ENPC 6 2026 COMPLETE PEDIATRIC
EMERGENCY NURSING CERTIFICATION
PREPARATION MATERIALS
◉ You are discharging a patient home who has a history of
depression. Discharge teaching should include which of the
following?
Answer: A.Discussing the importance of stopping all current
psychiatric medications.
B.Providing the family a list of behavioral health facilities to call for
follow-up.
C.Explaining that the family should not call authorities for
escalations in the patient's behavior.
D.Ensuring all firearms in the home are locked up with no access
available by the patient.
◉ A child with an electrical injury is seen 1 hour post event. Which
of the following specimen samples would provide visual information
regarding a potential complication of this injury?
Answer: A.Serum
B.Urine
C.Stool
D.Sputum
,◉ A 4-year-old patient is being assessed for a foreign body in the
nose. The child is awake and alert and watching a video on the
caregivers phone. Vitals include HR of 110 beats/minute, RR of 26
breaths per minute, BP of 138/90 mm Hg, and T of 37.3oC (99.3oF)
orally. Which of the following interventions should the nurse
perform next?
Answer: A.Check the size of the blood pressure cuff
B.Recheck the temperature rectally
C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
◉ A 10-year-old playing baseball is hit in the chest with a ball. He
immediately demonstrates loss of consciousness with no pulses.
Which of the following is the priority intervention?
Answer: A.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
◉ 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?
Answer: A.Obtaining a sterile urine sample
B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
◉ A caregiver reports their one-month-old has had a yellowish color
to their eyes and skin over the last two weeks. If left untreated,
which body system can this affect?
Answer: A.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
◉ An infant presents to the emergency department with difficulty
breathing. The patient is pale and respirations appear rapid and
shallow. Which location on the torso is the most effective site for
assessing bilateral breath sounds?
Answer: A.Bilateral posterior back
B.Over the epigastrium
C.Bilateral midaxillary
D.Bilateral anterior chest
, ◉ A 5-year-old presents with sudden onset nausea, vomiting,
abdominal cramping, hives, and hypotension after eating lunch.
Which of the following is the priority intervention?
Answer: A.Intramuscular epinephrine
B.Inhaled albuterol
C.Oral diphenhydramine
D.Intravenous ondansetron
◉ A 3-year-old is assessed for the presence of increasing amounts of
serosanguineous drainage from his left nares over the past 6 hours.
Which of the following foreign bodies is the most likely etiology?
Answer: A.Magnet
B.Button battery
C.Dried bean
D.Fishing weight
◉ Caregivers state an 18-month-old child had a harsh, barky cough,
low-grade fever, and irritability throughout the night. On assessment
this morning, the child appears alert, is interactive, their present
cough is quiet, and their temperature is 98.8°F (37.1°C) axillary.
Which of the following diagnoses is the highest probablity for this
child?
Answer: A.Asthma
EMERGENCY NURSING CERTIFICATION
PREPARATION MATERIALS
◉ You are discharging a patient home who has a history of
depression. Discharge teaching should include which of the
following?
Answer: A.Discussing the importance of stopping all current
psychiatric medications.
B.Providing the family a list of behavioral health facilities to call for
follow-up.
C.Explaining that the family should not call authorities for
escalations in the patient's behavior.
D.Ensuring all firearms in the home are locked up with no access
available by the patient.
◉ A child with an electrical injury is seen 1 hour post event. Which
of the following specimen samples would provide visual information
regarding a potential complication of this injury?
Answer: A.Serum
B.Urine
C.Stool
D.Sputum
,◉ A 4-year-old patient is being assessed for a foreign body in the
nose. The child is awake and alert and watching a video on the
caregivers phone. Vitals include HR of 110 beats/minute, RR of 26
breaths per minute, BP of 138/90 mm Hg, and T of 37.3oC (99.3oF)
orally. Which of the following interventions should the nurse
perform next?
Answer: A.Check the size of the blood pressure cuff
B.Recheck the temperature rectally
C.Recheck the blood pressure on the other arm
D.Place the patient on cardiac and respiratory monitors
◉ A 10-year-old playing baseball is hit in the chest with a ball. He
immediately demonstrates loss of consciousness with no pulses.
Which of the following is the priority intervention?
Answer: A.Utilize AED/defibrillator
B.Prepare for needle decompression
C.Administer intravenous epinephrine
D.Intubate with endotracheal tube
◉ 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?
Answer: A.Obtaining a sterile urine sample
B.Initiating intravenous access
C.Preparing the patient for ultrasound
D.Scanning the patient's bladder
◉ A caregiver reports their one-month-old has had a yellowish color
to their eyes and skin over the last two weeks. If left untreated,
which body system can this affect?
Answer: A.Integumentary
B.Renal
C.Gastrointestinal
D.Neurological
◉ An infant presents to the emergency department with difficulty
breathing. The patient is pale and respirations appear rapid and
shallow. Which location on the torso is the most effective site for
assessing bilateral breath sounds?
Answer: A.Bilateral posterior back
B.Over the epigastrium
C.Bilateral midaxillary
D.Bilateral anterior chest
, ◉ A 5-year-old presents with sudden onset nausea, vomiting,
abdominal cramping, hives, and hypotension after eating lunch.
Which of the following is the priority intervention?
Answer: A.Intramuscular epinephrine
B.Inhaled albuterol
C.Oral diphenhydramine
D.Intravenous ondansetron
◉ A 3-year-old is assessed for the presence of increasing amounts of
serosanguineous drainage from his left nares over the past 6 hours.
Which of the following foreign bodies is the most likely etiology?
Answer: A.Magnet
B.Button battery
C.Dried bean
D.Fishing weight
◉ Caregivers state an 18-month-old child had a harsh, barky cough,
low-grade fever, and irritability throughout the night. On assessment
this morning, the child appears alert, is interactive, their present
cough is quiet, and their temperature is 98.8°F (37.1°C) axillary.
Which of the following diagnoses is the highest probablity for this
child?
Answer: A.Asthma
