ENPC 6TH EDITION EXAM - LATEST 2026
COMPREHENSIVE PRACTICE EXAMINATION
Emergency Nursing Pediatric Course | Questions with
Detailed Answers
QUESTION 1 | Multiple Choice
An unresponsive 2-year-old child was found by his mother with an empty bottle labeled
"Elavil 50 mg" by his side. Which piece of information is most important to obtain from his
mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribed.
✓ CORRECT ANSWER: C
QUESTION 2 | Multiple Choice
A nurse providing crisis intervention to the family of a child can best keep the family
informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient."
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with the family.
✓ CORRECT ANSWER: D
QUESTION 3 | Multiple Choice
Multiple rib fractures in a child indicate:
,A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
✓ CORRECT ANSWER: B
QUESTION 4 | Multiple Choice
Which piece of information is most important to know for transferring a patient to another
facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
✓ CORRECT ANSWER: C
QUESTION 5 | Multiple Choice
A 10-year-old child who was struck by a car has a significant abdominal injury. The child's
heart rate is 144 beats/minute, respiratory rate is 30 breaths/minute, and blood pressure is
120/80 mmHg. Capillary refill time is 3 seconds, and skin is pale and cool. The patient's skin
condition indicates:
A. Normal perfusion.
B. Early signs of sepsis.
C. Compensated shock.
D. Decompensated shock.
✓ CORRECT ANSWER: C
QUESTION 6 | Multiple Choice
The most common cause of cardiac arrest in children is:
,A. Congenital heart disease.
B. Respiratory failure.
C. Trauma.
D. Sepsis.
✓ CORRECT ANSWER: B
QUESTION 7 | Multiple Choice
A 3-year-old child presents with stridor, barking cough, and low-grade fever. The nurse
should suspect:
A. Epiglottitis.
B. Croup.
C. Bronchiolitis.
D. Foreign body aspiration.
✓ CORRECT ANSWER: B
QUESTION 8 | Multiple Choice
The appropriate size of a nasogastric tube for a 4-year-old child is:
A. 6 Fr.
B. 8 Fr.
C. 10 Fr.
D. 12 Fr.
✓ CORRECT ANSWER: B
QUESTION 9 | Multiple Choice
A 6-month-old infant with respiratory syncytial virus (RSV) presents with wheezing,
tachypnea, and retractions. The nurse should first:
A. Administer supplemental oxygen.
B. Administer a bronchodilator.
, C. Obtain a chest X-ray.
D. Initiate IV fluids.
✓ CORRECT ANSWER: A
QUESTION 10 | Multiple Choice
The most appropriate site for intraosseous (IO) access in a 2-year-old child is:
A. The femur.
B. The proximal tibia.
C. The humerus.
D. The iliac crest.
✓ CORRECT ANSWER: B
QUESTION 11 | Multiple Choice
A child with a suspected head injury should be assessed for which sign of increased
intracranial pressure?
A. Decreased heart rate.
B. Increased respiratory rate.
C. Cushing's triad.
D. Hypotension.
✓ CORRECT ANSWER: C
QUESTION 12 | Multiple Choice
Cushing's triad includes:
A. Hypertension, bradycardia, and irregular respirations.
B. Hypotension, tachycardia, and irregular respirations.
C. Hypertension, bradycardia, and irregular respirations.
D. Hypotension, bradycardia, and regular respirations.
COMPREHENSIVE PRACTICE EXAMINATION
Emergency Nursing Pediatric Course | Questions with
Detailed Answers
QUESTION 1 | Multiple Choice
An unresponsive 2-year-old child was found by his mother with an empty bottle labeled
"Elavil 50 mg" by his side. Which piece of information is most important to obtain from his
mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribed.
✓ CORRECT ANSWER: C
QUESTION 2 | Multiple Choice
A nurse providing crisis intervention to the family of a child can best keep the family
informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient."
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with the family.
✓ CORRECT ANSWER: D
QUESTION 3 | Multiple Choice
Multiple rib fractures in a child indicate:
,A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
✓ CORRECT ANSWER: B
QUESTION 4 | Multiple Choice
Which piece of information is most important to know for transferring a patient to another
facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
✓ CORRECT ANSWER: C
QUESTION 5 | Multiple Choice
A 10-year-old child who was struck by a car has a significant abdominal injury. The child's
heart rate is 144 beats/minute, respiratory rate is 30 breaths/minute, and blood pressure is
120/80 mmHg. Capillary refill time is 3 seconds, and skin is pale and cool. The patient's skin
condition indicates:
A. Normal perfusion.
B. Early signs of sepsis.
C. Compensated shock.
D. Decompensated shock.
✓ CORRECT ANSWER: C
QUESTION 6 | Multiple Choice
The most common cause of cardiac arrest in children is:
,A. Congenital heart disease.
B. Respiratory failure.
C. Trauma.
D. Sepsis.
✓ CORRECT ANSWER: B
QUESTION 7 | Multiple Choice
A 3-year-old child presents with stridor, barking cough, and low-grade fever. The nurse
should suspect:
A. Epiglottitis.
B. Croup.
C. Bronchiolitis.
D. Foreign body aspiration.
✓ CORRECT ANSWER: B
QUESTION 8 | Multiple Choice
The appropriate size of a nasogastric tube for a 4-year-old child is:
A. 6 Fr.
B. 8 Fr.
C. 10 Fr.
D. 12 Fr.
✓ CORRECT ANSWER: B
QUESTION 9 | Multiple Choice
A 6-month-old infant with respiratory syncytial virus (RSV) presents with wheezing,
tachypnea, and retractions. The nurse should first:
A. Administer supplemental oxygen.
B. Administer a bronchodilator.
, C. Obtain a chest X-ray.
D. Initiate IV fluids.
✓ CORRECT ANSWER: A
QUESTION 10 | Multiple Choice
The most appropriate site for intraosseous (IO) access in a 2-year-old child is:
A. The femur.
B. The proximal tibia.
C. The humerus.
D. The iliac crest.
✓ CORRECT ANSWER: B
QUESTION 11 | Multiple Choice
A child with a suspected head injury should be assessed for which sign of increased
intracranial pressure?
A. Decreased heart rate.
B. Increased respiratory rate.
C. Cushing's triad.
D. Hypotension.
✓ CORRECT ANSWER: C
QUESTION 12 | Multiple Choice
Cushing's triad includes:
A. Hypertension, bradycardia, and irregular respirations.
B. Hypotension, tachycardia, and irregular respirations.
C. Hypertension, bradycardia, and irregular respirations.
D. Hypotension, bradycardia, and regular respirations.
