Emergency Nursing Pediatric Course (ENPC) Exam
Questions And Correct Answers (Verified Answers)
Plus Rationales 2025/2026 Q&A | Instant Download
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1. A 4-year-old presents after a fall with decreased level of consciousness.
What is the priority assessment?
A. Pupillary response
B. Blood pressure
C. Airway patency
D. Neuro exam
Answer: C. Airway patency
The airway is always the first priority in altered mental status.
2. A 2-month-old is breathing at 70 breaths/min with nasal flaring. What
does this indicate?
A. Normal infant breathing
B. Dehydration
C. Severe respiratory distress
D. Pain
Answer: C. Severe respiratory distress
Infants with flaring and tachypnea show early signs of respiratory failure.
3. The most reliable indicator of shock in children is:
A. Blood pressure
B. Heart rate
C. Capillary refill
D. Mental status
Answer: D. Mental status
Altered mental status is an early and reliable sign of poor perfusion.
,4. A child with asthma presents with silent chest. This finding indicates:
A. Mild asthma
B. Airway improvement
C. Impending respiratory failure
D. Hyperventilation
Answer: C. Impending respiratory failure
Silent chest = minimal air movement = severe obstruction.
5. What is the best method to assess pain in a 3-year-old?
A. Numeric scale
B. FLACC scale
C. Verbal description
D. Wong-Baker scale
Answer: B. FLACC scale
FLACC is validated for nonverbal and preschool children.
6. A 9-year-old with anaphylaxis is given epinephrine. What is the next
priority?
A. Monitor heart rate
B. Give steroids
C. Start IV fluids
D. Secure the airway
Answer: D. Secure the airway
Airway compromise progresses quickly in anaphylaxis.
7. A 5-year-old diabetic is confused, sweaty, and shaking. This suggests:
A. Hyperglycemia
B. Hypoglycemia
C. Ketoacidosis
D. Dehydration
Answer: B. Hypoglycemia
Sympathetic activation causes sweating and tremors.
, 8. Best site for IO access in infants:
A. Distal tibia
B. Posterior iliac crest
C. Proximal tibia
D. Sternum
Answer: C. Proximal tibia
Most accessible and safest for infants.
9. The earliest sign of respiratory distress is:
A. Cyanosis
B. Bradycardia
C. Increased work of breathing
D. Hypoxia
Answer: C. Increased work of breathing
Retractions, nasal flaring occur before hypoxia.
10. A child with croup presents with inspiratory stridor. What treatment is
first-line?
A. Intubation
B. IM epinephrine
C. Nebulized epinephrine
D. Bronchodilators
Answer: C. Nebulized epinephrine
Reduces airway edema rapidly.
11. A toddler is in respiratory arrest. The first action is:
A. Begin chest compressions
B. Provide rescue breaths
C. Call for help
D. Check pulse for 10 seconds
Answer: B. Provide rescue breaths
Respiratory causes are most common in pediatrics.
Questions And Correct Answers (Verified Answers)
Plus Rationales 2025/2026 Q&A | Instant Download
1. A 4-year-old presents after a fall with decreased level of consciousness.
What is the priority assessment?
A. Pupillary response
B. Blood pressure
C. Airway patency
D. Neuro exam
Answer: C. Airway patency
The airway is always the first priority in altered mental status.
2. A 2-month-old is breathing at 70 breaths/min with nasal flaring. What
does this indicate?
A. Normal infant breathing
B. Dehydration
C. Severe respiratory distress
D. Pain
Answer: C. Severe respiratory distress
Infants with flaring and tachypnea show early signs of respiratory failure.
3. The most reliable indicator of shock in children is:
A. Blood pressure
B. Heart rate
C. Capillary refill
D. Mental status
Answer: D. Mental status
Altered mental status is an early and reliable sign of poor perfusion.
,4. A child with asthma presents with silent chest. This finding indicates:
A. Mild asthma
B. Airway improvement
C. Impending respiratory failure
D. Hyperventilation
Answer: C. Impending respiratory failure
Silent chest = minimal air movement = severe obstruction.
5. What is the best method to assess pain in a 3-year-old?
A. Numeric scale
B. FLACC scale
C. Verbal description
D. Wong-Baker scale
Answer: B. FLACC scale
FLACC is validated for nonverbal and preschool children.
6. A 9-year-old with anaphylaxis is given epinephrine. What is the next
priority?
A. Monitor heart rate
B. Give steroids
C. Start IV fluids
D. Secure the airway
Answer: D. Secure the airway
Airway compromise progresses quickly in anaphylaxis.
7. A 5-year-old diabetic is confused, sweaty, and shaking. This suggests:
A. Hyperglycemia
B. Hypoglycemia
C. Ketoacidosis
D. Dehydration
Answer: B. Hypoglycemia
Sympathetic activation causes sweating and tremors.
, 8. Best site for IO access in infants:
A. Distal tibia
B. Posterior iliac crest
C. Proximal tibia
D. Sternum
Answer: C. Proximal tibia
Most accessible and safest for infants.
9. The earliest sign of respiratory distress is:
A. Cyanosis
B. Bradycardia
C. Increased work of breathing
D. Hypoxia
Answer: C. Increased work of breathing
Retractions, nasal flaring occur before hypoxia.
10. A child with croup presents with inspiratory stridor. What treatment is
first-line?
A. Intubation
B. IM epinephrine
C. Nebulized epinephrine
D. Bronchodilators
Answer: C. Nebulized epinephrine
Reduces airway edema rapidly.
11. A toddler is in respiratory arrest. The first action is:
A. Begin chest compressions
B. Provide rescue breaths
C. Call for help
D. Check pulse for 10 seconds
Answer: B. Provide rescue breaths
Respiratory causes are most common in pediatrics.
