ULTIMATE ENPC EXAM PRACTICE QUESTIONS
WITH VERIFIED CORRECT ANSWERS 2025
◉ An 18-month-old is seen for fever, slight circumoral cyanosis, and
wheezing noted on auscultation in the right upper lobe of the lung
field after a choking event 4 days ago. The white blood cell count is
elevated and the patient noted to be tachypneic, tachycardic,
agitated, and has an increased respiratory effort. At the time of the
event, the patient was started on antibiotics with subsequent
increasing manifestations instead of improvement. Which of the
following would be considered to be definitive treatment for the
suspected diagnosis? Answer: The definitive treatment would be a
bronchoscopy in order to retrieve the suspected foreign body
instead of diagnostic tests to locate the foreign body itself.
◉ A child in cardiopulmonary arrest is receiving chest compressions
and manual ventilations with a bag-mask device. Once return of
spontaneous circulation has been confirmed, which of the following
would be the priority intervention? Answer: Establishing a secure
airway
◉ Parents report their 3-year-old child has developed noisy
breathing. On assessment, high-pitched wheezes are audible and
,auscultated on inspiration and expiration. What medication would
be appropriate to administer first? Answer: initial medication
intervention includes an inhaled short-acting beta agonist.
◉ A 6-week-old is brought to the emergency department by the
caregivers for poor feeding, listlessness, and fever. Assessment
reveals a crying infant, HR 160 beats/minute, RR 52 breaths/minute,
rectal temperature of 96.0 F (35.5 C), and a bulging anterior
fontanel. Capillary refill is 4 seconds. Based on these findings what is
the most likely diagnostic test the nurse should anticipate? Answer:
Lumbar puncture
◉ A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders
should the nurse question? Answer: Ketorolac
Remediation feedback:
Ketorolac is an appropriate medication for moderate to severe pain,
however, it should not be used pre-operatively due to its potential to
increase the bleeding risk.
◉ A 17-year-old female arrives in the ED with her boyfriend who
states she is pregnant and having vaginal bleeding. The patient is
unsure of the gestational age and has not had any prenatal
treatment. The patient is quiet and lets her boyfriend answer most
of the questions. Which of the following is the most appropriate
,action for the nurse to take at this point? Answer: Have the
boyfriend leave the room during the pelvic exam.
◉ A 2-year-old arrives at the ED in hypovolemic shock and needs
fluids immediately. After several attempts, your team has been
unsuccessful at establishing vascular access. Of the following, which
is the next best option for establishing access quickly? Answer:
Intraosseous in the patient's medial tibia.
◉ A child with an electrical injury is seen 1 hour post event. Which
of the following types of specimen samples would provide visual
information regarding a potential complication of this injury?
Answer: Myoglobin is excreted in the urine and is evidenced by dark,
red-tinged urine.
◉ Parents with an infant requiring multiple laboratory tests,
radiographic studies, and invasive procedures appear to be
distressed and withdrawn. Which of the following interventions
would best ensure a sense of comfort and control for these parents?
Answer: Providing frequent updates and re-educating them on the
care that is being provided
◉ When taking vital signs on a stable infant, which of the following
should be done first? Answer: Respiratory rate
, ◉ A laceration on a toddler's arm is prepared for suturing. Which of
the following preparations for topical anesthesia would be the best
choice for this procedure? Answer: LET
(lidocaine/epinephrine/tetracaine)
◉ Which of the following is appropriate administration of N-
acetylcysteine (NAC) for an acetaminophen overdose? Answer: A
bolus infusion of 150 mg/kg NAC should be administered.
◉ A 2-year-old is seen with a 3-day history of irritability, vomiting,
and the presence of foul-smelling urine. The child is hypotensive and
tachycardic. Which of the following methods for obtaining a urine
sample is most appropriate in this circumstance? Answer: Urinary
catherization
◉ You are discharging a patient home who has a history of
depression. Discharge teaching should include which of the
following? Answer: Ensuring all firearms in the home are locked up
with no access available by the patient.
◉ A 2-year-old arrives with a 2-day history of vomiting and
diarrhea. The patient has a fever of 38.4oC (101.2°F), resting HR of
152 beats/minute, RR of 34 breaths/minute, and blood pressure of
94/ 56 mm Hg. Assessment reveals a capillary refill time of > 5
seconds. Which of the following would be most indicative of the
need for intravenous rehydration therapy for this patient? Answer:
Capillary refill
WITH VERIFIED CORRECT ANSWERS 2025
◉ An 18-month-old is seen for fever, slight circumoral cyanosis, and
wheezing noted on auscultation in the right upper lobe of the lung
field after a choking event 4 days ago. The white blood cell count is
elevated and the patient noted to be tachypneic, tachycardic,
agitated, and has an increased respiratory effort. At the time of the
event, the patient was started on antibiotics with subsequent
increasing manifestations instead of improvement. Which of the
following would be considered to be definitive treatment for the
suspected diagnosis? Answer: The definitive treatment would be a
bronchoscopy in order to retrieve the suspected foreign body
instead of diagnostic tests to locate the foreign body itself.
◉ A child in cardiopulmonary arrest is receiving chest compressions
and manual ventilations with a bag-mask device. Once return of
spontaneous circulation has been confirmed, which of the following
would be the priority intervention? Answer: Establishing a secure
airway
◉ Parents report their 3-year-old child has developed noisy
breathing. On assessment, high-pitched wheezes are audible and
,auscultated on inspiration and expiration. What medication would
be appropriate to administer first? Answer: initial medication
intervention includes an inhaled short-acting beta agonist.
◉ A 6-week-old is brought to the emergency department by the
caregivers for poor feeding, listlessness, and fever. Assessment
reveals a crying infant, HR 160 beats/minute, RR 52 breaths/minute,
rectal temperature of 96.0 F (35.5 C), and a bulging anterior
fontanel. Capillary refill is 4 seconds. Based on these findings what is
the most likely diagnostic test the nurse should anticipate? Answer:
Lumbar puncture
◉ A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which of the following intravenous medication orders
should the nurse question? Answer: Ketorolac
Remediation feedback:
Ketorolac is an appropriate medication for moderate to severe pain,
however, it should not be used pre-operatively due to its potential to
increase the bleeding risk.
◉ A 17-year-old female arrives in the ED with her boyfriend who
states she is pregnant and having vaginal bleeding. The patient is
unsure of the gestational age and has not had any prenatal
treatment. The patient is quiet and lets her boyfriend answer most
of the questions. Which of the following is the most appropriate
,action for the nurse to take at this point? Answer: Have the
boyfriend leave the room during the pelvic exam.
◉ A 2-year-old arrives at the ED in hypovolemic shock and needs
fluids immediately. After several attempts, your team has been
unsuccessful at establishing vascular access. Of the following, which
is the next best option for establishing access quickly? Answer:
Intraosseous in the patient's medial tibia.
◉ A child with an electrical injury is seen 1 hour post event. Which
of the following types of specimen samples would provide visual
information regarding a potential complication of this injury?
Answer: Myoglobin is excreted in the urine and is evidenced by dark,
red-tinged urine.
◉ Parents with an infant requiring multiple laboratory tests,
radiographic studies, and invasive procedures appear to be
distressed and withdrawn. Which of the following interventions
would best ensure a sense of comfort and control for these parents?
Answer: Providing frequent updates and re-educating them on the
care that is being provided
◉ When taking vital signs on a stable infant, which of the following
should be done first? Answer: Respiratory rate
, ◉ A laceration on a toddler's arm is prepared for suturing. Which of
the following preparations for topical anesthesia would be the best
choice for this procedure? Answer: LET
(lidocaine/epinephrine/tetracaine)
◉ Which of the following is appropriate administration of N-
acetylcysteine (NAC) for an acetaminophen overdose? Answer: A
bolus infusion of 150 mg/kg NAC should be administered.
◉ A 2-year-old is seen with a 3-day history of irritability, vomiting,
and the presence of foul-smelling urine. The child is hypotensive and
tachycardic. Which of the following methods for obtaining a urine
sample is most appropriate in this circumstance? Answer: Urinary
catherization
◉ You are discharging a patient home who has a history of
depression. Discharge teaching should include which of the
following? Answer: Ensuring all firearms in the home are locked up
with no access available by the patient.
◉ A 2-year-old arrives with a 2-day history of vomiting and
diarrhea. The patient has a fever of 38.4oC (101.2°F), resting HR of
152 beats/minute, RR of 34 breaths/minute, and blood pressure of
94/ 56 mm Hg. Assessment reveals a capillary refill time of > 5
seconds. Which of the following would be most indicative of the
need for intravenous rehydration therapy for this patient? Answer:
Capillary refill
