ENPC FINAL EXAM UPDATED 2026 WITH
QUESTIONS AND WELL DETAILED ANSWERS
PLUS RATIONALES (VERIFIED ANSWERS)
GRADED A+|| BRAND NEW!!
1. The PRIMARY goal of ENPC is to:
A. Diagnose pediatric diseases
B. Reduce emergency department wait times
C. Identify life-threatening conditions early
D. Replace PALS
Answer: C
Rationale: ENPC focuses on early recognition and rapid intervention using a systematic
approach.
2. Children differ from adults because they:
A. Decompensate faster
B. Have stronger compensatory mechanisms
C. Show earlier hypotension
D. Are easier to assess
Answer: B
Rationale: Children compensate well and deteriorate suddenly.
3. Hypotension in children indicates:
A. Early shock
B. Anxiety
C. Late shock
D. Normal response
Answer: C
Rationale: Hypotension is a late and ominous sign in pediatric shock.
,4. The best initial assessment tool in ENPC is:
A. Glasgow Coma Scale
B. Pediatric Assessment Triangle (PAT)
C. Vital signs
D. OPQRST
Answer: B
5. The Pediatric Assessment Triangle evaluates:
A. Airway, breathing, circulation
B. Appearance, work of breathing, circulation to skin
C. LOC, pupils, vitals
D. History and exam
Answer: B
Airway & Breathing
6. The MOST common cause of airway obstruction in children is:
A. Infection
B. Trauma
C. Foreign body
D. Anaphylaxis
Answer: C
7. Stridor indicates obstruction at the:
A. Lower airway
B. Alveoli
C. Upper airway
D. Bronchioles
Answer: C
, 8. Which is a LATE sign of respiratory failure in a child?
A. Tachypnea
B. Nasal flaring
C. Grunting
D. Bradypnea
Answer: D
9. Retractions occur because of:
A. Weak lungs
B. Increased airway resistance
C. Diaphragm paralysis
D. Hypoxia alone
Answer: B
10. The MOST effective oxygen delivery device for severe distress is:
A. Nasal cannula
B. Non-rebreather
C. Simple mask
D. Blow-by
Answer: B
Shock & Circulation
11. The MOST common type of shock in children is:
A. Cardiogenic
B. Distributive
C. Hypovolemic
D. Neurogenic
Answer: C
QUESTIONS AND WELL DETAILED ANSWERS
PLUS RATIONALES (VERIFIED ANSWERS)
GRADED A+|| BRAND NEW!!
1. The PRIMARY goal of ENPC is to:
A. Diagnose pediatric diseases
B. Reduce emergency department wait times
C. Identify life-threatening conditions early
D. Replace PALS
Answer: C
Rationale: ENPC focuses on early recognition and rapid intervention using a systematic
approach.
2. Children differ from adults because they:
A. Decompensate faster
B. Have stronger compensatory mechanisms
C. Show earlier hypotension
D. Are easier to assess
Answer: B
Rationale: Children compensate well and deteriorate suddenly.
3. Hypotension in children indicates:
A. Early shock
B. Anxiety
C. Late shock
D. Normal response
Answer: C
Rationale: Hypotension is a late and ominous sign in pediatric shock.
,4. The best initial assessment tool in ENPC is:
A. Glasgow Coma Scale
B. Pediatric Assessment Triangle (PAT)
C. Vital signs
D. OPQRST
Answer: B
5. The Pediatric Assessment Triangle evaluates:
A. Airway, breathing, circulation
B. Appearance, work of breathing, circulation to skin
C. LOC, pupils, vitals
D. History and exam
Answer: B
Airway & Breathing
6. The MOST common cause of airway obstruction in children is:
A. Infection
B. Trauma
C. Foreign body
D. Anaphylaxis
Answer: C
7. Stridor indicates obstruction at the:
A. Lower airway
B. Alveoli
C. Upper airway
D. Bronchioles
Answer: C
, 8. Which is a LATE sign of respiratory failure in a child?
A. Tachypnea
B. Nasal flaring
C. Grunting
D. Bradypnea
Answer: D
9. Retractions occur because of:
A. Weak lungs
B. Increased airway resistance
C. Diaphragm paralysis
D. Hypoxia alone
Answer: B
10. The MOST effective oxygen delivery device for severe distress is:
A. Nasal cannula
B. Non-rebreather
C. Simple mask
D. Blow-by
Answer: B
Shock & Circulation
11. The MOST common type of shock in children is:
A. Cardiogenic
B. Distributive
C. Hypovolemic
D. Neurogenic
Answer: C
