1|Page
ENPC 5TH EDITION EXAM 2026|
CERTIFIED QUESTIONS WITH
ANSWERS
Which of the following patient presentations should increase suspicion of
potential child maltreatment? - correct-answer -Bruising to the left ear of a
newborn from sleeping on his side
Pg 10- Any bruises in a non exploratory location (especially torso ears, neck) in
children younger than 4
Pg 11Any bruising in a child younger than 4 months.
All of the vaccine administrations listed are appropriate EXCEPT for which of the
following? - correct-answer -Fifth Disease at 6 months
,2|Page
There is an animal vaccine, but not a human vaccine for Fifth Disease.
Which of the following statements indicates the caregiver understands your
discharge teaching on influenza? - correct-answer -My child can go to daycare
since they have been off of Tylenol and fever free for 24 hours.
Yes, the patient needs to be afebrile WITHOUT the use of antipyretics to be able
to go back to daycare or school.
The neurosurgeon has decided to perform an invasive procedure in the
emergency department to monitor the intracranial pressure on a 5-year-old
patient. The family does not speak English and has identified their religion as
Muslim. Which of the following interventions is most supportive of the family? -
correct-answer -Dedicate a healthcare team member with a qualified interpreter
to be with the family during the procedure.
, 3|Page
Providing the option for family presence with an assigned team member to
facilitate communication is most supportive of the family in this situation.
A 6 year-old child presents to the emergency department with caregivers who
report a cough with nasal congestion and pink-eye that started 2 days ago. They
have been treating with an over-the-counter medicine without relief. Today they
noticed a raised red rash on the face and papules in the mouth. You suspect
which of the following? - correct-answer -Rubeola On presentation the child
starts with cough, nasal inflammation (coryza) and a non-purulent conjunctivitis.
After 2-4 days a rash begins as erythematous macules and papules on the face
that spreads to the torso and extremities.
A fertilizer silo exploded during a school tour of a working farm. The children are
able to manage their own secretions but are all incontinent and salivating with
excess tearing. Which of the following is the priority intervention? - correct-
answer -removal of clothing and decontamination
ENPC 5TH EDITION EXAM 2026|
CERTIFIED QUESTIONS WITH
ANSWERS
Which of the following patient presentations should increase suspicion of
potential child maltreatment? - correct-answer -Bruising to the left ear of a
newborn from sleeping on his side
Pg 10- Any bruises in a non exploratory location (especially torso ears, neck) in
children younger than 4
Pg 11Any bruising in a child younger than 4 months.
All of the vaccine administrations listed are appropriate EXCEPT for which of the
following? - correct-answer -Fifth Disease at 6 months
,2|Page
There is an animal vaccine, but not a human vaccine for Fifth Disease.
Which of the following statements indicates the caregiver understands your
discharge teaching on influenza? - correct-answer -My child can go to daycare
since they have been off of Tylenol and fever free for 24 hours.
Yes, the patient needs to be afebrile WITHOUT the use of antipyretics to be able
to go back to daycare or school.
The neurosurgeon has decided to perform an invasive procedure in the
emergency department to monitor the intracranial pressure on a 5-year-old
patient. The family does not speak English and has identified their religion as
Muslim. Which of the following interventions is most supportive of the family? -
correct-answer -Dedicate a healthcare team member with a qualified interpreter
to be with the family during the procedure.
, 3|Page
Providing the option for family presence with an assigned team member to
facilitate communication is most supportive of the family in this situation.
A 6 year-old child presents to the emergency department with caregivers who
report a cough with nasal congestion and pink-eye that started 2 days ago. They
have been treating with an over-the-counter medicine without relief. Today they
noticed a raised red rash on the face and papules in the mouth. You suspect
which of the following? - correct-answer -Rubeola On presentation the child
starts with cough, nasal inflammation (coryza) and a non-purulent conjunctivitis.
After 2-4 days a rash begins as erythematous macules and papules on the face
that spreads to the torso and extremities.
A fertilizer silo exploded during a school tour of a working farm. The children are
able to manage their own secretions but are all incontinent and salivating with
excess tearing. Which of the following is the priority intervention? - correct-
answer -removal of clothing and decontamination
