2026 ENPC LATEST EXAMS SCRIPT QUESTIONS
AND ANSWERS SURE A+
✔✔Which of the following is a known cause of pediatric seizures?
A.Benzodiazepine overdose
B.Supraventricular tachycardia
C.Overdiluted formula
D.Congenital heart disease - ✔✔C
Water overload is a well-documented etiology of hyponatremia in infants, which can be
caused by excess dilution of formula. Hyponatremia is a known cause of seizures.
Benzodiazepine overdose is more likely to result is respiratory depression and coma.
CHD and SVT are not readily known to cause seizures.
✔✔For the infant, what duration of time is consider apneic?
A.10 seconds
B.20 seconds
C.5 seconds
D.15 seconds - ✔✔B
The respiratory rate, depth, and regularity all continue to change the first year of life,
making respiratory assessments different than those of older children. Infants breathe
, faster and less regularly, with apnea not considered as such until 20 seconds without a
breath or associated with other physiologic effects such as bradycardia.
✔✔An ambulance arrives with a 16-year-old male involved in a dirt bike crash who was
intubated prior to arrival. Which of the following is the priority assessment or
intervention?
A.Assess the oropharynx
B.Assess endotracheal tube placement
C.Insert an orogastric tube
D.Insert a second intravenous access - ✔✔B
If a patient arrives with an artificial airway (endotracheal tube or tracheostomy) in place,
assess its placement, patency, and the oral airway (in that order) before moving to the
next step of the primary survey. The oropharynx should be checked for fluids or objects
such as broken teeth. Inserting a gastric tube in an intubated patient and starting a
second large caliber IV line should also be done, but they don't take priority over airway.
✔✔A 9 month pregnant woman presents to the emergency department and delivers a
term neonate vaginally. The neonate is dried and stimulated and the mouth and nose
are suctioned using a bulb syringe. After repositioning the head, the neonate remains
limp and apneic and the HR is 80 beats/minute. What is the priority intervention?
A. Begin chest compressions
B. Suction the oropharynx with a catheter
C. Obtain vascular access
D. Initiate positive pressure ventilation - ✔✔D
Immediately after delivery all neonates should be warmed, stimulated, and have their
mouth then nose suctioned using a bulb syringe. Following this, if the neonate is not
breathing or is gasping and/or has a heart rate of less than 100 beats per minute
positive pressure ventilation at 21% FiO2 at a rate of 40-60 breaths per minute should
be immediately initiated. The heart rate should be assessed after 15 seconds of PPV
and if not improving additional measures should be taken (MRSOPA). Vascular access
is not always needed but can be worked on by another team member while airway and
breathing interventions are being completed.
✔✔A 5-year-old with no health problems presents to the emergency department with a
sudden onset of chest pain and shortness of breath. Parents state that the family was
involved in a bad car crash one week ago. A thorough assessment and workup has not
revealed any abnormalities. Which of the following the best next step to take?
A.Ask about any new bed-wetting or sleep disturbances
B.Discharge to home and follow-up with their primary care physician
C.Repeat a head-to-toe exam to identify any missed traumatic injuries
D.Consult cardiology for appropriate follow-up - ✔✔A
Physical complaints are not uncommon in children following a traumatic event. Once
any physical injuries or illnesses have been ruled out, assessment for any other
AND ANSWERS SURE A+
✔✔Which of the following is a known cause of pediatric seizures?
A.Benzodiazepine overdose
B.Supraventricular tachycardia
C.Overdiluted formula
D.Congenital heart disease - ✔✔C
Water overload is a well-documented etiology of hyponatremia in infants, which can be
caused by excess dilution of formula. Hyponatremia is a known cause of seizures.
Benzodiazepine overdose is more likely to result is respiratory depression and coma.
CHD and SVT are not readily known to cause seizures.
✔✔For the infant, what duration of time is consider apneic?
A.10 seconds
B.20 seconds
C.5 seconds
D.15 seconds - ✔✔B
The respiratory rate, depth, and regularity all continue to change the first year of life,
making respiratory assessments different than those of older children. Infants breathe
, faster and less regularly, with apnea not considered as such until 20 seconds without a
breath or associated with other physiologic effects such as bradycardia.
✔✔An ambulance arrives with a 16-year-old male involved in a dirt bike crash who was
intubated prior to arrival. Which of the following is the priority assessment or
intervention?
A.Assess the oropharynx
B.Assess endotracheal tube placement
C.Insert an orogastric tube
D.Insert a second intravenous access - ✔✔B
If a patient arrives with an artificial airway (endotracheal tube or tracheostomy) in place,
assess its placement, patency, and the oral airway (in that order) before moving to the
next step of the primary survey. The oropharynx should be checked for fluids or objects
such as broken teeth. Inserting a gastric tube in an intubated patient and starting a
second large caliber IV line should also be done, but they don't take priority over airway.
✔✔A 9 month pregnant woman presents to the emergency department and delivers a
term neonate vaginally. The neonate is dried and stimulated and the mouth and nose
are suctioned using a bulb syringe. After repositioning the head, the neonate remains
limp and apneic and the HR is 80 beats/minute. What is the priority intervention?
A. Begin chest compressions
B. Suction the oropharynx with a catheter
C. Obtain vascular access
D. Initiate positive pressure ventilation - ✔✔D
Immediately after delivery all neonates should be warmed, stimulated, and have their
mouth then nose suctioned using a bulb syringe. Following this, if the neonate is not
breathing or is gasping and/or has a heart rate of less than 100 beats per minute
positive pressure ventilation at 21% FiO2 at a rate of 40-60 breaths per minute should
be immediately initiated. The heart rate should be assessed after 15 seconds of PPV
and if not improving additional measures should be taken (MRSOPA). Vascular access
is not always needed but can be worked on by another team member while airway and
breathing interventions are being completed.
✔✔A 5-year-old with no health problems presents to the emergency department with a
sudden onset of chest pain and shortness of breath. Parents state that the family was
involved in a bad car crash one week ago. A thorough assessment and workup has not
revealed any abnormalities. Which of the following the best next step to take?
A.Ask about any new bed-wetting or sleep disturbances
B.Discharge to home and follow-up with their primary care physician
C.Repeat a head-to-toe exam to identify any missed traumatic injuries
D.Consult cardiology for appropriate follow-up - ✔✔A
Physical complaints are not uncommon in children following a traumatic event. Once
any physical injuries or illnesses have been ruled out, assessment for any other
