Emergency Nursing Pediatric Course
ENPC 6th Edition (4 PRACTICE EXAM’S)
100% Guarantee Pass
Insiḍe you will get:
(4 PRACTICE EXAM’S) Each exam consists of 50 multiple-choice questions
Each question exam consists of multiple-choice questions and answers with
explanations
ENPC, 6th Edition, is ENA's latest version of the Emergency Nursing Pediatric
Course. This edition is patient-presentation-based, focusing on recognizing normal
and abnormal findings and appropriate interventions.
, ENPC 6th Edition PRACTICE TEST 1
1. **A 4-year-old presents with vomiting, lethargy, frequent urination, weight
loss, and dry mucous membranes. Vital signs reveal deep respirations at 44
breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per minute.
Which of the following laboratory values would be most expected in this
child?**
- A) Hypoglycemia
- B) Blood pH < 7.3
- C) Normal serum bicarbonate level
- D) Blood glucose level < 200 mg/dL
Answer: B) Blood pH < 7.3
Explanation: Children can present with new onset diabetes in diabetic
ketoacidosis, which includes signs of dehydration and an acidotic state.
2. **An 18-month-old is seen for fever, slight circumoral cyanosis, and
wheezing noted on auscultation in the right upper lobe after a choking event
4 days ago. What would be considered definitive treatment for the suspected
diagnosis?**
- A) Antibiotics
- B) Diagnostic imaging
- C) Bronchoscopy
- D) Observation
Answer: C) Bronchoscopy
Explanation: A bronchoscopy is necessary to retrieve the suspected foreign
,body.
3. **A child in cardiopulmonary arrest is receiving chest compressions and
manual ventilations with a bag-mask device. Once return of spontaneous
circulation has been confirmed, what is the priority intervention?**
- A) Establishing a secure airway
- B) Administering medications
- C) Assessing vital signs
- D) Documenting findings
Answer: A) Establishing a secure airway
Explanation: A secure airway is essential to ensure effective breathing and
circulation.
4. **Parents report their 3-year-old child has developed noisy breathing with
high-pitched wheezes audible on both inspiration and expiration. What
medication should be administered first?**
- A) Inhaled short-acting beta agonist
- B) Oral corticosteroids
- C) Long-acting beta agonist
- D) Antihistamines
Answer: A) Inhaled short-acting beta agonist
Explanation: Inhaled short-acting beta agonists are the first-line treatment
for wheezing.
5. **A 6-week-old infant is brought to the emergency department with poor
, feeding, listlessness, fever, a bulging anterior fontanel, and abnormal vital
signs. What diagnostic test should the nurse anticipate?**
- A) CT Scan
- B) Blood cultures
- C) Lumbar puncture
- D) Urinalysis
Answer: C) Lumbar puncture
Explanation: A lumbar puncture is indicated to assess for potential
meningitis in this presentation.
6. **A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which intravenous medication order should the nurse
question?**
- A) Acetaminophen
- B) Ketorolac
- C) Heparin
- D) Normal saline
Answer: B) Ketorolac
Explanation: Ketorolac should not be used pre-operatively due to the risk of
increased bleeding.
7. **A 17-year-old female arrives in the ED reporting vaginal bleeding during
pregnancy. She presents as quiet and allows her boyfriend to answer
questions. What is the most appropriate action for the nurse?**
- A) Continue collecting data
ENPC 6th Edition (4 PRACTICE EXAM’S)
100% Guarantee Pass
Insiḍe you will get:
(4 PRACTICE EXAM’S) Each exam consists of 50 multiple-choice questions
Each question exam consists of multiple-choice questions and answers with
explanations
ENPC, 6th Edition, is ENA's latest version of the Emergency Nursing Pediatric
Course. This edition is patient-presentation-based, focusing on recognizing normal
and abnormal findings and appropriate interventions.
, ENPC 6th Edition PRACTICE TEST 1
1. **A 4-year-old presents with vomiting, lethargy, frequent urination, weight
loss, and dry mucous membranes. Vital signs reveal deep respirations at 44
breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per minute.
Which of the following laboratory values would be most expected in this
child?**
- A) Hypoglycemia
- B) Blood pH < 7.3
- C) Normal serum bicarbonate level
- D) Blood glucose level < 200 mg/dL
Answer: B) Blood pH < 7.3
Explanation: Children can present with new onset diabetes in diabetic
ketoacidosis, which includes signs of dehydration and an acidotic state.
2. **An 18-month-old is seen for fever, slight circumoral cyanosis, and
wheezing noted on auscultation in the right upper lobe after a choking event
4 days ago. What would be considered definitive treatment for the suspected
diagnosis?**
- A) Antibiotics
- B) Diagnostic imaging
- C) Bronchoscopy
- D) Observation
Answer: C) Bronchoscopy
Explanation: A bronchoscopy is necessary to retrieve the suspected foreign
,body.
3. **A child in cardiopulmonary arrest is receiving chest compressions and
manual ventilations with a bag-mask device. Once return of spontaneous
circulation has been confirmed, what is the priority intervention?**
- A) Establishing a secure airway
- B) Administering medications
- C) Assessing vital signs
- D) Documenting findings
Answer: A) Establishing a secure airway
Explanation: A secure airway is essential to ensure effective breathing and
circulation.
4. **Parents report their 3-year-old child has developed noisy breathing with
high-pitched wheezes audible on both inspiration and expiration. What
medication should be administered first?**
- A) Inhaled short-acting beta agonist
- B) Oral corticosteroids
- C) Long-acting beta agonist
- D) Antihistamines
Answer: A) Inhaled short-acting beta agonist
Explanation: Inhaled short-acting beta agonists are the first-line treatment
for wheezing.
5. **A 6-week-old infant is brought to the emergency department with poor
, feeding, listlessness, fever, a bulging anterior fontanel, and abnormal vital
signs. What diagnostic test should the nurse anticipate?**
- A) CT Scan
- B) Blood cultures
- C) Lumbar puncture
- D) Urinalysis
Answer: C) Lumbar puncture
Explanation: A lumbar puncture is indicated to assess for potential
meningitis in this presentation.
6. **A 12-year-old is being prepped for surgical intervention of acute
appendicitis. Which intravenous medication order should the nurse
question?**
- A) Acetaminophen
- B) Ketorolac
- C) Heparin
- D) Normal saline
Answer: B) Ketorolac
Explanation: Ketorolac should not be used pre-operatively due to the risk of
increased bleeding.
7. **A 17-year-old female arrives in the ED reporting vaginal bleeding during
pregnancy. She presents as quiet and allows her boyfriend to answer
questions. What is the most appropriate action for the nurse?**
- A) Continue collecting data
