1|Page
ENPC PRE-COURSE EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
During your primary assessment of a 3-year-old, the child is pale,
with a respiratory rate of 70 breaths/minute, costal retractions,
poor air movement, and a pulse oximetry reading of 89%. What is
the priority intervention for this patient? - ANSWER-wrong?
Prepare for intubation
Patients with severe respiratory distress as evidenced by marked
tachycardia and tachypnea, prolonged capillary refill, severe nasal
flaring, and low pulse oximetry readings should receive oxygen
per protocol first. Getting a provider in the room and preparing for
intubation would come next.
Parents with an infant requiring multiple 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distressed and withdrawn.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? - ANSWER-Providing frequent updates and re-educating
them on the care that is being provided
,2|Page
During the assessment of a 16-year-old patient, the ED nurse
identifies them as a potential sex trafficking victim. Which of the
following trauma-informed care principles has the highest priority
for this patient? - ANSWER-physical and psychological safety
A 6-month-old arrives with swelling to the left thigh. Caregivers
deny any traumatic event. Assessment findings include a patient
who is active and alert, in the 10th percentile for length, and has
blue-grey sclera. Radiographs reveal a midshaft fracture of the
left femur. Which of the following is the most likely cause? -
ANSWER-Osteogenesis imperfecta
A 2-year-old arrives with a 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? -
ANSWER-Capillary refill
,3|Page
You are discharging a patient home who has a history of
depression. Discharge teaching should include which of the
following? - ANSWER-Ensuring all firearms in the home are
locked up with no access available by the patient
An 8-year-old male presents to the emergency department with
incoherent speech, hallucinations, and violent behavior. What is
the priority in caring for this patient? - ANSWER-Ensure safety of
the patient and staff
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-Button battery
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
, 4|Page
values would be most expected in this child? - ANSWER-low pH
level
Which of the following would be an abnormal finding in a patient
with glomerulonephritis? - ANSWER-Clear urine There is a
decrease in urine output for patient's with glomerulonephritis.
Urine would be concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark
brown/tea-colored. - ANSWER-Administration of nebulized
epinephrine Moderate to severe croup is treated with
dexamethasone and nebulized epinephrine.
The neurosurgeon has decided to perform an invasive procedure
in the emergency department to monitor the intracranial pressure
on a 5-year-old patient. The family does not speak English and
has identified their religion as Muslim. Which of the following
interventions is most supportive of the family? - ANSWER-Allow
the extended to family members to serve as interpreters during
the procedure.
ENPC PRE-COURSE EXAM NEWEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
During your primary assessment of a 3-year-old, the child is pale,
with a respiratory rate of 70 breaths/minute, costal retractions,
poor air movement, and a pulse oximetry reading of 89%. What is
the priority intervention for this patient? - ANSWER-wrong?
Prepare for intubation
Patients with severe respiratory distress as evidenced by marked
tachycardia and tachypnea, prolonged capillary refill, severe nasal
flaring, and low pulse oximetry readings should receive oxygen
per protocol first. Getting a provider in the room and preparing for
intubation would come next.
Parents with an infant requiring multiple 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? - ANSWER-Providing frequent updates and re-educating
them on the care that is being provided
,2|Page
During the assessment of a 16-year-old patient, the ED nurse
identifies them as a potential sex trafficking victim. Which of the
following trauma-informed care principles has the highest priority
for this patient? - ANSWER-physical and psychological safety
A 6-month-old arrives with swelling to the left thigh. Caregivers
deny any traumatic event. Assessment findings include a patient
who is active and alert, in the 10th percentile for length, and has
blue-grey sclera. Radiographs reveal a midshaft fracture of the
left femur. Which of the following is the most likely cause? -
ANSWER-Osteogenesis imperfecta
A 2-year-old arrives with a 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? -
ANSWER-Capillary refill
,3|Page
You are discharging a patient home who has a history of
depression. Discharge teaching should include which of the
following? - ANSWER-Ensuring all firearms in the home are
locked up with no access available by the patient
An 8-year-old male presents to the emergency department with
incoherent speech, hallucinations, and violent behavior. What is
the priority in caring for this patient? - ANSWER-Ensure safety of
the patient and staff
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-Button battery
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
, 4|Page
values would be most expected in this child? - ANSWER-low pH
level
Which of the following would be an abnormal finding in a patient
with glomerulonephritis? - ANSWER-Clear urine There is a
decrease in urine output for patient's with glomerulonephritis.
Urine would be concentrated and dark brown/tea-colored.
Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark
brown/tea-colored. - ANSWER-Administration of nebulized
epinephrine Moderate to severe croup is treated with
dexamethasone and nebulized epinephrine.
The neurosurgeon has decided to perform an invasive procedure
in the emergency department to monitor the intracranial pressure
on a 5-year-old patient. The family does not speak English and
has identified their religion as Muslim. Which of the following
interventions is most supportive of the family? - ANSWER-Allow
the extended to family members to serve as interpreters during
the procedure.
