ENPC 6TH EDITION COURSE EXAM 2026
2027 NEW
VERSION REAL EXAM QUESTIONS AND
CORRECT
DETAILED ANSWERS WITH RATIONALES
VERIFIED ANSWERS ALREADY GRADED
A+
1. A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and
dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute,
BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory
values would be most expected in this child?: Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis. Manifesta-
tions include signs of dehydration ( dry mucous membranes, hypotension,
tachycardia), incontinence (polyuria), vomiting, abdominal pain, Kussmaul
respirations (to counter the acidosis), polydipsia, anorexia, and weight loss.
Expected laboratory values would reveal an acidotic state with a pH level below
7.3, an elevated serum bIcarbonate level, and an elevated blood glucose level >
200 mg.dL.
2. 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. Th 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?: Computed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident with
subsequent failure to improve on antibiotics. Wheezing or decreased lung sounds
in one area of the pulmonary system is a high indicator for a foreign body along
with signs of hypoxia such as cyanosis, tachypnea, tachycardia, increased
respiratory effort, agitation or lethargy, and elevated white blood cell counts
indicating an infectious process. 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.
3. 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?: Establishing a
secure airway
4. 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?: - Humidified oxygen (wrong)
1/
,
, Remediation feedback:
Wheezing is most often identified with asthma in the pediatric population. Initial
medication intervention includes an inhaled short-acting beta agonist.
5. 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?: Lumbar puncture
6. A 12-year-old is being prepped for surgical intervention of acute appendici- tis.
Which of the following intravenous medication orders should the nurse question?:
Hydromorphone (wrong)
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.
7. 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?: Have the boyfriend leave the room during the pelvic
exam.
8. 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?:
Intraosseous in the patient's medial tibia.
2/
,
2027 NEW
VERSION REAL EXAM QUESTIONS AND
CORRECT
DETAILED ANSWERS WITH RATIONALES
VERIFIED ANSWERS ALREADY GRADED
A+
1. A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and
dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per minute,
BP of 70/44 mm Hg, and HR of 144 beats per minute. Which of the following laboratory
values would be most expected in this child?: Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis. Manifesta-
tions include signs of dehydration ( dry mucous membranes, hypotension,
tachycardia), incontinence (polyuria), vomiting, abdominal pain, Kussmaul
respirations (to counter the acidosis), polydipsia, anorexia, and weight loss.
Expected laboratory values would reveal an acidotic state with a pH level below
7.3, an elevated serum bIcarbonate level, and an elevated blood glucose level >
200 mg.dL.
2. 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. Th 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?: Computed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking incident with
subsequent failure to improve on antibiotics. Wheezing or decreased lung sounds
in one area of the pulmonary system is a high indicator for a foreign body along
with signs of hypoxia such as cyanosis, tachypnea, tachycardia, increased
respiratory effort, agitation or lethargy, and elevated white blood cell counts
indicating an infectious process. 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.
3. 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?: Establishing a
secure airway
4. 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?: - Humidified oxygen (wrong)
1/
,
, Remediation feedback:
Wheezing is most often identified with asthma in the pediatric population. Initial
medication intervention includes an inhaled short-acting beta agonist.
5. 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?: Lumbar puncture
6. A 12-year-old is being prepped for surgical intervention of acute appendici- tis.
Which of the following intravenous medication orders should the nurse question?:
Hydromorphone (wrong)
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.
7. 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?: Have the boyfriend leave the room during the pelvic
exam.
8. 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?:
Intraosseous in the patient's medial tibia.
2/
,
