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ENPC Pre-Course Exam Study Guide 2025 | Emergency Nursing
Pediatric Course Practice Questions, Answers, and Review
Prepare for your ENPC Pre-Course Exam with this 2025 comprehensive study guide. Review
pediatric assessment, trauma care, shock management, airway and breathing interventions, and
family-centered communication. Includes ENPC-style practice questions, scenarios, and
rationales to help you pass your pre-course exam with confidence.
• ENPC pre-course exam 2025
• Emergency Nursing Pediatric Course pretest
• ENPC pre-course practice questions
The normal systolic blood pressure for a 4 year old is between 89-112 mm Hg. The other vitals are within
normal limits for that age. When the clinical picture of the patient does not match the vitals, check to
make sure you are using the correctly sized equipment first. A blood pressure cuff that is too small will
give a reading that is higher than it actually is.
A parent presents to the emergency department carrying her 12-week-old infant. The PAT reveals an
infant who is quiet and opens eyes with stimulation, whose breathing is regular and even, and whose
skin is pale, with a scattered vesicular rash. What is the priority intervention for this infant? - ANSWER-
Initiate isolation precautions
A 10-year-old playing baseball is hit in the chest with a ball. He immediately demonstrates loss of
consciousness with no pulses. Which of the following is the priority intervention? - ANSWER-Utilize
AED/defibrillator
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A 6-year-old child weighing 20 kg (44.1 lb) arrives in full arrest following an electrocution event. CPR is in
progress after defibrillation for ventricular fibrillation. What is the intravenous dose of epinephrine for
this patient? - ANSWER-0.2mg
A 7-year-old is being seen for new onset of headaches. Which of the following manifestations would
most likely rule out the potential of a primary etiology? - ANSWER-Presence of ataxia
Which of the following is the highest priority intervention for a well-appearing 2-month-old with a
fever? - ANSWER-Urine culture
The nurse is reevaluating the effectiveness of interventions for a 4-year-old child with a suspected
tension pneumothorax. Which assessment finding indicates the interventions were effective? -
ANSWER-Bilateral chest wall rise with assisted ventilations
An infant with a history of tracheal stenosis is noted to have severe respiratory distress. The child is
repositioned with padding under the shoulders so the patient is in a sniffing position. Which of the
following assessment findings indicate that appropriate corrective action was taken? - ANSWER-
Decrease in snoring respirations
A 3 year-old patient presents following frequent emesis and diarrhea over the past 12 hours. Which of
the following assessment findings indicate that the patient' body is compensating for the fluid loss? -
ANSWER-Increased diastolic blood pressure
A 5-year-old arrives in the ED with a 4 day history of vomiting. Vital signs: HR 136 beats/minute, RR 36
breaths/minute, BP 92/56 mm Hg, T 38oC (100.4oF), and pulse oximetry 93% on room air. The child is
pale with warm, dry skin and a capillary refill of 3 seconds. A fluid bolus is completed. Which of the
following reassessment findings indicate that a second fluid bolus is necessary? - ANSWER-Blood
pressure of 92/78
A teenager presents to the ED for evaluation of pain with deep inspiration. The pain was a sudden onset
after running track at school. While obtaining the history, the patient states that they have Marfan
Syndrome. What would be a priority triage question based on this information? - ANSWER-"Have you
ever had a pneumothorax?"
ENPC Pre-Course Exam Study Guide 2025 | Emergency Nursing
Pediatric Course Practice Questions, Answers, and Review
Prepare for your ENPC Pre-Course Exam with this 2025 comprehensive study guide. Review
pediatric assessment, trauma care, shock management, airway and breathing interventions, and
family-centered communication. Includes ENPC-style practice questions, scenarios, and
rationales to help you pass your pre-course exam with confidence.
• ENPC pre-course exam 2025
• Emergency Nursing Pediatric Course pretest
• ENPC pre-course practice questions
The normal systolic blood pressure for a 4 year old is between 89-112 mm Hg. The other vitals are within
normal limits for that age. When the clinical picture of the patient does not match the vitals, check to
make sure you are using the correctly sized equipment first. A blood pressure cuff that is too small will
give a reading that is higher than it actually is.
A parent presents to the emergency department carrying her 12-week-old infant. The PAT reveals an
infant who is quiet and opens eyes with stimulation, whose breathing is regular and even, and whose
skin is pale, with a scattered vesicular rash. What is the priority intervention for this infant? - ANSWER-
Initiate isolation precautions
A 10-year-old playing baseball is hit in the chest with a ball. He immediately demonstrates loss of
consciousness with no pulses. Which of the following is the priority intervention? - ANSWER-Utilize
AED/defibrillator
, 2|Page
A 6-year-old child weighing 20 kg (44.1 lb) arrives in full arrest following an electrocution event. CPR is in
progress after defibrillation for ventricular fibrillation. What is the intravenous dose of epinephrine for
this patient? - ANSWER-0.2mg
A 7-year-old is being seen for new onset of headaches. Which of the following manifestations would
most likely rule out the potential of a primary etiology? - ANSWER-Presence of ataxia
Which of the following is the highest priority intervention for a well-appearing 2-month-old with a
fever? - ANSWER-Urine culture
The nurse is reevaluating the effectiveness of interventions for a 4-year-old child with a suspected
tension pneumothorax. Which assessment finding indicates the interventions were effective? -
ANSWER-Bilateral chest wall rise with assisted ventilations
An infant with a history of tracheal stenosis is noted to have severe respiratory distress. The child is
repositioned with padding under the shoulders so the patient is in a sniffing position. Which of the
following assessment findings indicate that appropriate corrective action was taken? - ANSWER-
Decrease in snoring respirations
A 3 year-old patient presents following frequent emesis and diarrhea over the past 12 hours. Which of
the following assessment findings indicate that the patient' body is compensating for the fluid loss? -
ANSWER-Increased diastolic blood pressure
A 5-year-old arrives in the ED with a 4 day history of vomiting. Vital signs: HR 136 beats/minute, RR 36
breaths/minute, BP 92/56 mm Hg, T 38oC (100.4oF), and pulse oximetry 93% on room air. The child is
pale with warm, dry skin and a capillary refill of 3 seconds. A fluid bolus is completed. Which of the
following reassessment findings indicate that a second fluid bolus is necessary? - ANSWER-Blood
pressure of 92/78
A teenager presents to the ED for evaluation of pain with deep inspiration. The pain was a sudden onset
after running track at school. While obtaining the history, the patient states that they have Marfan
Syndrome. What would be a priority triage question based on this information? - ANSWER-"Have you
ever had a pneumothorax?"
