EMERGENCY NURSES ASSOCIATION · ENPC
GUARANTEED
ENPC 6th Edition
PASS.
Course Exam Practice
90 Practice Questions with Rationales
COURSE FOCUS:
Emergency Nursing Pediatric
Course
— 6th Edition Review
Edition 1 · August 2026
Prepare · Practice · Pass
Excellence in Emergency Nursing
EXAM DETAILED HIGH-YIELD CONFIDENCE
ENPC 6th Edition Page 1
,ENPC 6TH EDITION TABLE OF CONTENTS
Table of Contents
1. Instructions for Use 3
2. Practice Questions (Q1-90) 3
ENPC 6th Edition Page 2
,ENPC 6TH EDITION INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains 90 questions covering the ENPC 6th Edition Course Exam
content.
ENPC 6th Edition — Practice Questions
1 Parents report their 3-year-old child has developed noisy breathing. On assessment,
high-pitched wheezes are audible and auscultated on inspiration and expiration.
What medication would be appropriate to administer first?
A Inhaled short-acting beta agonist
B Oral corticosteroids
C Inhaled corticosteroids
D Antibiotics
Why A is correct: Initial medication intervention for wheezing includes an inhaled short-
acting beta agonist (SABA).
B — Oral corticosteroids are second-line treatment for exacerbations.
C — Inhaled corticosteroids are for maintenance, not acute treatment.
D — Antibiotics are not indicated for wheezing unless infection is confirmed.
, 2 A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and
dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per
minute, BP of 70/44 mm Hg, and HR of 144 beats per minute. Which laboratory
value would be most expected in this child?
A pH below 7.3, elevated serum bicarbonate, and blood glucose > 200 mg/dL
B pH above 7.45, decreased serum bicarbonate, and blood glucose < 100 mg/dL
C pH below 7.3, decreased serum bicarbonate, and blood glucose > 200 mg/dL
D pH above 7.45, elevated serum bicarbonate, and blood glucose < 100 mg/dL
Why A is correct: These findings are consistent with diabetic ketoacidosis (DKA): acidotic
state with pH < 7.3, elevated serum bicarbonate, and blood glucose > 200 mg/dL.
B — This is incorrect; DKA presents with acidosis and hyperglycemia.
C — Serum bicarbonate is elevated in DKA, not decreased.
D — This is incorrect; DKA presents with acidosis and hyperglycemia.
3 An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted
on auscultation in the right upper lobe of the lung field after a choking event 4 days
ago. The white blood cell count is elevated and the patient is tachypneic,
tachycardic, agitated, and has increased respiratory effort. At the time of the event,
the patient was started on antibiotics with subsequent increasing manifestations
instead of improvement. Which would be considered definitive treatment for the
suspected diagnosis?
A Bronchoscopy to retrieve the suspected foreign body
B CT scan of the chest
C Continued antibiotic therapy
D Chest radiograph
Why A is correct: The definitive treatment would be a bronchoscopy in order to retrieve
the suspected foreign body. This is a foreign body aspiration until proven otherwise.
B — CT scan is diagnostic, not definitive treatment.
C — Antibiotics are not treating the underlying foreign body.
D — Chest radiograph may show the object but does not remove it.
GUARANTEED
ENPC 6th Edition
PASS.
Course Exam Practice
90 Practice Questions with Rationales
COURSE FOCUS:
Emergency Nursing Pediatric
Course
— 6th Edition Review
Edition 1 · August 2026
Prepare · Practice · Pass
Excellence in Emergency Nursing
EXAM DETAILED HIGH-YIELD CONFIDENCE
ENPC 6th Edition Page 1
,ENPC 6TH EDITION TABLE OF CONTENTS
Table of Contents
1. Instructions for Use 3
2. Practice Questions (Q1-90) 3
ENPC 6th Edition Page 2
,ENPC 6TH EDITION INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains 90 questions covering the ENPC 6th Edition Course Exam
content.
ENPC 6th Edition — Practice Questions
1 Parents report their 3-year-old child has developed noisy breathing. On assessment,
high-pitched wheezes are audible and auscultated on inspiration and expiration.
What medication would be appropriate to administer first?
A Inhaled short-acting beta agonist
B Oral corticosteroids
C Inhaled corticosteroids
D Antibiotics
Why A is correct: Initial medication intervention for wheezing includes an inhaled short-
acting beta agonist (SABA).
B — Oral corticosteroids are second-line treatment for exacerbations.
C — Inhaled corticosteroids are for maintenance, not acute treatment.
D — Antibiotics are not indicated for wheezing unless infection is confirmed.
, 2 A 4-year-old presents with vomiting, lethargy, frequent urination, weight loss, and
dry mucous membranes. Vital signs reveal deep respirations at 44 breaths per
minute, BP of 70/44 mm Hg, and HR of 144 beats per minute. Which laboratory
value would be most expected in this child?
A pH below 7.3, elevated serum bicarbonate, and blood glucose > 200 mg/dL
B pH above 7.45, decreased serum bicarbonate, and blood glucose < 100 mg/dL
C pH below 7.3, decreased serum bicarbonate, and blood glucose > 200 mg/dL
D pH above 7.45, elevated serum bicarbonate, and blood glucose < 100 mg/dL
Why A is correct: These findings are consistent with diabetic ketoacidosis (DKA): acidotic
state with pH < 7.3, elevated serum bicarbonate, and blood glucose > 200 mg/dL.
B — This is incorrect; DKA presents with acidosis and hyperglycemia.
C — Serum bicarbonate is elevated in DKA, not decreased.
D — This is incorrect; DKA presents with acidosis and hyperglycemia.
3 An 18-month-old is seen for fever, slight circumoral cyanosis, and wheezing noted
on auscultation in the right upper lobe of the lung field after a choking event 4 days
ago. The white blood cell count is elevated and the patient is tachypneic,
tachycardic, agitated, and has increased respiratory effort. At the time of the event,
the patient was started on antibiotics with subsequent increasing manifestations
instead of improvement. Which would be considered definitive treatment for the
suspected diagnosis?
A Bronchoscopy to retrieve the suspected foreign body
B CT scan of the chest
C Continued antibiotic therapy
D Chest radiograph
Why A is correct: The definitive treatment would be a bronchoscopy in order to retrieve
the suspected foreign body. This is a foreign body aspiration until proven otherwise.
B — CT scan is diagnostic, not definitive treatment.
C — Antibiotics are not treating the underlying foreign body.
D — Chest radiograph may show the object but does not remove it.
