ENPC 6th Edition Pre-Exam Latest Updated
Answers| Approved
1. A 14-year-old patient sustained a displaced fracture of the radius and ulna
after falling from a bicycle. Which of the following pain control interventions is
most likely to result in improvement in symptoms related to pain?
• Answer: Applying a splint to the affected extremity
2. Assessment of the fontanelle provides the most useful information for which
two components of the primary survey?
• Answer: Circulation and disability
3. A 6-month-old is seen for a recurrent respiratory infection. During the
assessment, the mother adds that the patient’s stools seem to be fatty or
“greasy”. Which of the following disease processes would be a primary concern
for this child?
• Answer: Cystic fibrosis
4. A 4-day-old who is brought to the emergency department with the parental
complaint of “not acting right” is found to be hypoglycemic. What is the
appropriate glucose concentration to administer to this neonate?
• Answer: Dextrose 10%
5. Which of the following indicates the need for additional caregiver education
regarding a urinary tract infection?
• Answer: My child will grow out of their frequent urinary tract infections.
6. You need to draw blood from a 2-year-old. Which of the following is the best
approach for this patient?
• Answer: Have them watch a cartoon on an I-pad or cell phone
7. The caregiver of a 2-month-old infant states the patient has had trouble
breathing for the past two days. Pediatric assessment triangle (PAT) reveals an
, age-appropriate general appearance, rapid breathing with mild distress, and
pink skin. Mucous is noted in both nares. Which of the following is the best next
step?
• Answer: Suction nasal passages using a bulb syringe
8. An ambulance arrives with a 16-year-old male involved in a dirt bike crash
who was intubated prior to arrival. Which of the following is the priority
assessment or intervention?
• Answer: Assess endotracheal tube placement
9. Which of the following patients should be evaluated first?
• Answer: An 18-month-old with bilious emesis
10.A nurse providing trauma informed care to the family of a seriously ill child
should be doing which of the following?
• Answer: Appointing one staff member to stay with the family
11.What is the priority intervention for symptomatic bradycardia in a four-year-
old child?
• Answer: Initiate bag-mask ventilation
12.A three-year-old is rescued after being submerged in a pool for several
minutes. On arrival the patient is responsive to painful stimuli with shallow
respirations, diminished breath sounds, and an occasional cough. Which of the
following interventions is the initial management priority?
• Answer: Endotracheal intubation to provide positive pressure ventilation
13.A 5-year-old child presents to the emergency department after being hit by a
car. The patient complains of left upper quadrant pain, and the focused
assessment with sonography for trauma (FAST) exam shows fluid around her
spleen. Which of the following findings would be an early indication of ongoing
blood loss?
• Answer: Weak peripheral pulses
, 14.Which of the following is a known cause of pediatric seizures?
• Answer: Overdiluted formula
15.For the infant, what duration of time is considered apneic?
• Answer: 20 seconds
16.For the infant, what duration of time is considered apneic?
• Answer: 20 seconds
17.A 9-month pregnant woman presents to the emergency department and
delivers a term neonate vaginally. The neonate is dried and stimulated and the
mouth and nose are suctioned using a bulb syringe. After repositioning the
head, the neonate remains limp and apneic and the HR is 80 beats/minute.
What is the priority intervention?
• Answer: Initiate positive pressure ventilation
18.A 5-year-old with no health problems presents to the emergency department
with a sudden onset of chest pain and shortness of breath. Parents state that the
family was involved in a bad car crash one week ago. A thorough assessment
and workup has not revealed any abnormalities. Which of the following the best
next step to take?
• Answer: Ask about any new bed-wetting or sleep disturbances
19.A 3-month-old is brought to the emergency department with new onset of
fever. You note the child to be pale, tachypneic, and tachycardic, with weak
distal pulses. Which intervention is the priority for this patient?
• Answer: Infuse a rapid 10-20 mL/kg bolus of an isotonic crystalloid
20.Which of the following patient presentations should increase suspicion of
potential child maltreatment?
• Answer: Bruising to the left ear of a newborn from sleeping on his side
21.The caregiver of a 7-year old reports witnessing a seizure at home, but no
seizure history. The patient is post-ictal with a heart rate of 142 beats per
Answers| Approved
1. A 14-year-old patient sustained a displaced fracture of the radius and ulna
after falling from a bicycle. Which of the following pain control interventions is
most likely to result in improvement in symptoms related to pain?
• Answer: Applying a splint to the affected extremity
2. Assessment of the fontanelle provides the most useful information for which
two components of the primary survey?
• Answer: Circulation and disability
3. A 6-month-old is seen for a recurrent respiratory infection. During the
assessment, the mother adds that the patient’s stools seem to be fatty or
“greasy”. Which of the following disease processes would be a primary concern
for this child?
• Answer: Cystic fibrosis
4. A 4-day-old who is brought to the emergency department with the parental
complaint of “not acting right” is found to be hypoglycemic. What is the
appropriate glucose concentration to administer to this neonate?
• Answer: Dextrose 10%
5. Which of the following indicates the need for additional caregiver education
regarding a urinary tract infection?
• Answer: My child will grow out of their frequent urinary tract infections.
6. You need to draw blood from a 2-year-old. Which of the following is the best
approach for this patient?
• Answer: Have them watch a cartoon on an I-pad or cell phone
7. The caregiver of a 2-month-old infant states the patient has had trouble
breathing for the past two days. Pediatric assessment triangle (PAT) reveals an
, age-appropriate general appearance, rapid breathing with mild distress, and
pink skin. Mucous is noted in both nares. Which of the following is the best next
step?
• Answer: Suction nasal passages using a bulb syringe
8. An ambulance arrives with a 16-year-old male involved in a dirt bike crash
who was intubated prior to arrival. Which of the following is the priority
assessment or intervention?
• Answer: Assess endotracheal tube placement
9. Which of the following patients should be evaluated first?
• Answer: An 18-month-old with bilious emesis
10.A nurse providing trauma informed care to the family of a seriously ill child
should be doing which of the following?
• Answer: Appointing one staff member to stay with the family
11.What is the priority intervention for symptomatic bradycardia in a four-year-
old child?
• Answer: Initiate bag-mask ventilation
12.A three-year-old is rescued after being submerged in a pool for several
minutes. On arrival the patient is responsive to painful stimuli with shallow
respirations, diminished breath sounds, and an occasional cough. Which of the
following interventions is the initial management priority?
• Answer: Endotracheal intubation to provide positive pressure ventilation
13.A 5-year-old child presents to the emergency department after being hit by a
car. The patient complains of left upper quadrant pain, and the focused
assessment with sonography for trauma (FAST) exam shows fluid around her
spleen. Which of the following findings would be an early indication of ongoing
blood loss?
• Answer: Weak peripheral pulses
, 14.Which of the following is a known cause of pediatric seizures?
• Answer: Overdiluted formula
15.For the infant, what duration of time is considered apneic?
• Answer: 20 seconds
16.For the infant, what duration of time is considered apneic?
• Answer: 20 seconds
17.A 9-month pregnant woman presents to the emergency department and
delivers a term neonate vaginally. The neonate is dried and stimulated and the
mouth and nose are suctioned using a bulb syringe. After repositioning the
head, the neonate remains limp and apneic and the HR is 80 beats/minute.
What is the priority intervention?
• Answer: Initiate positive pressure ventilation
18.A 5-year-old with no health problems presents to the emergency department
with a sudden onset of chest pain and shortness of breath. Parents state that the
family was involved in a bad car crash one week ago. A thorough assessment
and workup has not revealed any abnormalities. Which of the following the best
next step to take?
• Answer: Ask about any new bed-wetting or sleep disturbances
19.A 3-month-old is brought to the emergency department with new onset of
fever. You note the child to be pale, tachypneic, and tachycardic, with weak
distal pulses. Which intervention is the priority for this patient?
• Answer: Infuse a rapid 10-20 mL/kg bolus of an isotonic crystalloid
20.Which of the following patient presentations should increase suspicion of
potential child maltreatment?
• Answer: Bruising to the left ear of a newborn from sleeping on his side
21.The caregiver of a 7-year old reports witnessing a seizure at home, but no
seizure history. The patient is post-ictal with a heart rate of 142 beats per
