_____________________________________
ENPC 6TH EDITION
EXAM:2026/2027
EMERGENCY NURSING
PEDIATRIC COURSE
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EMERGENCY NURSING
PEDIATRIC
ENPC 6TH EDITION
,A 5-year-old child presents to the emergency department after being hit by a car.
The patient complains of left upper quadrant pain, and the focused assessment with
sonography for trauma (FAST) exam shows fluid around her spleen. Which of the
following findings would be an early indication of ongoing blood loss?
A.Widening pulse pressure
B.Bradycardia
C.Decreasing diastolic blood pressure
D.Weak peripheral pulses - CORRECT-ANSWERS--D.Weak peripheral pulses
Rationale:
Early signs of hypovolemic shock include tachycardia and delayed capillary refill.
The nurse may note a strong central pulse but weaker peripheral pulses, indicating
the child is compensating by shunting blood to their core.
Which of the following indicates the need for additional caregiver education
regarding a urinary tract infection?
A.I should encourage my child to drink extra fluids.
B.I need to make a follow-up appointment with child's physician.
C.My child will grow out of their frequent urinary tract infections.
D.My child should complete all of their antibiotic medication - CORRECT-
ANSWERS--C.My child will grow out of their frequent urinary tract infections.
Rationale
Urinary tract infections are not a normal occurrence in children and are not
something children will "grow out of." Additional investigation and follow-up are
needed when a child has frequent urinary tract infections. Drinking extra fluids
should be encouraged. Patients should always finish the complete course of
,antibiotics to eliminate the infection. And follow-up should be done to make sure
the infection has been eliminated.
A 4-day-old who is brought to the emergency department with the parental
complaint of "not acting right" is found to be hypoglycemic. What is the
appropriate glucose concentration to administer to this neonate?
A.Dextrose 5%
B.Dextrose 10%
C.Dextrose 25%
D.Dextrose 50% - CORRECT-ANSWERS--B.Dextrose 10%
Rationale
Dextrose 10% is the preferred concentration for neonates with hypoglycemia to
protect their fragile vasculature while providing needed glucose. Dextrose 5% is
not used to treat hypoglycemia in children. Dextrose 25% is used for children
above the age of 5 years. Dextrose 50% is not recommended for use in pediatrics
unless it is diluted.
Which of the following patient presentations should increase suspicion of potential
child maltreatment?
A.Closed greenstick wrist fracture in a 4-year-old child who fell off his bicycle
B.Bruises in various stages of healing to the lower extremities of a 2-year-old child
C.Right radial spiral fracture in a 10 year old practicing martial arts
D.Bruising to the left ear of a newborn from sleeping on his side - CORRECT-
ANSWERS--D.Bruising to the left ear of a newborn from sleeping on his side
Rationale
, 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.
Which of the following patients should be evaluated first?
A.A 3-year-old with a dislodged gastrostomy tube
B.An 18-month-old with bilious emesis
C.A 12-year-old with vomiting after a handlebar injury
D.A 3-month-old with periods of inconsolable crying - CORRECT-ANSWERS--
B.An 18-month-old with bilious emesis
Rationale
The presence of bilious emesis is especially concerning because it may be
indicative of an immediately life-threatening bowel obstruction. A dislodged
gastrostomy tube should be reinserted within 4-6 hours to prevent stoma closure.
Vomiting following a handlebar injury may be indicative of many possible injuries,
but does not take precedence unless other symptoms are present. Infantile colic is
described as inconsolable crying in infants, 2 weeks to 4 months old, for up to 3
hours per day, more than 3 days per week, and lasting for more than 3 weeks.
A 3-month-old is brought to the emergency department with new onset of fever.
You note the child to be pale, tachypneic, and tachycardic, with weak distal pulses.
Which intervention is the priority for this patient?
A.Administer an appropriate dose of an antipyretic
B.Infuse a rapid 10-20 mL/kg bolus of an isotonic crystalloid
ENPC 6TH EDITION
EXAM:2026/2027
EMERGENCY NURSING
PEDIATRIC COURSE
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EMERGENCY NURSING
PEDIATRIC
ENPC 6TH EDITION
,A 5-year-old child presents to the emergency department after being hit by a car.
The patient complains of left upper quadrant pain, and the focused assessment with
sonography for trauma (FAST) exam shows fluid around her spleen. Which of the
following findings would be an early indication of ongoing blood loss?
A.Widening pulse pressure
B.Bradycardia
C.Decreasing diastolic blood pressure
D.Weak peripheral pulses - CORRECT-ANSWERS--D.Weak peripheral pulses
Rationale:
Early signs of hypovolemic shock include tachycardia and delayed capillary refill.
The nurse may note a strong central pulse but weaker peripheral pulses, indicating
the child is compensating by shunting blood to their core.
Which of the following indicates the need for additional caregiver education
regarding a urinary tract infection?
A.I should encourage my child to drink extra fluids.
B.I need to make a follow-up appointment with child's physician.
C.My child will grow out of their frequent urinary tract infections.
D.My child should complete all of their antibiotic medication - CORRECT-
ANSWERS--C.My child will grow out of their frequent urinary tract infections.
Rationale
Urinary tract infections are not a normal occurrence in children and are not
something children will "grow out of." Additional investigation and follow-up are
needed when a child has frequent urinary tract infections. Drinking extra fluids
should be encouraged. Patients should always finish the complete course of
,antibiotics to eliminate the infection. And follow-up should be done to make sure
the infection has been eliminated.
A 4-day-old who is brought to the emergency department with the parental
complaint of "not acting right" is found to be hypoglycemic. What is the
appropriate glucose concentration to administer to this neonate?
A.Dextrose 5%
B.Dextrose 10%
C.Dextrose 25%
D.Dextrose 50% - CORRECT-ANSWERS--B.Dextrose 10%
Rationale
Dextrose 10% is the preferred concentration for neonates with hypoglycemia to
protect their fragile vasculature while providing needed glucose. Dextrose 5% is
not used to treat hypoglycemia in children. Dextrose 25% is used for children
above the age of 5 years. Dextrose 50% is not recommended for use in pediatrics
unless it is diluted.
Which of the following patient presentations should increase suspicion of potential
child maltreatment?
A.Closed greenstick wrist fracture in a 4-year-old child who fell off his bicycle
B.Bruises in various stages of healing to the lower extremities of a 2-year-old child
C.Right radial spiral fracture in a 10 year old practicing martial arts
D.Bruising to the left ear of a newborn from sleeping on his side - CORRECT-
ANSWERS--D.Bruising to the left ear of a newborn from sleeping on his side
Rationale
, 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.
Which of the following patients should be evaluated first?
A.A 3-year-old with a dislodged gastrostomy tube
B.An 18-month-old with bilious emesis
C.A 12-year-old with vomiting after a handlebar injury
D.A 3-month-old with periods of inconsolable crying - CORRECT-ANSWERS--
B.An 18-month-old with bilious emesis
Rationale
The presence of bilious emesis is especially concerning because it may be
indicative of an immediately life-threatening bowel obstruction. A dislodged
gastrostomy tube should be reinserted within 4-6 hours to prevent stoma closure.
Vomiting following a handlebar injury may be indicative of many possible injuries,
but does not take precedence unless other symptoms are present. Infantile colic is
described as inconsolable crying in infants, 2 weeks to 4 months old, for up to 3
hours per day, more than 3 days per week, and lasting for more than 3 weeks.
A 3-month-old is brought to the emergency department with new onset of fever.
You note the child to be pale, tachypneic, and tachycardic, with weak distal pulses.
Which intervention is the priority for this patient?
A.Administer an appropriate dose of an antipyretic
B.Infuse a rapid 10-20 mL/kg bolus of an isotonic crystalloid
