ENPC 6TH EDITION EXAM
ENPC 6TH EDITION EXAM 2024–2025 | COMPLETE
PRACTICE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+
N1
,ENPC 6TH EDITION EXAM
A 5-year-old child presents with hives, swelling of the lips and face, and stridor
shortly after eating lunch at school. Which of the following is the priority
intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol – ANSWER – A. Administer intramuscular
epinephrine
An adolescent is awaiting ICU admission for pneumonia. During reassessment,
which of the following findings would most indicate that respiratory failure is
developing?
A. SpO₂ of 96% on room air
B. Extreme lethargy and decreased responsiveness
C. Widened pulse pressure
D. Capillary refill of 2 seconds – ANSWER – B. Extreme lethargy and decreased
responsiveness
A 3-year-old has a two-day history of runny nose, low-grade fever, and a barking
cough at night. The child is awake and alert with mild stridor. Pulse oximetry is
97% on room air. Which intervention is most appropriate?
A. Administer corticosteroids such as dexamethasone
B. Start intravenous antibiotics
C. Begin mechanical ventilation
D. Administer oral antihistamines – ANSWER – A. Administer corticosteroids such
as dexamethasone
A 2-year-old child presents with fever, drooling, and difficulty swallowing. The
child prefers sitting upright and appears anxious. Which condition should be
suspected?
A. Bronchiolitis
B. Epiglottitis
C. Asthma
D. Otitis media – ANSWER – B. Epiglottitis
N2
, ENPC 6TH EDITION EXAM
A 6-month-old infant presents with wheezing, cough, and nasal congestion during
winter months. Which diagnosis is most likely?
A. Pneumonia
B. Asthma
C. Bronchiolitis
D. Croup – ANSWER – C. Bronchiolitis
A 9-year-old child presents with severe abdominal pain after falling from a bicycle.
Which finding suggests internal bleeding?
A. Warm flushed skin
B. Weak peripheral pulses and tachycardia
C. Increased appetite
D. Slow respiratory rate – ANSWER – B. Weak peripheral pulses and tachycardia
A 7-year-old child presents with swelling and deformity of the forearm after
falling from playground equipment. What is the priority intervention?
A. Apply heat packs
B. Immobilize the affected extremity
C. Begin antibiotics
D. Encourage movement – ANSWER – B. Immobilize the affected extremity
A toddler presents with sudden severe abdominal pain and drawing knees toward
the chest. The stool appears red and jelly-like. What condition should be
suspected?
A. Gastroenteritis
B. Appendicitis
C. Intussusception
D. Constipation – ANSWER – C. Intussusception
A 10-year-old child with diabetes presents with rapid breathing, abdominal pain,
and fruity breath odor. Which condition is most likely?
A. Hypoglycemia
B. Sepsis
C. Diabetic ketoacidosis
D. Pneumonia – ANSWER – C. Diabetic ketoacidosis
A 4-year-old child presents with fever, headache, and neck stiffness. Which
diagnostic test should be anticipated?
N3
ENPC 6TH EDITION EXAM 2024–2025 | COMPLETE
PRACTICE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+
N1
,ENPC 6TH EDITION EXAM
A 5-year-old child presents with hives, swelling of the lips and face, and stridor
shortly after eating lunch at school. Which of the following is the priority
intervention?
A. Administer intramuscular epinephrine
B. Auscultate bilateral breath sounds
C. Insert an intravenous catheter
D. Administer inhaled albuterol – ANSWER – A. Administer intramuscular
epinephrine
An adolescent is awaiting ICU admission for pneumonia. During reassessment,
which of the following findings would most indicate that respiratory failure is
developing?
A. SpO₂ of 96% on room air
B. Extreme lethargy and decreased responsiveness
C. Widened pulse pressure
D. Capillary refill of 2 seconds – ANSWER – B. Extreme lethargy and decreased
responsiveness
A 3-year-old has a two-day history of runny nose, low-grade fever, and a barking
cough at night. The child is awake and alert with mild stridor. Pulse oximetry is
97% on room air. Which intervention is most appropriate?
A. Administer corticosteroids such as dexamethasone
B. Start intravenous antibiotics
C. Begin mechanical ventilation
D. Administer oral antihistamines – ANSWER – A. Administer corticosteroids such
as dexamethasone
A 2-year-old child presents with fever, drooling, and difficulty swallowing. The
child prefers sitting upright and appears anxious. Which condition should be
suspected?
A. Bronchiolitis
B. Epiglottitis
C. Asthma
D. Otitis media – ANSWER – B. Epiglottitis
N2
, ENPC 6TH EDITION EXAM
A 6-month-old infant presents with wheezing, cough, and nasal congestion during
winter months. Which diagnosis is most likely?
A. Pneumonia
B. Asthma
C. Bronchiolitis
D. Croup – ANSWER – C. Bronchiolitis
A 9-year-old child presents with severe abdominal pain after falling from a bicycle.
Which finding suggests internal bleeding?
A. Warm flushed skin
B. Weak peripheral pulses and tachycardia
C. Increased appetite
D. Slow respiratory rate – ANSWER – B. Weak peripheral pulses and tachycardia
A 7-year-old child presents with swelling and deformity of the forearm after
falling from playground equipment. What is the priority intervention?
A. Apply heat packs
B. Immobilize the affected extremity
C. Begin antibiotics
D. Encourage movement – ANSWER – B. Immobilize the affected extremity
A toddler presents with sudden severe abdominal pain and drawing knees toward
the chest. The stool appears red and jelly-like. What condition should be
suspected?
A. Gastroenteritis
B. Appendicitis
C. Intussusception
D. Constipation – ANSWER – C. Intussusception
A 10-year-old child with diabetes presents with rapid breathing, abdominal pain,
and fruity breath odor. Which condition is most likely?
A. Hypoglycemia
B. Sepsis
C. Diabetic ketoacidosis
D. Pneumonia – ANSWER – C. Diabetic ketoacidosis
A 4-year-old child presents with fever, headache, and neck stiffness. Which
diagnostic test should be anticipated?
N3
