2026 ENPC STUDY EXAMS LATEST QUESTIONS
AND ANSWERS SURE A+
✔✔A 12-year-old involved in a house fire has full thickness, circumferential burns to
bilateral lower extremities. Fluid resuscitation is in progress on arrival at the ED. On
assessment the left pedal and posterior tibialis pulses are absent, with delayed capillary
refill. Which of the following is the priority intervention? - ✔✔A.Application of
compression dressings
B.Elevation of left lower extremity
C.Assist with escharotomy
D.Preparation for thrombectomy
✔✔An 11-year-old child presents with right arm pain after falling off a bicycle. The child
is tearful and holding his right arm. What pain scale would be the most appropriate to
use when assessing this child's pain? - ✔✔A.Faces scale
B.FLACC scale
C.Numbers scale
D.NIPS scale
✔✔When taking vital signs on a stable infant, which of the following should be done
first? - ✔✔A.Pulse rate
B.Blood pressure
C.Rectal temperature
, D.Respiratory rate
✔✔A child recovering from procedural sedation is sleeping deeply and snoring loudly.
The pulse oximetry reading is 92% without supplemental oxygen. Which of the following
interventions would be the priority for this patient? - ✔✔A.Reposition the airway
B.Apply oxygen
C.Insert an oral airway
D.Administer a reversal agent
✔✔Which of the following physiological changes in an infant increase the chances of
drowning? - ✔✔A.Presence of large tongue
B.Smaller tracheal diameter
C.Cranial sutures not fused
D.Weak neck muscles
✔✔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? -
✔✔A.Intraosseous in the patient's medial tibia.
B.Peripherally inserted central catheter
C.Assisting with central line placement.
D.Intraosseous in the patient's scapula.
✔✔An 8-year-old trauma patient suddenly develops increased respiratory distress with
a rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted. Which of the following
emergent interventions should be anticipated first? - ✔✔A.High-flow oxygen
B.Drug-assisted intubation
C.Surgical thoracotomy
D.Needle decompression
✔✔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? - ✔✔A.Infuse a
bolus of crystalloid solution
B.Expose the child's body for full exam
C.Log roll to assess posterior aspect
D.Prepare for immediate intubation
✔✔A parent brings in a 4-month-old infant reporting seizure-like activity at home. The
parent denies a fever and reports that the infant is otherwise healthy. Which of the
following is most important for the nurse to inquire about? - ✔✔A.The likelihood of the
infant ingesting a harmful substance
B.The temperature of the bath water when bathing the infant
AND ANSWERS SURE A+
✔✔A 12-year-old involved in a house fire has full thickness, circumferential burns to
bilateral lower extremities. Fluid resuscitation is in progress on arrival at the ED. On
assessment the left pedal and posterior tibialis pulses are absent, with delayed capillary
refill. Which of the following is the priority intervention? - ✔✔A.Application of
compression dressings
B.Elevation of left lower extremity
C.Assist with escharotomy
D.Preparation for thrombectomy
✔✔An 11-year-old child presents with right arm pain after falling off a bicycle. The child
is tearful and holding his right arm. What pain scale would be the most appropriate to
use when assessing this child's pain? - ✔✔A.Faces scale
B.FLACC scale
C.Numbers scale
D.NIPS scale
✔✔When taking vital signs on a stable infant, which of the following should be done
first? - ✔✔A.Pulse rate
B.Blood pressure
C.Rectal temperature
, D.Respiratory rate
✔✔A child recovering from procedural sedation is sleeping deeply and snoring loudly.
The pulse oximetry reading is 92% without supplemental oxygen. Which of the following
interventions would be the priority for this patient? - ✔✔A.Reposition the airway
B.Apply oxygen
C.Insert an oral airway
D.Administer a reversal agent
✔✔Which of the following physiological changes in an infant increase the chances of
drowning? - ✔✔A.Presence of large tongue
B.Smaller tracheal diameter
C.Cranial sutures not fused
D.Weak neck muscles
✔✔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? -
✔✔A.Intraosseous in the patient's medial tibia.
B.Peripherally inserted central catheter
C.Assisting with central line placement.
D.Intraosseous in the patient's scapula.
✔✔An 8-year-old trauma patient suddenly develops increased respiratory distress with
a rise in heart rate from 112 beats/minute to 142 beats/minute associated with an abrupt
hypotensive event. Distention of the jugular veins is noted. Which of the following
emergent interventions should be anticipated first? - ✔✔A.High-flow oxygen
B.Drug-assisted intubation
C.Surgical thoracotomy
D.Needle decompression
✔✔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? - ✔✔A.Infuse a
bolus of crystalloid solution
B.Expose the child's body for full exam
C.Log roll to assess posterior aspect
D.Prepare for immediate intubation
✔✔A parent brings in a 4-month-old infant reporting seizure-like activity at home. The
parent denies a fever and reports that the infant is otherwise healthy. Which of the
following is most important for the nurse to inquire about? - ✔✔A.The likelihood of the
infant ingesting a harmful substance
B.The temperature of the bath water when bathing the infant
