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ENPC Test Questions – 2025/2026 | 100+ Pediatric Emergency Q&A | PAT, Shock, Trauma, Ingestions, Resuscitation | Emergency Nursing

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This document presents over 100 fully answered and illustrated multiple-choice questions for the Emergency Nursing Pediatric Course (ENPC) exam, updated for the 2025/2026 academic year. Aligned with the Emergency Nurses Association (ENA) certification standards, it offers a focused review of clinical scenarios and best practices in pediatric emergency care. All questions include clear correct answers and represent real-world scenarios involving trauma, airway management, neurological assessment, neonatal care, shock types, and toxicology emergencies. Each Q&A reflects the depth of content tested on the ENPC written exam and supports clinical decision-making and rapid assessment skills. Key topics include: Pediatric Assessment Triangle (PAT): Airway, breathing, circulation triage cues Shock Recognition: Hypovolemic, cardiogenic, distributive, and obstructive shock in pediatric settings Ingestions and Toxicology: Tricyclic antidepressants (e.g., Elavil), button batteries, chemical exposures Neonatal and Infant Emergencies: Rapid sequence intubation, glucose monitoring, intraosseous access Child Maltreatment and Trauma: Retinal hemorrhages, TEN-4 bruising criteria, abdominal injuries, fractures Airway and Resuscitation: Jaw thrust maneuver, bag-mask ventilation, chest compressions, suctioning Legal/Ethical Issues: Consent, caregiver communication, mandated reporting, trafficking red flags Behavioral Responses and Communication: Erikson’s stages, psychosocial trauma, calming strategies for families Clinical Protocols: Burn fluid resuscitation, fever management in sickle cell, oxygen therapy, vital signs benchmarks This is a perfect fit for: Nurses pursuing ENPC certification or renewal Nursing students in emergency, trauma, or pediatric rotations BSN, MSN, and DNP candidates needing pediatric emergency review Medical staff in ER, pediatric urgent care, EMS, or prehospital settings Students preparing for NCLEX, PALS, or pediatric-focused credentialing exams It’s ideal for quick study, deep review, or case-based learning and offers high-yield material that enhances both test performance and clinical readiness. Keywords: ENPC 2025 questions, pediatric trauma care, PAT triangle, hypovolemic shock, pediatric airway, ingestion emergency, Elavil overdose, child abuse signs, jaw thrust maneuver, intraosseous access infant, neonatal resuscitation, peds burn fluid resuscitation, child neglect, retinal hemorrhage, pediatric shock types, ENPC practice exam, pediatric nurse prep, emergency nursing certification

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October 2, 2025
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Written in
2025/2026
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ENPC Test Questions 2025/2026 Exam
All Answers and Illustrations Given



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. - 🧠 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. - 🧠 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?

A. Minor surface injury.

B. Significant underlying injury.

C. Significant surface injury.


D. Minor underlying injury. - 🧠 ANSWER ✔✔B. Significant underlying injury.


Which piece of information is most important to know prior to transferring a

patient to another facility?

A. Documentation of the family's health insurance coverage.

B. Pertinent family health history.

C. Confirmation of acceptance from the receiving hospital.


D. Confirmation of a medical diagnosis. - 🧠 ANSWER ✔✔C. Confirmation of

acceptance from the receiving hospital.
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