ENPC TEST 25 2026 PRACTICE TEST SHEET
FULL SOLUTIONS CORRECT ANSWERS
PREPARATION SET
◉ A 10-kg child has deep partial-thickness burns over 35% of the
total body surface area. Which evaluation parameter indicates that
fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour.
Answer: D. Urine output of 11 ml/hour.
◉ A 7-year-old female sustains a minor head injury and did not lose
consciousness. She does not respond to commands and groans in
response to questions. Which action will quickly determine if her
behavior indicates a serious head injury?
A. Review her medical record for pre-existing developmental
problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual.
Answer: D. Ask the parents if her behavior is unusual.
,◉ An 8-month-old child presents with purpura, irritability, and a
rectal temperature of 39.4�C (102.9�F). An intervention of high
priority is:
A. Encouraging the caregiver to hold and comfort the child.
B. Monitoring for signs and symptoms of increased intracranial
pressure (ICP).
C. Collecting urine for toxicology screen.
D. Encouraging oral fluids and food.
Answer: B. Monitoring for signs and symptoms of increased
intracranial pressure (ICP).
◉ The Pediatric Assessment Triangle is used to:
A. Identify all life-threatening conditions that the child presents
with.
B. Perform a complete head-to-toe assessment on the child.
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the
"across-the-room" assessment.
Answer: D. Determine the severity of the child's illness or injury
using the "across-the-room" assessment.
◉ The caregivers of a 6-year-old boy who is brought to the
emergency department for abdominal pain should first be asked:
,A. "Are his immunizations current?"
B. "Has anything happened to him at school recently?"
C. "What is the reason for the child's visit and how long has he been
ill?"
D. "Has he been complaining of a sore throat or earache?"
Answer: C. "What is the reason for the child's visit and how long has
he been ill?"
◉ A 9-month-old infant is crying loudly through the nursing
assessment, and the caregiver is becoming distraught. The nurse
should ask the caregiver to:
A. Read a story to the infant.
B. Offer the infant a pacifier.
C. Return when the infant is consoled.
D. Ignore the infant's behavior.
Answer: B. Offer the infant a pacifier.
◉ During an intubation attempt, the child�s heart rate drops to 40
beats/minute. Which intervention is indicated?
A. Ask the physician to stop the intubation attempt and perform bag-
mask ventilation.
B. Apply cricoid pressure and establish intravenous access.
C. Inform the physician of the heart rate and ask the physician to
intubate faster.
, D. Administer blow-by oxygen and begin chest compressions.
Answer: A. Ask the physician to stop the intubation attempt and
perform bag-mask ventilation.
◉ A 6- week-old infant is pale, has marked substernal retractions,
expiratory grunting, and poor muscle tone. The emergency nurse
should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen.
Answer: D. Administer 100% oxygen.
◉ The best method to open the airway in an injured child is:
A. Placing the head and neck in hyperextension.
B. Using the jaw thrust maneuver.
C. Placing the head and neck in flexion.
D. Using the head tilt maneuver.
Answer: B. Using the jaw thrust maneuver.
◉ A 4-year-old child with a history of the flu has a heart rate of 80
beats/minute, respirations of 16 breaths/minute, and capillary refill
FULL SOLUTIONS CORRECT ANSWERS
PREPARATION SET
◉ A 10-kg child has deep partial-thickness burns over 35% of the
total body surface area. Which evaluation parameter indicates that
fluid resuscitation is adequate?
A. Heart rate of 160 beats/minute.
B. Respiratory rate of 34 breaths/minute.
C. Blood pressure of 80/60 mm Hg.
D. Urine output of 11 ml/hour.
Answer: D. Urine output of 11 ml/hour.
◉ A 7-year-old female sustains a minor head injury and did not lose
consciousness. She does not respond to commands and groans in
response to questions. Which action will quickly determine if her
behavior indicates a serious head injury?
A. Review her medical record for pre-existing developmental
problems.
B. Obtain a head computerized tomography scan.
C. Conduct a developmental screening test.
D. Ask the parents if her behavior is unusual.
Answer: D. Ask the parents if her behavior is unusual.
,◉ An 8-month-old child presents with purpura, irritability, and a
rectal temperature of 39.4�C (102.9�F). An intervention of high
priority is:
A. Encouraging the caregiver to hold and comfort the child.
B. Monitoring for signs and symptoms of increased intracranial
pressure (ICP).
C. Collecting urine for toxicology screen.
D. Encouraging oral fluids and food.
Answer: B. Monitoring for signs and symptoms of increased
intracranial pressure (ICP).
◉ The Pediatric Assessment Triangle is used to:
A. Identify all life-threatening conditions that the child presents
with.
B. Perform a complete head-to-toe assessment on the child.
C. Assess the status of the child's airway only upon arrive in the ED.
D. Determine the severity of the child's illness or injury using the
"across-the-room" assessment.
Answer: D. Determine the severity of the child's illness or injury
using the "across-the-room" assessment.
◉ The caregivers of a 6-year-old boy who is brought to the
emergency department for abdominal pain should first be asked:
,A. "Are his immunizations current?"
B. "Has anything happened to him at school recently?"
C. "What is the reason for the child's visit and how long has he been
ill?"
D. "Has he been complaining of a sore throat or earache?"
Answer: C. "What is the reason for the child's visit and how long has
he been ill?"
◉ A 9-month-old infant is crying loudly through the nursing
assessment, and the caregiver is becoming distraught. The nurse
should ask the caregiver to:
A. Read a story to the infant.
B. Offer the infant a pacifier.
C. Return when the infant is consoled.
D. Ignore the infant's behavior.
Answer: B. Offer the infant a pacifier.
◉ During an intubation attempt, the child�s heart rate drops to 40
beats/minute. Which intervention is indicated?
A. Ask the physician to stop the intubation attempt and perform bag-
mask ventilation.
B. Apply cricoid pressure and establish intravenous access.
C. Inform the physician of the heart rate and ask the physician to
intubate faster.
, D. Administer blow-by oxygen and begin chest compressions.
Answer: A. Ask the physician to stop the intubation attempt and
perform bag-mask ventilation.
◉ A 6- week-old infant is pale, has marked substernal retractions,
expiratory grunting, and poor muscle tone. The emergency nurse
should first:
A. Obtain intravenous access.
B. Apply a pulse oximeter.
C. Prepare a chest x-ray.
D. Administer 100% oxygen.
Answer: D. Administer 100% oxygen.
◉ The best method to open the airway in an injured child is:
A. Placing the head and neck in hyperextension.
B. Using the jaw thrust maneuver.
C. Placing the head and neck in flexion.
D. Using the head tilt maneuver.
Answer: B. Using the jaw thrust maneuver.
◉ A 4-year-old child with a history of the flu has a heart rate of 80
beats/minute, respirations of 16 breaths/minute, and capillary refill
