the following care principles has the highest priority? - 🧠

ANSWER ✔✔Physical and psychological safety Create an environment



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