2026 ENPC UPDATED CORRECT ALL QUESTIONS
AND ANSWERS SURE A+
✔✔A parent presents to the emergency department carrying her 12-week-old infant.
The PAT reveals an infant who is quiet and opens eyes with stimulation, whose
breathing is regular and even, and whose skin is pale, with a scattered vesicular rash.
What is the priority intervention for this infant? - ✔✔Obtain a full set of vital signs
(wrong)
Place patient in isolation (correct)
Remediation feedback:
An abnormal PAT in the presence of a rash should be considered life-threatening until
proven otherwise and the patient placed in isolation.
✔✔After an explosion at a school, you are helping triage patients. In your field triage
room you find a 5-year-old patient who is not breathing. What is the appropriate initial
intervention? - ✔✔Open the airway and assess for breathing.
✔✔A school-aged child arrives in the emergency department with a 2-day history of
vomiting. The child is cool and pale, with weak pulses, elevated heart rate, and capillary
refill of 4 to 5 seconds. Which of the following is the priority intervention for the child? -
✔✔Initiate a fluid bolus
, ✔✔A 12-year-old restrained, back -seat passenger involved in a motor vehicle crash is
noted to have hypotension, tachycardia, and contusions and discoloration across the
lap area. On exam a splenic rupture is suspected. Which of the following diagnoses
should be suspected as a companion injury with these findings and associated
mechanism of injury? - ✔✔A chance fracture (fracture of the lumbar spine) is often
associated with belted passengers. Injuries associated with the "seatbelt sign" are small
bowel, abdominal vasculature, ureteral, and splenic and liver injuries.
✔✔A caregiver states their 3-year-old child ate some marijuana gummies approximately
3 hours prior to arrival. The PAT reveals the child is pink, difficult to arouse, and work of
breathing is normal. What is your initial intervention? - ✔✔You should check blood
sugar for any altered level of consciousness.
✔✔A child with an injury to the lower cervical spine with spinal cord involvment would
most likely demonstrate which of the following findings during assessment? -
✔✔Decreased respiratory effort
✔✔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? -
✔✔Necrotizing enterocolitis
✔✔An adolescent is awaiting ICU admission for pneumonia. During reassessment,
which of the following findings would be most indicative that respiratory failure is
developing? - ✔✔Extreme lethargy
✔✔An anxious 12-year-old child presents to the emergency department with a sudden
onset of nausea, diarrhea, abdominal cramping, flushing, and hypotension. Symptoms
started about 60 minutes after lunch. Which of the following conditions is the most likely
cause of these symptoms? - ✔✔Anaphylaxis
✔✔Which of the following is the highest priority intervention for a well-appearing 2-
month-old with a fever? - ✔✔Urine culture
✔✔A fertilizer silo exploded during a school tour of a working farm. The children are
able to manage their own secretions but all are incontinent and salivating, with excess
tearing. Which of the following is the priority intervention? - ✔✔Removal of clothing and
decontamination
✔✔Which patient reflects an EMTALA compliant transfer? - ✔✔An infant with
respiratory difficulties being transferred to another hospital with the same level of
pediatric care. Parents are not present, and records are copied. (wrong)
Remediation feedback:
AND ANSWERS SURE A+
✔✔A parent presents to the emergency department carrying her 12-week-old infant.
The PAT reveals an infant who is quiet and opens eyes with stimulation, whose
breathing is regular and even, and whose skin is pale, with a scattered vesicular rash.
What is the priority intervention for this infant? - ✔✔Obtain a full set of vital signs
(wrong)
Place patient in isolation (correct)
Remediation feedback:
An abnormal PAT in the presence of a rash should be considered life-threatening until
proven otherwise and the patient placed in isolation.
✔✔After an explosion at a school, you are helping triage patients. In your field triage
room you find a 5-year-old patient who is not breathing. What is the appropriate initial
intervention? - ✔✔Open the airway and assess for breathing.
✔✔A school-aged child arrives in the emergency department with a 2-day history of
vomiting. The child is cool and pale, with weak pulses, elevated heart rate, and capillary
refill of 4 to 5 seconds. Which of the following is the priority intervention for the child? -
✔✔Initiate a fluid bolus
, ✔✔A 12-year-old restrained, back -seat passenger involved in a motor vehicle crash is
noted to have hypotension, tachycardia, and contusions and discoloration across the
lap area. On exam a splenic rupture is suspected. Which of the following diagnoses
should be suspected as a companion injury with these findings and associated
mechanism of injury? - ✔✔A chance fracture (fracture of the lumbar spine) is often
associated with belted passengers. Injuries associated with the "seatbelt sign" are small
bowel, abdominal vasculature, ureteral, and splenic and liver injuries.
✔✔A caregiver states their 3-year-old child ate some marijuana gummies approximately
3 hours prior to arrival. The PAT reveals the child is pink, difficult to arouse, and work of
breathing is normal. What is your initial intervention? - ✔✔You should check blood
sugar for any altered level of consciousness.
✔✔A child with an injury to the lower cervical spine with spinal cord involvment would
most likely demonstrate which of the following findings during assessment? -
✔✔Decreased respiratory effort
✔✔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? -
✔✔Necrotizing enterocolitis
✔✔An adolescent is awaiting ICU admission for pneumonia. During reassessment,
which of the following findings would be most indicative that respiratory failure is
developing? - ✔✔Extreme lethargy
✔✔An anxious 12-year-old child presents to the emergency department with a sudden
onset of nausea, diarrhea, abdominal cramping, flushing, and hypotension. Symptoms
started about 60 minutes after lunch. Which of the following conditions is the most likely
cause of these symptoms? - ✔✔Anaphylaxis
✔✔Which of the following is the highest priority intervention for a well-appearing 2-
month-old with a fever? - ✔✔Urine culture
✔✔A fertilizer silo exploded during a school tour of a working farm. The children are
able to manage their own secretions but all are incontinent and salivating, with excess
tearing. Which of the following is the priority intervention? - ✔✔Removal of clothing and
decontamination
✔✔Which patient reflects an EMTALA compliant transfer? - ✔✔An infant with
respiratory difficulties being transferred to another hospital with the same level of
pediatric care. Parents are not present, and records are copied. (wrong)
Remediation feedback:
