ENPC COMPREHENSIVE TEST SCRIPT 2026
QUESTIONS WITH FULL ANSWERS GRADED A+
◉ An 8-year-old arrives following a bicycle crash with swelling and
bleeding from the right side of his face, deformities to the jawline,
nasal swelling, and epistaxis. He is unresponsive with snoring
respirations and an absent gag reflex. Which of the following airway
adjuncts would be most appropriate for this patient? Answer:
Oropharyngeal airway (OPA)
◉ A 3 year-old patient presents following frequent emesis and
diarrhea over the past 12 hours. Which of the following assessment
findings indicate that the patient' body is compensating for the fluid
loss? Answer: Increased diastolic blood pressure
◉ 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. The 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? Answer: Bronchoscopy
,◉ A 14-year-old patient with Down syndrome presents with an
abnormal gait, head tilted to the left, decreased sensation to the
extremities, and urinary incontinence. The patient has no history of
trauma. Which of the following diagnostics is the priority for this
patient? Answer: Cervical spine radiographs
◉ After a seizure at home, a 9-month-old infant is awake and
interacting appropriately. Vital signs on arrival are HR 150
beats/minutes, RR 36 breaths/minute (unlabored), BP 80/52 mm
Hg, SaO2 97% without supplemental oxygen, and T 102.7°F (39.3°C)
rectally. During re-evaluation 2 hours after arrival, which of the
following assessments would indicate appropriate measures were
taken in treating this child? Answer: Temperature 37.7°C (99.9°F)
◉ During a diaper change on a 4-month-old infant, the nurse
measures the infant's urinary output. After subtracting the weight of
a dry diaper, the wet diaper weighs 22 grams. What is the infant's
estimated urinary output? Answer: 22 mL
◉ Which patient reflects an EMTALA compliant transfer? Answer: A
post-ictal patient with status epilepticus being transferred to a
higher level of care with an accepting physician. All records are
copied.
◉ A child presents with a history of poor oral intake. The patient is
pale, lethargic, and has shallow, rapid respirations. Central pulses
are weak and capillary refill time is four seconds. Which of the
,following interventions has the highest priority? Answer: Initiate an
intravenous fluid bolus
◉ A child was found unresponsive under the monkey bars during
recess and arrives with the following assessment: eyes open only
with supraorbital pressure stimulus, no verbal response is elicited,
and withdraws arms and legs when a swab is inserted in the nose.
Which of the following is the priority intervention for this child?
Answer: Prepare for immediate intubation
◉ Which of the following pathologic processes would most likely be
attributed to a primary diagnosis of cystic fibrosis? Answer:
Constipation
◉ A 3-year-old is brought by caregivers with generalized tonic-
clonic activity, unresponsiveness, and drooling that began 6 minutes
prior to arrival. Which of the following interventions would be most
appropriate for this event? Answer: Administer intranasal
midazolam
◉ A 4-week-old infant born prematurely is brought to the
emergency department due to the rapid onset of abdominal
distention, vomiting, bloody stools, and exhibiting signs of shock.
Based on these findings, what condition should the nurse suspect?
Answer: Necrotizing enterocolitis
, ◉ A laceration on a toddler's arm is prepared for suturing. Which of
the following preparations for topical anesthesia would be the best
choice for this procedure? Answer: LET
(lidocaine/epinephrine/tetracaine)
◉ EMS is transporting a 12-year-old restrained passenger involved
in a high-speed motor vehicle collision. The patient complains of
increasing dyspnea. Breath sounds are clear and equal, and heart
sounds are difficult to auscultate. Vitals include HR 132
beats/minute, RR 36 breaths/minute, and BP 80/55 mm Hg. Which
of the following is the priority intervention? Answer:
Pericardiocentesis
◉ What is the first step in the care of the newly born infant? Answer:
Warm, dry, and stimulate
◉ Which of the following is the highest priority intervention for a
well-appearing 2-month-old with a fever? Answer: Urine culture
◉ 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? Answer: Establishing a secure
airway
QUESTIONS WITH FULL ANSWERS GRADED A+
◉ An 8-year-old arrives following a bicycle crash with swelling and
bleeding from the right side of his face, deformities to the jawline,
nasal swelling, and epistaxis. He is unresponsive with snoring
respirations and an absent gag reflex. Which of the following airway
adjuncts would be most appropriate for this patient? Answer:
Oropharyngeal airway (OPA)
◉ A 3 year-old patient presents following frequent emesis and
diarrhea over the past 12 hours. Which of the following assessment
findings indicate that the patient' body is compensating for the fluid
loss? Answer: Increased diastolic blood pressure
◉ 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. The 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? Answer: Bronchoscopy
,◉ A 14-year-old patient with Down syndrome presents with an
abnormal gait, head tilted to the left, decreased sensation to the
extremities, and urinary incontinence. The patient has no history of
trauma. Which of the following diagnostics is the priority for this
patient? Answer: Cervical spine radiographs
◉ After a seizure at home, a 9-month-old infant is awake and
interacting appropriately. Vital signs on arrival are HR 150
beats/minutes, RR 36 breaths/minute (unlabored), BP 80/52 mm
Hg, SaO2 97% without supplemental oxygen, and T 102.7°F (39.3°C)
rectally. During re-evaluation 2 hours after arrival, which of the
following assessments would indicate appropriate measures were
taken in treating this child? Answer: Temperature 37.7°C (99.9°F)
◉ During a diaper change on a 4-month-old infant, the nurse
measures the infant's urinary output. After subtracting the weight of
a dry diaper, the wet diaper weighs 22 grams. What is the infant's
estimated urinary output? Answer: 22 mL
◉ Which patient reflects an EMTALA compliant transfer? Answer: A
post-ictal patient with status epilepticus being transferred to a
higher level of care with an accepting physician. All records are
copied.
◉ A child presents with a history of poor oral intake. The patient is
pale, lethargic, and has shallow, rapid respirations. Central pulses
are weak and capillary refill time is four seconds. Which of the
,following interventions has the highest priority? Answer: Initiate an
intravenous fluid bolus
◉ A child was found unresponsive under the monkey bars during
recess and arrives with the following assessment: eyes open only
with supraorbital pressure stimulus, no verbal response is elicited,
and withdraws arms and legs when a swab is inserted in the nose.
Which of the following is the priority intervention for this child?
Answer: Prepare for immediate intubation
◉ Which of the following pathologic processes would most likely be
attributed to a primary diagnosis of cystic fibrosis? Answer:
Constipation
◉ A 3-year-old is brought by caregivers with generalized tonic-
clonic activity, unresponsiveness, and drooling that began 6 minutes
prior to arrival. Which of the following interventions would be most
appropriate for this event? Answer: Administer intranasal
midazolam
◉ A 4-week-old infant born prematurely is brought to the
emergency department due to the rapid onset of abdominal
distention, vomiting, bloody stools, and exhibiting signs of shock.
Based on these findings, what condition should the nurse suspect?
Answer: Necrotizing enterocolitis
, ◉ A laceration on a toddler's arm is prepared for suturing. Which of
the following preparations for topical anesthesia would be the best
choice for this procedure? Answer: LET
(lidocaine/epinephrine/tetracaine)
◉ EMS is transporting a 12-year-old restrained passenger involved
in a high-speed motor vehicle collision. The patient complains of
increasing dyspnea. Breath sounds are clear and equal, and heart
sounds are difficult to auscultate. Vitals include HR 132
beats/minute, RR 36 breaths/minute, and BP 80/55 mm Hg. Which
of the following is the priority intervention? Answer:
Pericardiocentesis
◉ What is the first step in the care of the newly born infant? Answer:
Warm, dry, and stimulate
◉ Which of the following is the highest priority intervention for a
well-appearing 2-month-old with a fever? Answer: Urine culture
◉ 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? Answer: Establishing a secure
airway
