ENPC 6TH EDITION EXAM 2026 |ACTUAL
COMPLETE EXAM QUESTIONS AND
CORRECT EXPLAINED ANSWERS
An unresponsive 2-year-old child was found by his mother with a bottle labelled "Elavil 50 mg"
by his side. Which piece of information is important to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe.
Correct answer: C. The number of pills left in the bottle.
Explanation: Knowing the number of pills left helps estimate the potential ingestion amount,
which is critical for assessing toxicity and guiding treatment in a possible overdose scenario.
A nurse providing crisis intervention to the family of a seriously ill child can best keep the family
informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them.
Correct answer: D. Appointing one staff member to communicate with them.
Explanation: Designating a single communicator ensures consistent, accurate information,
reduces confusion, and builds trust during a crisis.
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash. The
chest x-ray reveals multiple rib fractures. These findings suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
,Correct answer: B. Significant underlying injury.
Explanation: Multiple rib fractures in a young child from trauma indicate high-impact force,
often associated with underlying visceral injuries like pulmonary contusion or organ damage.
Which piece of information is most important to know prior to transferring a patient to another
facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
Correct answer: C. Confirmation of acceptance from the receiving hospital.
Explanation: EMTALA regulations require acceptance confirmation to ensure continuity of care
and legal compliance before transfer.
A 10-year-old child who was struck by a car has a distended, tense abdomen. The child's heart
rate is 144 beats/minute, respirations 24 breaths/minute, and blood pressure 120/80 mm Hg.
Capillary refill is more than 3 seconds, and skin is pale and cool. The patient's signs and
symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock.
Correct answer: C. Hypovolemic shock.
Explanation: Signs like tachycardia, delayed capillary refill, pale cool skin, and abdominal
distension suggest internal bleeding leading to volume loss.
A school-aged child is about to receive stitches. To evaluate his understanding of the procedure,
you tell him:
A. "Young people your age have questions about getting stitches. What are your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions before we restrain you?"
D. "Does your cut hurt? Would you like your mommy to hold you?"
,Correct answer: A. "Young people your age have questions about getting stitches. What are your
questions?"
Explanation: This approach encourages age-appropriate communication and assesses
comprehension without assuming or stereotyping.
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia
Correct answer: D. Anteromedial tibia
Explanation: The anteromedial tibia is the safest and most accessible site for IO access in
infants, avoiding growth plates and major vessels.
An important consideration in the assessment of pain for an adolescent patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong.
Correct answer: A. May deny or minimize their pain when friends visit for fear of losing
control.
Explanation: Adolescents often prioritize peer perception, leading to underreporting pain in
social settings.
An 8-month-old infant with pneumonia has severe intercostal and substernal retractions, weak
muscle tone, lethargy, and gray skin color. The infant's condition does not improve after bag-
mask ventilation. The next step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol.
Correct answer: C. Rapid sequence intubation.
, Explanation: Persistent respiratory failure despite BMV indicates the need for advanced airway
management to secure ventilation.
Which combination of medications is best to have prepared for a pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium.
Correct answer: B. Epinephrine and glucose.
Explanation: These are essential for managing bradycardia/asystole (epinephrine) and
hypoglycemia (glucose), common in pediatric arrests.
A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry and is
jittery. Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen.
Correct answer: B. Finger-stick glucose.
Explanation: Symptoms suggest hypoglycemia, a common neonatal issue, requiring immediate
bedside glucose check.
Which intervention should be performed next if tactile stimulation, positioning, drying, and
blow-by oxygen administration do not increase a newborn's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
D. Bag-mask ventilation.
Correct answer: D. Bag-mask ventilation.
Explanation: Per NRP guidelines, positive pressure ventilation is the next step after initial
stabilization for persistent bradycardia.
COMPLETE EXAM QUESTIONS AND
CORRECT EXPLAINED ANSWERS
An unresponsive 2-year-old child was found by his mother with a bottle labelled "Elavil 50 mg"
by his side. Which piece of information is important to obtain from his mother?
A. The size of the medication bottle.
B. The expiration date of the medication.
C. The number of pills left in the bottle.
D. The person for whom the medication was prescribe.
Correct answer: C. The number of pills left in the bottle.
Explanation: Knowing the number of pills left helps estimate the potential ingestion amount,
which is critical for assessing toxicity and guiding treatment in a possible overdose scenario.
A nurse providing crisis intervention to the family of a seriously ill child can best keep the family
informed of the child's condition by:
A. Placing them in a secluded room.
B. Referring to their child as "the patient".
C. Telling the family how they should feel.
D. Appointing one staff member to communicate with them.
Correct answer: D. Appointing one staff member to communicate with them.
Explanation: Designating a single communicator ensures consistent, accurate information,
reduces confusion, and builds trust during a crisis.
A 16-month-old child was an unrestrained front seat passenger in a motor vehicle crash. The
chest x-ray reveals multiple rib fractures. These findings suggest what type of injury?
A. Minor surface injury.
B. Significant underlying injury.
C. Significant surface injury.
D. Minor underlying injury.
,Correct answer: B. Significant underlying injury.
Explanation: Multiple rib fractures in a young child from trauma indicate high-impact force,
often associated with underlying visceral injuries like pulmonary contusion or organ damage.
Which piece of information is most important to know prior to transferring a patient to another
facility?
A. Documentation of the family's health insurance coverage.
B. Pertinent family health history.
C. Confirmation of acceptance from the receiving hospital.
D. Confirmation of a medical diagnosis.
Correct answer: C. Confirmation of acceptance from the receiving hospital.
Explanation: EMTALA regulations require acceptance confirmation to ensure continuity of care
and legal compliance before transfer.
A 10-year-old child who was struck by a car has a distended, tense abdomen. The child's heart
rate is 144 beats/minute, respirations 24 breaths/minute, and blood pressure 120/80 mm Hg.
Capillary refill is more than 3 seconds, and skin is pale and cool. The patient's signs and
symptoms suggest:
A. Obstructive shock.
B. Distributive shock.
C. Hypovolemic shock.
D. Cardiogenic shock.
Correct answer: C. Hypovolemic shock.
Explanation: Signs like tachycardia, delayed capillary refill, pale cool skin, and abdominal
distension suggest internal bleeding leading to volume loss.
A school-aged child is about to receive stitches. To evaluate his understanding of the procedure,
you tell him:
A. "Young people your age have questions about getting stitches. What are your questions?"
B. "Don't cry while you are getting the stitches. Be brave like a man."
C. "You will probably receive 10 stitches. Do you have any questions before we restrain you?"
D. "Does your cut hurt? Would you like your mommy to hold you?"
,Correct answer: A. "Young people your age have questions about getting stitches. What are your
questions?"
Explanation: This approach encourages age-appropriate communication and assesses
comprehension without assuming or stereotyping.
What is the preferred sit for intraosseous access in the infant?
A. Lateral malleolus
B. Iliac crest
C. Proximal femur
D. Anteromedial tibia
Correct answer: D. Anteromedial tibia
Explanation: The anteromedial tibia is the safest and most accessible site for IO access in
infants, avoiding growth plates and major vessels.
An important consideration in the assessment of pain for an adolescent patient is that they:
A. May deny or minimize their pain when friends visit for fear of losing control.
B. Have difficulty localizing or describing the pain.
C. Are unable to use the 1 to 10 scale to report their pain.
D. Feel that the pain is a punishment for something they did wrong.
Correct answer: A. May deny or minimize their pain when friends visit for fear of losing
control.
Explanation: Adolescents often prioritize peer perception, leading to underreporting pain in
social settings.
An 8-month-old infant with pneumonia has severe intercostal and substernal retractions, weak
muscle tone, lethargy, and gray skin color. The infant's condition does not improve after bag-
mask ventilation. The next step in treatment is most likely to be:
A. Administration of epinephrine.
B. Supplemental warming measures.
C. Rapid sequence intubation.
D. Administration of albuterol.
Correct answer: C. Rapid sequence intubation.
, Explanation: Persistent respiratory failure despite BMV indicates the need for advanced airway
management to secure ventilation.
Which combination of medications is best to have prepared for a pediatric resuscitation?
A. Dopamine and sodium bicarbonate.
B. Epinephrine and glucose.
C. Naloxone and lidocaine.
D. Pentothal and vecuronium.
Correct answer: B. Epinephrine and glucose.
Explanation: These are essential for managing bradycardia/asystole (epinephrine) and
hypoglycemia (glucose), common in pediatric arrests.
A 20-day-old infant has a 1-week history of not eating well. The infant has a weak cry and is
jittery. Which laboratory test is indicated?
A. Arterial blood gas.
B. Finger-stick glucose.
C. Complete blood count with differential.
D. Toxicology screen.
Correct answer: B. Finger-stick glucose.
Explanation: Symptoms suggest hypoglycemia, a common neonatal issue, requiring immediate
bedside glucose check.
Which intervention should be performed next if tactile stimulation, positioning, drying, and
blow-by oxygen administration do not increase a newborn's heart rate?
A. Chest compressions.
B. Umbilical vein cannulation.
C. Endotracheal intubation.
D. Bag-mask ventilation.
Correct answer: D. Bag-mask ventilation.
Explanation: Per NRP guidelines, positive pressure ventilation is the next step after initial
stabilization for persistent bradycardia.
