ENPC TEST QUESTIONS AND
CORRECT ANSWERS
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia ANSW✅✅D. Anteromedial tibia
An important consideration in the assessment of pain for an adolescent patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong. ANSW✅✅A. May deny or
minimize their pain when friends visit for fear of losing control.
An 8-month-old infant with pneumonia has severe intercostal and substernal retractions, weak
muscle tone, lethargy, and gray skin color. The infant's condition does not improve after bag-mask
ventilation. The next step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol. ANSW✅✅C. Rapid sequence intubation.
Which combination of medications is best to have prepared for a pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium. ANSW✅✅B. Epinephrine and glucose.
, A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry and is jittery.
Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen. ANSW✅✅B. Finger-stick glucose.
Which intervention should be performed next if tactile stimulation, positioning, drying, and blow-by
oxygen administration do not increase a newborn's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
D. Bag-mask ventilation. ANSW✅✅D. Bag-mask ventilation.
A 10-kg child has deep partial-thickness burns over 35% of the total body surface area. Which
evaluation parameter indicates that fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour. ANSW✅✅D. Urine output of 11 ml/hour.
A 7-year-old female sustains a minor head injury and did not lose consciousness. She does not
respond to commands and groans in response to questions. Which action will quickly determine if
her behavior indicates a serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual. ANSW✅✅D. Ask the parents if her behavior is
unusual.
An 8-month-old child presents with purpura, irritability, and a rectal temperature of 39.4�C
(102.9�F). An intervention of high priority is:
A. Encouraging the caregiver to hold and comfort the child.
CORRECT ANSWERS
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia ANSW✅✅D. Anteromedial tibia
An important consideration in the assessment of pain for an adolescent patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong. ANSW✅✅A. May deny or
minimize their pain when friends visit for fear of losing control.
An 8-month-old infant with pneumonia has severe intercostal and substernal retractions, weak
muscle tone, lethargy, and gray skin color. The infant's condition does not improve after bag-mask
ventilation. The next step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol. ANSW✅✅C. Rapid sequence intubation.
Which combination of medications is best to have prepared for a pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium. ANSW✅✅B. Epinephrine and glucose.
, A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry and is jittery.
Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen. ANSW✅✅B. Finger-stick glucose.
Which intervention should be performed next if tactile stimulation, positioning, drying, and blow-by
oxygen administration do not increase a newborn's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
D. Bag-mask ventilation. ANSW✅✅D. Bag-mask ventilation.
A 10-kg child has deep partial-thickness burns over 35% of the total body surface area. Which
evaluation parameter indicates that fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour. ANSW✅✅D. Urine output of 11 ml/hour.
A 7-year-old female sustains a minor head injury and did not lose consciousness. She does not
respond to commands and groans in response to questions. Which action will quickly determine if
her behavior indicates a serious head injury?
A. Review her medical record for pre-existing developmental problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual. ANSW✅✅D. Ask the parents if her behavior is
unusual.
An 8-month-old child presents with purpura, irritability, and a rectal temperature of 39.4�C
(102.9�F). An intervention of high priority is:
A. Encouraging the caregiver to hold and comfort the child.
