E M E R G E N C Y N U R S E S A S S O C I AT I O N
ENPC 6th Edition
Complete 50-Question
Study Guide
Emergency Nursing Pediatric Course — Practice Questions
Topic Focus: Pediatric Emergencies, Triage, Resuscitation, & Critical Care
Edition 1 · August 2026 · 50 Questions
Table of Contents
1. Instructions for Use 2
2. Pediatric Assessment & Triage (Questions 1–15) 2
3. Respiratory & Airway Emergencies (Questions 16–25) 5
4. Cardiovascular & Shock Emergencies (Questions 26–35) 6
,5. Trauma, Injury & Neurological (Questions 36–45) 7
6. Infectious Disease & Special Populations (Questions 46–50) 8
ENPC 6th Edition Page 1
,ENPC 6TH EDITION STUDY GUIDE ASSESSMENT & TRIAGE — Q1–15
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. All 50 questions are derived directly from the source material and verified for
accuracy.
Category: Pediatric Assessment & Triage — Questions 1–15
1 A neonate presents to the emergency department with irritability, weak cry, and
hypotonia. Which of the following is a priority intervention?
A Serum blood glucose
B Head computed tomography scan
C Prostaglandin infusion
D Toxin screening
Why A is correct: A neonate with irritability, weak cry, and hypotonia should have a serum
blood glucose checked first. Neonatal hypoglycemia can present with these symptoms and
requires prompt identification and treatment.
B — Head CT may be indicated later but is not the priority.
C — Prostaglandin infusion is for ductal-dependent congenital heart disease.
D — Toxin screening may be indicated but is not the priority.
, 2 Which of the following pathologic processes would most likely be attributed to a
primary diagnosis of cystic fibrosis?
A Hypernatremia
B Constipation
C Obesity
D Epiglottitis
Why B is correct: Constipation is commonly associated with cystic fibrosis due to
meconium ileus and intestinal obstruction. CF affects the digestive system, causing thick
secretions and obstruction.
A — Hypernatremia is not a primary finding in CF.
C — Obesity is not associated with CF; patients are often underweight.
D — Epiglottitis is not directly related to CF.
3 A nurse begins making multiple errors in clinical decisions regarding the care of
patients in the pediatric emergency department. The nurse has worked many
consecutive shifts caring for severely ill and injured children and mentioned to a co-
worker that they are not sleeping and feel anxious about coming to work. What
condition may this nurse be experiencing?
A Nurse traumatization
B Pediatric traumatization
C Direct traumatization
D Vicarious traumatization
Why D is correct: Vicarious traumatization occurs when a caregiver experiences trauma-
related symptoms from exposure to patients' traumatic experiences. The nurse's symptoms
of anxiety, sleep disturbance, and clinical errors are consistent with this condition.
A — Nurse traumatization is not a specific diagnosis.
B — Pediatric traumatization is not a recognized term.
C — Direct traumatization would involve personal trauma.
ENPC 6th Edition
Complete 50-Question
Study Guide
Emergency Nursing Pediatric Course — Practice Questions
Topic Focus: Pediatric Emergencies, Triage, Resuscitation, & Critical Care
Edition 1 · August 2026 · 50 Questions
Table of Contents
1. Instructions for Use 2
2. Pediatric Assessment & Triage (Questions 1–15) 2
3. Respiratory & Airway Emergencies (Questions 16–25) 5
4. Cardiovascular & Shock Emergencies (Questions 26–35) 6
,5. Trauma, Injury & Neurological (Questions 36–45) 7
6. Infectious Disease & Special Populations (Questions 46–50) 8
ENPC 6th Edition Page 1
,ENPC 6TH EDITION STUDY GUIDE ASSESSMENT & TRIAGE — Q1–15
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. All 50 questions are derived directly from the source material and verified for
accuracy.
Category: Pediatric Assessment & Triage — Questions 1–15
1 A neonate presents to the emergency department with irritability, weak cry, and
hypotonia. Which of the following is a priority intervention?
A Serum blood glucose
B Head computed tomography scan
C Prostaglandin infusion
D Toxin screening
Why A is correct: A neonate with irritability, weak cry, and hypotonia should have a serum
blood glucose checked first. Neonatal hypoglycemia can present with these symptoms and
requires prompt identification and treatment.
B — Head CT may be indicated later but is not the priority.
C — Prostaglandin infusion is for ductal-dependent congenital heart disease.
D — Toxin screening may be indicated but is not the priority.
, 2 Which of the following pathologic processes would most likely be attributed to a
primary diagnosis of cystic fibrosis?
A Hypernatremia
B Constipation
C Obesity
D Epiglottitis
Why B is correct: Constipation is commonly associated with cystic fibrosis due to
meconium ileus and intestinal obstruction. CF affects the digestive system, causing thick
secretions and obstruction.
A — Hypernatremia is not a primary finding in CF.
C — Obesity is not associated with CF; patients are often underweight.
D — Epiglottitis is not directly related to CF.
3 A nurse begins making multiple errors in clinical decisions regarding the care of
patients in the pediatric emergency department. The nurse has worked many
consecutive shifts caring for severely ill and injured children and mentioned to a co-
worker that they are not sleeping and feel anxious about coming to work. What
condition may this nurse be experiencing?
A Nurse traumatization
B Pediatric traumatization
C Direct traumatization
D Vicarious traumatization
Why D is correct: Vicarious traumatization occurs when a caregiver experiences trauma-
related symptoms from exposure to patients' traumatic experiences. The nurse's symptoms
of anxiety, sleep disturbance, and clinical errors are consistent with this condition.
A — Nurse traumatization is not a specific diagnosis.
B — Pediatric traumatization is not a recognized term.
C — Direct traumatization would involve personal trauma.
