ENPC TEST QUESTIONS AND ANSWERS|100% VERIFIED CORRECT!!! | LATEST UPDATE

1. The pediatric assessment triangle (PAT) consists of which three components? a) Airway, Breathing, Circulation b) Appearance, Work of Breathing, Circulation to Skin c) Mental Status, Heart Rate, Respiratory Rate d) Pulse Oximetry, Capillary Refill, Blood Pressure ANSWER: b) Appearance, Work of Breathing, Circulation to Skin 2. A 4-year-old child presents with a brassy, barking cough and mild stridor. The most likely diagnosis is: a) Epiglottitis b) Bacterial Tracheitis c) Croup (Laryngotracheobronchitis) d) Foreign Body Aspiration ANSWER: c) Croup (Laryngotracheobronchitis) 3. The correct compression-to-ventilation ratio for a single rescuer performing CPR on an infant is: a) 15:2 b) 30:2 c) 15:1 d) 30:1 ANSWER: b) 30:2 4. Signs of compensated shock in a child include: a) Bradycardia and hypotension b) Tachycardia and cool, mottled extremities c) Apnea and fixed, dilated pupils d) Hypertension and bradypnea ANSWER: b) Tachycardia and cool, mottled extremities 5. The preferred intraosseous (IO) insertion site in a young child is the: a) Distal femur b) Proximal humerus c) Proximal tibia d) Sternum ANSWER: c) Proximal tibia 6. A 2-month-old infant presents with a history of "turning blue" during a crying spell. The primary assessment reveals a loud, harsh systolic murmur. This presentation is most consistent with: a) Sepsis b) Tetralogy of Fallot c) Asthma d) Seizure disorder ANSWER: b) Tetralogy of Fallot 7. The initial fluid bolus for a child in hypovolemic shock is: a) 10 mL/kg b) 20 mL/kg c) 40 mL/kg d) 60 mL/kg ANSWER: b) 20 mL/kg 8. Which of the following is a late sign of increased intracranial pressure (ICP) in a child? a) Headache b) Vomiting c) Cushing's Triad (hypertension, bradycardia, irregular respirations) d) Irritability ANSWER: c) Cushing's Triad (hypertension, bradycardia, irregular respirations) 9. A 7-year-old with a known peanut allergy is stung by a bee and develops urticaria, facial swelling, and wheezing. The first-line medication of choice is: a) Albuterol b) Diphenhydramine c) Epinephrine d) Methylprednisolone ANSWER: c) Epinephrine 10. The Glasgow Coma Scale (GCS) assesses which three functions? a) Pulse, Respiration, Blood Pressure b) Eye Opening, Verbal Response, Motor Response c) Orientation, Memory, Concentration d) Pupil Reaction, Motor Strength, Sensory Response ANSWER: b) Eye Opening, Verbal Response, Motor Response 11. When using a length-based resuscitation tape (e.g., Broselow tape), the correct color zone is determined by the child's: a) Weight b) Age c) Height/Length d) Body Mass Index (BMI) ANSWER: c) Height/Length 12. A toddler presents with sudden onset of coughing and choking. The child is alert but has diminished breath sounds on the right. The most appropriate initial action is to: a) Administer back blows and chest thrusts b) Perform blind finger sweeps c) Provide 100% oxygen via non-rebreather mask d) Assist with ventilations using a bag-valve-mask ANSWER: a) Administer back blows and chest thrusts 13. The normal systolic blood pressure for a 5-year-old child is approximately: a) 60 mmHg b) 80 mmHg c) 100 mmHg d) 120 mmHg ANSWER: c) 100 mmHg 14. A child with diabetic ketoacidosis (DKA) is most at risk for which complication during treatment? a) Hyperkalemia b) Hypoglycemia c) Cerebral Edema d) Pulmonary Edema ANSWER: c) Cerebral Edema 15. The "tripod" position is a classic sign of: a) Cardiac failure b) Severe respiratory distress c) Abdominal pain d) Head injury ANSWER: b) Severe respiratory distress 16. For a pediatric patient with a stable, narrow-complex tachycardia, the first-line treatment is: a) Synchronized Cardioversion b) Adenosine c) Vagal Maneuvers d) Amiodarone ANSWER: c) Vagal Maneuvers 17. A bulging fontanelle in an irritable infant is most suggestive of: a) Dehydration b) Increased Intracranial Pressure c) Skull Fracture d) Normal variant ANSWER: b) Increased Intracranial Pressure 18. The minimal acceptable urine output for a child is: a) 0.5 mL/kg/hr b) 1 mL/kg/hr c) 2 mL/kg/hr d) 4 mL/kg/hr ANSWER: b) 1 mL/kg/hr 19. A 3-year-old with a fever and petechial rash that does not blanch is suspected of having: a) Scarlet Fever b) Meningococcemia c) Measles d) Allergic Reaction ANSWER: b) Meningococcemia 20. During the primary assessment, the "D" in the ABCDE mnemonic stands for: a) Diagnosis b) Disability (Neurologic Status) c) Decompression d) Delivery (of medications) ANSWER: b) Disability (Neurologic Status) 21. The correct depth for chest compressions in an infant is: a) At least one-half the anterior-posterior diameter of the chest b) 1 inch c) 2 inches d) 1.5 inches ANSWER: b) 1 inch (approximately 4 cm) 22. A child who has been submerged in a swimming pool and is now coughing with pink, frothy sputum is most likely experiencing: a) Cardiogenic Shock b) Dry Drowning c) Acute Respiratory Distress Syndrome (ARDS) d) Pulmonary Edema secondary to water aspiration ANSWER: d) Pulmonary Edema secondary to water aspiration 23. The medication of choice for a symptomatic patient with a wide-complex tachycardia and a pulse is: a) Adenosine b) Amiodarone c) Epinephrine d) Lidocaine ANSWER: a) Adenosine 24. Signs of severe dehydration in an infant include all of the following EXCEPT: a) Sunken eyes and fontanelle b) Tachycardia c) Slow, deep respirations d) Delayed capillary refill ANSWER: c) Slow, deep respirations 25. When managing a seizure in a child, the priority nursing action is to: a) Administer IV Lorazepam b) Ensure a patent airway and prevent injury c) Obtain a stat blood glucose d) Place a tongue blade in the mouth ANSWER: b) Ensure a patent airway and prevent injury 26. The "E" in the SAMPLE history mnemonic stands for: a) Edema b) Events Leading to the Illness/Injury c) Examination d) Electrolytes ANSWER: b) Events Leading to the Illness/Injury 27. A child with suspected spinal cord injury should be immobilized with: a) A cervical collar only b) A cervical collar and long backboard c) A rolled towel and tape d) Manual in-line stabilization only ANSWER: b) A cervical collar and long backboard 28. The most common cause of cardiac arrest in children is: a) Primary Cardiac Arrhythmia b) Respiratory Failure or Shock c) Severe Head Trauma d) Electrolyte Imbalance ANSWER: b) Respiratory Failure or Shock 29. A 10-year-old with sickle cell disease presents with severe abdominal and leg pain. The most likely diagnosis is: a) Appendicitis b) Vaso-occlusive Crisis c) Septic Arthritis d) Gastroenteritis ANSWER: b) Vaso-occlusive Crisis 30. Capillary refill time is considered delayed if it is greater than: a) 1 second b) 2 seconds c) 3 seconds d) 5 seconds ANSWER: b) 2 seconds