8/13/25, 9:15 PM ULTIMATE ENPC
ULTIMATE ENPC STUDY GUIDE EXAM 2025-
2026 \LATEST VERSION WITH COMPLETE
QUESTIONS AND ACCURATE DETAILED
ANSWERS \ LATETS UPDATE
A 6-week-old is brought to Lumbar puncture
the emergency department
by the caregivers for poor
feeding, listlessness, and
fever. Assessment reveals a
crying infant, HR 160
beats/minute, RR 52
breaths/minute, rectal
temperature of 96.0 F
(35.5 C), and a
bulging anterior fontanel.
Capillary refill is 4 seconds.
Based on these findings
what is the most likely
diagnostic test the nurse
should anticipate?
Ketorolac
A 12-year-old is being
prepped for surgical
Remediation feedback:
intervention of acute
Ketorolac is an appropriate medication for moderate to severe
appendicitis. Which of the pain, however, it
following intravenous should not be used pre-operatively due to its potential to
medication increase the bleeding risk.
orders should the nurse
question?
1/38
,8/13/25, 9:15 PM ULTIMATE ENPC
A 17-year-old female arrives Have the boyfriend leave the room during the pelvic exam.
in the ED with her
boyfriend who states she
is pregnant and having
vaginal bleeding. The
patient is unsure of the
gestational age and has not
had any prenatal treatment.
The patient is
quiet and lets her boyfriend
answer most of the questions.
Which of the following is the
most appropriate action for
the nurse to take at this
point?
A 2-year-old arrives at the Intraosseous in the patient's medial tibia.
ED in hypovolemic shock
and needs fluids
immediately. After several
attempts, your team has
been unsuccessful at
establishing vascular
access. Of the following,
which is the next best
option for establishing
access quickly?
A child with an electrical Myoglobin is excreted in the urine and is evidenced by dark, red-
injury is seen 1 hour post tinged urine.
event. Which of the
following
types of specimen samples
would provide visual
information regarding a
potential
complication of this injury?
2/38
,8/13/25, 9:15 PM ULTIMATE ENPC
Parents with an infant requiring Providing frequent updates and re-educating them on
multiple the care that is being provided
laboratory tests,
radiographic studies, and
invasive procedures
appear to be
distressed and withdrawn.
Which of the
following interventions would
best ensure a sense of
comfort and control for
these
parents?
When taking vital signs on a Respiratory rate
stable infant, which of the
following should be done
first?
A laceration on a toddler's LET (lidocaine/epinephrine/tetracaine)
arm is prepared for
suturing. Which of the
following
preparations for topical
anesthesia would be the
best choice for this
procedure?
Which of the following is A bolus infusion of 150 mg/kg NAC should be administered.
appropriate administration
of N-acetylcysteine (NAC)
for an acetaminophen
overdose?
A 2-year-old is seen with a Urinary catherization
3-day history of irritability,
vomiting, and the
presence of
foul-smelling urine. The child
is hypotensive and
tachycardic. Which of the
following methods for
obtaining a urine sample is
3/38
, 8/13/25, 9:15 PM ULTIMATE ENPC
most appropriate in this
circumstance?
You are discharging a Ensuring all firearms in the home are locked up with no
patient home who has a access available by the patient.
history of depression.
Discharge teaching should
include which of the
following?
A 2-year-old arrives with a Capillary refill
2-day history of vomiting
and diarrhea. The patient
has a fever of 38.4oC
(101.2°F), resting HR of 152
beats/minute, RR of 34
breaths/minute, and blood
pressure of 94/ 56 mm
Hg.
Assessment reveals a capillary
refill time of
> 5 seconds. Which of the
following would be most
indicative of the need for
intravenous rehydration
therapy for this patient?
An 8-month-old arrives with a Enema with air
12-hour
history of intermittent
abdominal pain, non- bilious
vomiting, and a low grade
fever. On assessment the
child is intermittently
inconsolable followed by
periods of
normal activity. A sausage-
shaped mass is noted
during palpation of the
abdomen. The nurse should
4/38
ULTIMATE ENPC STUDY GUIDE EXAM 2025-
2026 \LATEST VERSION WITH COMPLETE
QUESTIONS AND ACCURATE DETAILED
ANSWERS \ LATETS UPDATE
A 6-week-old is brought to Lumbar puncture
the emergency department
by the caregivers for poor
feeding, listlessness, and
fever. Assessment reveals a
crying infant, HR 160
beats/minute, RR 52
breaths/minute, rectal
temperature of 96.0 F
(35.5 C), and a
bulging anterior fontanel.
Capillary refill is 4 seconds.
Based on these findings
what is the most likely
diagnostic test the nurse
should anticipate?
Ketorolac
A 12-year-old is being
prepped for surgical
Remediation feedback:
intervention of acute
Ketorolac is an appropriate medication for moderate to severe
appendicitis. Which of the pain, however, it
following intravenous should not be used pre-operatively due to its potential to
medication increase the bleeding risk.
orders should the nurse
question?
1/38
,8/13/25, 9:15 PM ULTIMATE ENPC
A 17-year-old female arrives Have the boyfriend leave the room during the pelvic exam.
in the ED with her
boyfriend who states she
is pregnant and having
vaginal bleeding. The
patient is unsure of the
gestational age and has not
had any prenatal treatment.
The patient is
quiet and lets her boyfriend
answer most of the questions.
Which of the following is the
most appropriate action for
the nurse to take at this
point?
A 2-year-old arrives at the Intraosseous in the patient's medial tibia.
ED in hypovolemic shock
and needs fluids
immediately. After several
attempts, your team has
been unsuccessful at
establishing vascular
access. Of the following,
which is the next best
option for establishing
access quickly?
A child with an electrical Myoglobin is excreted in the urine and is evidenced by dark, red-
injury is seen 1 hour post tinged urine.
event. Which of the
following
types of specimen samples
would provide visual
information regarding a
potential
complication of this injury?
2/38
,8/13/25, 9:15 PM ULTIMATE ENPC
Parents with an infant requiring Providing frequent updates and re-educating them on
multiple the care that is being provided
laboratory tests,
radiographic studies, and
invasive procedures
appear to be
distressed and withdrawn.
Which of the
following interventions would
best ensure a sense of
comfort and control for
these
parents?
When taking vital signs on a Respiratory rate
stable infant, which of the
following should be done
first?
A laceration on a toddler's LET (lidocaine/epinephrine/tetracaine)
arm is prepared for
suturing. Which of the
following
preparations for topical
anesthesia would be the
best choice for this
procedure?
Which of the following is A bolus infusion of 150 mg/kg NAC should be administered.
appropriate administration
of N-acetylcysteine (NAC)
for an acetaminophen
overdose?
A 2-year-old is seen with a Urinary catherization
3-day history of irritability,
vomiting, and the
presence of
foul-smelling urine. The child
is hypotensive and
tachycardic. Which of the
following methods for
obtaining a urine sample is
3/38
, 8/13/25, 9:15 PM ULTIMATE ENPC
most appropriate in this
circumstance?
You are discharging a Ensuring all firearms in the home are locked up with no
patient home who has a access available by the patient.
history of depression.
Discharge teaching should
include which of the
following?
A 2-year-old arrives with a Capillary refill
2-day history of vomiting
and diarrhea. The patient
has a fever of 38.4oC
(101.2°F), resting HR of 152
beats/minute, RR of 34
breaths/minute, and blood
pressure of 94/ 56 mm
Hg.
Assessment reveals a capillary
refill time of
> 5 seconds. Which of the
following would be most
indicative of the need for
intravenous rehydration
therapy for this patient?
An 8-month-old arrives with a Enema with air
12-hour
history of intermittent
abdominal pain, non- bilious
vomiting, and a low grade
fever. On assessment the
child is intermittently
inconsolable followed by
periods of
normal activity. A sausage-
shaped mass is noted
during palpation of the
abdomen. The nurse should
4/38
