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 · E N P C 6 T H E D I T I O N
ENPC 6th Edition
Complete Practice
Question Bank
Exam-Style Practice Questions with Rationales — 128 Questions
Topic Focus: Pediatric Emergency Nursing — Comprehensive Review
Edition 1 · July 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — ENPC 6th Edition 2
Emergency Nurses Association · ENPC 6th Edition Page 1
,ENPC 6TH EDITION COMPLETE PRACTICE GUIDE 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. These questions are designed to reflect the ENPC 6th Edition exam style and
content.
Category: ENPC 6th Edition — Pediatric Emergency Nursing
1 A 4-day-old neonate is brought to the emergency department with parental
complaint of "not acting right" and is found to be hypoglycemic. What is the
appropriate glucose concentration to administer?
A Dextrose 5%
B Dextrose 10%
C Dextrose 25%
D Dextrose 50%
Why B is correct: Dextrose 10% is the preferred concentration for neonates with
hypoglycemia to protect their fragile vasculature while providing needed glucose. Dextrose
5% is not used to treat hypoglycemia in children. Dextrose 25% is used for children above
the age of 5 years. Dextrose 50% is not recommended for use in pediatrics unless it is
diluted.
A — Dextrose 5% is not used to treat hypoglycemia in children.
C — Dextrose 25% is used for children above the age of 5 years.
D — Dextrose 50% is not recommended for use in pediatrics unless it is diluted.
,2 Assessment of the fontanelle provides the most useful information for which two
components of the primary survey?
A Circulation and disability
B Breathing and circulation
C Disability and exposure
D Circulation and exposure
Why A is correct: A sunken fontanelle is a red flag for circulation assessment and may
indicate dehydration. A bulging fontanel is a red flag for disability assessment and can
indicate increased intracranial pressure.
B — Fontanelle assessment does not directly assess breathing.
C — Disability and exposure are not the primary components assessed by fontanelle.
D — Circulation and exposure are not the primary components.
3 Which statement by a caregiver indicates the need for additional education
regarding a urinary tract infection?
A "I should encourage my child to drink extra fluids."
B "I need to make a follow-up appointment with my child's physician."
C "My child will grow out of their frequent urinary tract infections."
D "My child should complete all of their antibiotic medication."
Why C is correct: UTIs do not resolve with age; they require treatment. Frequent UTIs may
indicate underlying anatomical or functional abnormalities that require further evaluation.
A — Increased fluids are appropriate for UTI management.
B — Follow-up is appropriate and necessary.
D — Completing antibiotics is appropriate and necessary.
, 4 A nurse providing trauma-informed care to the family of a seriously ill child should:
A Place the family in a quiet, secluded room
B Refer to their child as "the patient"
C Make sure the family does not stay at the bedside
D Appoint one staff member to stay with the family
Why D is correct: Caregivers experiencing the crisis of a critically ill child have low
attentiveness and increased stress, so they benefit from having a member of the healthcare
team to stay with them as much as possible and communicate updates on the plan of care.
A — Caregivers should not be placed in a secluded room away from their child.
B — Using the child's name is more trauma-informed than referring to them as "the patient."
C — Caregivers should be allowed to stay with their child as much as possible.
5 A 7-year-old is post-ictal with HR 142, RR 36, BP 86/72, and significant burns to the
back and lower extremities. The caregiver states the burns occurred three days ago
but was afraid to bring the patient in due to an ongoing child welfare investigation.
Which interventions are the priority?
A Call police and child welfare authorities and have security detain the caregiver
B Administer intravenous analgesics and obtain a point of care glucose
C Draw a metabolic panel, point of care glucose, and administer a fluid bolus
D Administer lorazepam and a fluid bolus and place on seizure precautions
Why C is correct: Burn injuries result in fluid and electrolyte shifts leading to hypovolemia
and electrolyte imbalances. Early identification and treatment of electrolyte imbalances can
help prevent further seizures. The patient is post-ictal so does not require lorazepam at this
time.
A — Contacting authorities can wait while addressing immediate life threats.
B — Pain management is important but not the priority over fluid and electrolyte
management.
D — The patient is post-ictal, so lorazepam is not indicated at this time.
ENPC 6th Edition
Complete Practice
Question Bank
Exam-Style Practice Questions with Rationales — 128 Questions
Topic Focus: Pediatric Emergency Nursing — Comprehensive Review
Edition 1 · July 2026
Table of Contents
1. Instructions for Use 2
2. Practice Questions with Answers & Rationales — ENPC 6th Edition 2
Emergency Nurses Association · ENPC 6th Edition Page 1
,ENPC 6TH EDITION COMPLETE PRACTICE GUIDE 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. These questions are designed to reflect the ENPC 6th Edition exam style and
content.
Category: ENPC 6th Edition — Pediatric Emergency Nursing
1 A 4-day-old neonate is brought to the emergency department with parental
complaint of "not acting right" and is found to be hypoglycemic. What is the
appropriate glucose concentration to administer?
A Dextrose 5%
B Dextrose 10%
C Dextrose 25%
D Dextrose 50%
Why B is correct: Dextrose 10% is the preferred concentration for neonates with
hypoglycemia to protect their fragile vasculature while providing needed glucose. Dextrose
5% is not used to treat hypoglycemia in children. Dextrose 25% is used for children above
the age of 5 years. Dextrose 50% is not recommended for use in pediatrics unless it is
diluted.
A — Dextrose 5% is not used to treat hypoglycemia in children.
C — Dextrose 25% is used for children above the age of 5 years.
D — Dextrose 50% is not recommended for use in pediatrics unless it is diluted.
,2 Assessment of the fontanelle provides the most useful information for which two
components of the primary survey?
A Circulation and disability
B Breathing and circulation
C Disability and exposure
D Circulation and exposure
Why A is correct: A sunken fontanelle is a red flag for circulation assessment and may
indicate dehydration. A bulging fontanel is a red flag for disability assessment and can
indicate increased intracranial pressure.
B — Fontanelle assessment does not directly assess breathing.
C — Disability and exposure are not the primary components assessed by fontanelle.
D — Circulation and exposure are not the primary components.
3 Which statement by a caregiver indicates the need for additional education
regarding a urinary tract infection?
A "I should encourage my child to drink extra fluids."
B "I need to make a follow-up appointment with my child's physician."
C "My child will grow out of their frequent urinary tract infections."
D "My child should complete all of their antibiotic medication."
Why C is correct: UTIs do not resolve with age; they require treatment. Frequent UTIs may
indicate underlying anatomical or functional abnormalities that require further evaluation.
A — Increased fluids are appropriate for UTI management.
B — Follow-up is appropriate and necessary.
D — Completing antibiotics is appropriate and necessary.
, 4 A nurse providing trauma-informed care to the family of a seriously ill child should:
A Place the family in a quiet, secluded room
B Refer to their child as "the patient"
C Make sure the family does not stay at the bedside
D Appoint one staff member to stay with the family
Why D is correct: Caregivers experiencing the crisis of a critically ill child have low
attentiveness and increased stress, so they benefit from having a member of the healthcare
team to stay with them as much as possible and communicate updates on the plan of care.
A — Caregivers should not be placed in a secluded room away from their child.
B — Using the child's name is more trauma-informed than referring to them as "the patient."
C — Caregivers should be allowed to stay with their child as much as possible.
5 A 7-year-old is post-ictal with HR 142, RR 36, BP 86/72, and significant burns to the
back and lower extremities. The caregiver states the burns occurred three days ago
but was afraid to bring the patient in due to an ongoing child welfare investigation.
Which interventions are the priority?
A Call police and child welfare authorities and have security detain the caregiver
B Administer intravenous analgesics and obtain a point of care glucose
C Draw a metabolic panel, point of care glucose, and administer a fluid bolus
D Administer lorazepam and a fluid bolus and place on seizure precautions
Why C is correct: Burn injuries result in fluid and electrolyte shifts leading to hypovolemia
and electrolyte imbalances. Early identification and treatment of electrolyte imbalances can
help prevent further seizures. The patient is post-ictal so does not require lorazepam at this
time.
A — Contacting authorities can wait while addressing immediate life threats.
B — Pain management is important but not the priority over fluid and electrolyte
management.
D — The patient is post-ictal, so lorazepam is not indicated at this time.
