ENPC PRE-COURSE ACTUAL EXAM AND COMPREHENSIVE
STUDY GUIDE 2025/2026/ACTUAL COMPLETE REAL EXAM
QUESTIONS WITH WELL ELABORATED ANSWERS (EXPERT
VERIFIED ANSWERS) ALREADY GRADED A+ /100% PASS !!!
What are the four types of shock, name one cause for each type
– ANSWER-Hypovolemic: fluid volume depletion
Obstructive: pump/pipe obstruction
Cardiogenic: heart failure
Distributive: systemic vasodilation
An ambulance arrives with a 16-year-old male involved in a dirt
bike crash who was intubated prior to arrival. Which of the
following is the priority assessment or intervention?
a. assess the oropharynx
b. assess ETT placement
c. insert an orogastric tube
d. insert a second IV access - ANSWER-B.
If a patient arrives with an artificial airway (endotracheal tube or
tracheostomy) in place, assess its placement, patency, and the
oral airway (in that order) before moving to the next step of the
primary survey. The oropharynx should be checked for fluids or
objects such as broken teeth. Inserting a gastric tube in an
,intubated patient and starting a second large caliber IV line
should also be done, but they don't take priority over airway.
Which of the following patient presentations should increase
suspicion of potential child maltreatment?
a. closed greenstick wrist fx in a 4 yo child who fell off his bike
b. bruises in various stages of healing to the lower extremities
of a 2 yo child
c. right radial spiral fx in a 10 yo practicing martial arts
d. bruising to the left ear of a newborn from sleeping on his
side. - ANSWER-D.
Any bruises in a non-exploratory location (especially torso,
ears, and neck) in children younger than 4 years old and ANY
bruising in a child younger than 4 months old is suspicious for
child maltreatment. Bruises to the lower extremities of a 2-year-
old who is learning to walk on their own is not uncommon.
Greenstick fractures are a more common fracture is children
due to the immaturity of their bone structure. Martial arts
includes many moves that could produce a spiral fracture.
A 14-year-old patient sustained a displaced fracture of the
radius and ulna after falling from a bicycle. Which of the
following pain control interventions is most likely to result in
improvement in symptoms related to pain?
a. applying a topical lidocaine-based cream
, b. elevating the extremity to the level of the heart
c. placing warm compresses on the affected extremity
d. applying a splint to the affected extremity - ANSWER-D.
Splinting is an effective non-pharmacologic intervention to
reduce pain associated with fractures. This will also help to
minimize complications. Topical creams and elevation of the
extremity will not help with pain control. The application of ice
in an appropriate manner can help, but not warmth which would
be contraindicated in the early stages of the injury.
For the infant, what duration of time is consider apneic?
a. 10 seconds
b. 20 seconds
c. 5 seconds
d. 15 seconds - ANSWER-B.
The respiratory rate, depth, and regularity all continue to
change the first year of life, making respiratory assessments
different than those of older children. Infants breathe faster and
less regularly, with apnea not considered as such until 20
seconds without a breath or associated with other physiologic
effects such as bradycardia.
Which of the following is a known cause of pediatric seizures?
a. benzodiazepine OD
b. SVT
STUDY GUIDE 2025/2026/ACTUAL COMPLETE REAL EXAM
QUESTIONS WITH WELL ELABORATED ANSWERS (EXPERT
VERIFIED ANSWERS) ALREADY GRADED A+ /100% PASS !!!
What are the four types of shock, name one cause for each type
– ANSWER-Hypovolemic: fluid volume depletion
Obstructive: pump/pipe obstruction
Cardiogenic: heart failure
Distributive: systemic vasodilation
An ambulance arrives with a 16-year-old male involved in a dirt
bike crash who was intubated prior to arrival. Which of the
following is the priority assessment or intervention?
a. assess the oropharynx
b. assess ETT placement
c. insert an orogastric tube
d. insert a second IV access - ANSWER-B.
If a patient arrives with an artificial airway (endotracheal tube or
tracheostomy) in place, assess its placement, patency, and the
oral airway (in that order) before moving to the next step of the
primary survey. The oropharynx should be checked for fluids or
objects such as broken teeth. Inserting a gastric tube in an
,intubated patient and starting a second large caliber IV line
should also be done, but they don't take priority over airway.
Which of the following patient presentations should increase
suspicion of potential child maltreatment?
a. closed greenstick wrist fx in a 4 yo child who fell off his bike
b. bruises in various stages of healing to the lower extremities
of a 2 yo child
c. right radial spiral fx in a 10 yo practicing martial arts
d. bruising to the left ear of a newborn from sleeping on his
side. - ANSWER-D.
Any bruises in a non-exploratory location (especially torso,
ears, and neck) in children younger than 4 years old and ANY
bruising in a child younger than 4 months old is suspicious for
child maltreatment. Bruises to the lower extremities of a 2-year-
old who is learning to walk on their own is not uncommon.
Greenstick fractures are a more common fracture is children
due to the immaturity of their bone structure. Martial arts
includes many moves that could produce a spiral fracture.
A 14-year-old patient sustained a displaced fracture of the
radius and ulna after falling from a bicycle. Which of the
following pain control interventions is most likely to result in
improvement in symptoms related to pain?
a. applying a topical lidocaine-based cream
, b. elevating the extremity to the level of the heart
c. placing warm compresses on the affected extremity
d. applying a splint to the affected extremity - ANSWER-D.
Splinting is an effective non-pharmacologic intervention to
reduce pain associated with fractures. This will also help to
minimize complications. Topical creams and elevation of the
extremity will not help with pain control. The application of ice
in an appropriate manner can help, but not warmth which would
be contraindicated in the early stages of the injury.
For the infant, what duration of time is consider apneic?
a. 10 seconds
b. 20 seconds
c. 5 seconds
d. 15 seconds - ANSWER-B.
The respiratory rate, depth, and regularity all continue to
change the first year of life, making respiratory assessments
different than those of older children. Infants breathe faster and
less regularly, with apnea not considered as such until 20
seconds without a breath or associated with other physiologic
effects such as bradycardia.
Which of the following is a known cause of pediatric seizures?
a. benzodiazepine OD
b. SVT
