2026 ENPC EVALUATION TEST QUESTIONS AND
ANSWERS SURE A+
✔✔A 12-year-old female patient arrives awake and alert with an acute onset of
abdominal pain on the right side, nausea, vomiting, and vaginal spotting. On palpation,
the pain is localized to the right side and there is tenderness to the breasts. Which of
the following laboratory tests is the priority for this patient? - ✔✔Human chorionic
gonadotropin
✔✔A 7-year-old is being seen for new onset of headaches. Which of the following
manifestations would most likely rule out the potential of a primary etiology? -
✔✔Pulsating, unilateral pain (wrong)
Remediation feedback:
Urinary catheters are contraindicated for placement if pelvic injury is suspected or blood
is noted at the urinary meatus. Scrotal or perineal discolorations with edema to the
areas is also a contraindication for this adjunct.
✔✔Which of the following is a first-line treatment for atopic dermatitis? - ✔✔Skin
hydration therapy
✔✔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? -
✔✔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? - ✔✔22 mL
✔✔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? - ✔✔Prolonged capillary refill (wrong)
Diastolic pressure will increase (correct)
Remediation feedback:
In the early compensated phase of shock attributed to fluid volume loss, the diastolic
pressure will increase due to vasoconstriction (increasing systemic vascular resistance)
as a compensatory mechanism causing a narrowed pulse pressure. A normal systolic
pressure is maintained during this phase. Other manifestations of early shock states are
tachycardia, normal capillary refill, decreased urine output, mild irritability, tachypnea,
and weak peripheral pulses.
✔✔A six-week-old infant presents to the emergency department with seizures. The
infant is afebrile with a normal glucose level ,and caregivers report no signs of illness
other than formula intolerance, which they treated by adding extra water to the formula.
The nurse would expect to find which of the following laboratory abnormalities? -
✔✔Hyponatremia
✔✔A 12-year-old complains of a severe headache for the past 8 hours. Which of the
following past history disease processes would be considered a "red flag" and warrant
immediate evaluation for this patient? - ✔✔Sickle cell disease
✔✔A 6-year-old child weighing 20 kg (44.1 lb) arrives in full arrest following an
electrocution event. CPR is in progress after defibrillation for ventricular fibrillation. What
is the intravenous dose of epinephrine for this patient? - ✔✔0.01 mg (wrong)
Remediation feedback:
The pediatric dose of intravenous epinephrine during a cardiac arrest is 0.01 mg/kg.
✔✔The triage nurse is assessing a 14 year old male who was brought in by ambulance.
The patient reports he was playing his video games at home when he had a sudden
onset of groin pain that was so severe he became nauseated and vomited. Further
assessment reveals a swollen scrotum. What is the priority intervention for this patient?
- ✔✔Preparing the patient for ultrasound
ANSWERS SURE A+
✔✔A 12-year-old female patient arrives awake and alert with an acute onset of
abdominal pain on the right side, nausea, vomiting, and vaginal spotting. On palpation,
the pain is localized to the right side and there is tenderness to the breasts. Which of
the following laboratory tests is the priority for this patient? - ✔✔Human chorionic
gonadotropin
✔✔A 7-year-old is being seen for new onset of headaches. Which of the following
manifestations would most likely rule out the potential of a primary etiology? -
✔✔Pulsating, unilateral pain (wrong)
Remediation feedback:
Urinary catheters are contraindicated for placement if pelvic injury is suspected or blood
is noted at the urinary meatus. Scrotal or perineal discolorations with edema to the
areas is also a contraindication for this adjunct.
✔✔Which of the following is a first-line treatment for atopic dermatitis? - ✔✔Skin
hydration therapy
✔✔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? -
✔✔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? - ✔✔22 mL
✔✔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? - ✔✔Prolonged capillary refill (wrong)
Diastolic pressure will increase (correct)
Remediation feedback:
In the early compensated phase of shock attributed to fluid volume loss, the diastolic
pressure will increase due to vasoconstriction (increasing systemic vascular resistance)
as a compensatory mechanism causing a narrowed pulse pressure. A normal systolic
pressure is maintained during this phase. Other manifestations of early shock states are
tachycardia, normal capillary refill, decreased urine output, mild irritability, tachypnea,
and weak peripheral pulses.
✔✔A six-week-old infant presents to the emergency department with seizures. The
infant is afebrile with a normal glucose level ,and caregivers report no signs of illness
other than formula intolerance, which they treated by adding extra water to the formula.
The nurse would expect to find which of the following laboratory abnormalities? -
✔✔Hyponatremia
✔✔A 12-year-old complains of a severe headache for the past 8 hours. Which of the
following past history disease processes would be considered a "red flag" and warrant
immediate evaluation for this patient? - ✔✔Sickle cell disease
✔✔A 6-year-old child weighing 20 kg (44.1 lb) arrives in full arrest following an
electrocution event. CPR is in progress after defibrillation for ventricular fibrillation. What
is the intravenous dose of epinephrine for this patient? - ✔✔0.01 mg (wrong)
Remediation feedback:
The pediatric dose of intravenous epinephrine during a cardiac arrest is 0.01 mg/kg.
✔✔The triage nurse is assessing a 14 year old male who was brought in by ambulance.
The patient reports he was playing his video games at home when he had a sudden
onset of groin pain that was so severe he became nauseated and vomited. Further
assessment reveals a swollen scrotum. What is the priority intervention for this patient?
- ✔✔Preparing the patient for ultrasound
