Page 1 of 141
ENPC 6th Edition (Emergency Nursing Pediatric Course)
from the Emergency Nurses Association ACTUAL EXAM
COMPLETE QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
EXAM COVERAGE – ENPC 6th Edition
The ENPC 6th Edition focuses on the emergency nursing care of pediatric patients,
emphasizing rapid assessment and stabilization of infants and children with acute illnesses or
injuries. The exam covers pediatric assessment frameworks, recognition and management of
respiratory emergencies, shock, trauma, and neurological conditions. It also includes airway
management, pediatric resuscitation, medication considerations, and pain management specific
to children. Additional areas include infection management, fever in pediatric patients,
identification of child maltreatment, family-centered care, and safe clinical interventions. The
exam emphasizes critical thinking, prioritization, and evidence-based practices to ensure
effective emergency care for pediatric populations
QUESTION: A nurse begins making multiple errors in clinical decisions regarding the care of
patients in the pediatric emergency department. The nurse has worked many consecutive shifts
caring for severely ill and injured children and mentioned to a co-worker that they are not
sleeping and feel anxious about coming to work. What condition may this nurse be
experiencing? - ANSWER-Nurse traumatization
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Pediatric Traumatization
Direct Traumatization
*Vicarious Traumatization
QUESTION: A 14-year-old patient with Down syndrome presents with an abnormal gait, head
tilted to the left, decreased sensation to the extremities, and urinary incontinence. The patient
has no history of trauma. Which of the following diagnostics is the priority for this patient? -
ANSWER-Lumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
*Cervical Spine Radiograph
,Page 3 of 141
QUESTION: Which of the following pathologic processes would most likely be attributed to a
primary diagnosis of cystic fibrosis? - ANSWER-Hypernatremia
*Constipation
Obesity
Epiglottitis
QUESTION: The caregivers of a 6-year-old report the child developed a cough with nasal
congestion and "pink-eye" that started two days ago. Today they noticed a raised, red rash on
the face, and grey papules in the mouth. Which of the following is the priority intervention for
this patient? - ANSWER-Obtain a nasopharyngeal swab
*Airborne Isolation
, Page 4 of 141
Contact Isolation
Fingerstick Glucose
QUESTION: A 12-year-old is being prepped for surgical intervention of acute appendicitis.
Which of the following intravenous medication orders should the nurse question? - ANSWER-
Morphine
Acetaminophen
Hydromorphone
*Ketorolac
QUESTION: A child with an injury to the lower cervical spine with spinal cord involvment would
most likely demonstrate which of the following findings during assessment? - ANSWER-
Increased rectal tone
ENPC 6th Edition (Emergency Nursing Pediatric Course)
from the Emergency Nurses Association ACTUAL EXAM
COMPLETE QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
EXAM COVERAGE – ENPC 6th Edition
The ENPC 6th Edition focuses on the emergency nursing care of pediatric patients,
emphasizing rapid assessment and stabilization of infants and children with acute illnesses or
injuries. The exam covers pediatric assessment frameworks, recognition and management of
respiratory emergencies, shock, trauma, and neurological conditions. It also includes airway
management, pediatric resuscitation, medication considerations, and pain management specific
to children. Additional areas include infection management, fever in pediatric patients,
identification of child maltreatment, family-centered care, and safe clinical interventions. The
exam emphasizes critical thinking, prioritization, and evidence-based practices to ensure
effective emergency care for pediatric populations
QUESTION: A nurse begins making multiple errors in clinical decisions regarding the care of
patients in the pediatric emergency department. The nurse has worked many consecutive shifts
caring for severely ill and injured children and mentioned to a co-worker that they are not
sleeping and feel anxious about coming to work. What condition may this nurse be
experiencing? - ANSWER-Nurse traumatization
,Page 2 of 141
Pediatric Traumatization
Direct Traumatization
*Vicarious Traumatization
QUESTION: A 14-year-old patient with Down syndrome presents with an abnormal gait, head
tilted to the left, decreased sensation to the extremities, and urinary incontinence. The patient
has no history of trauma. Which of the following diagnostics is the priority for this patient? -
ANSWER-Lumbar Spine MRI
Complete Neurologic Exam
Urinalysis by Straight Catheter
*Cervical Spine Radiograph
,Page 3 of 141
QUESTION: Which of the following pathologic processes would most likely be attributed to a
primary diagnosis of cystic fibrosis? - ANSWER-Hypernatremia
*Constipation
Obesity
Epiglottitis
QUESTION: The caregivers of a 6-year-old report the child developed a cough with nasal
congestion and "pink-eye" that started two days ago. Today they noticed a raised, red rash on
the face, and grey papules in the mouth. Which of the following is the priority intervention for
this patient? - ANSWER-Obtain a nasopharyngeal swab
*Airborne Isolation
, Page 4 of 141
Contact Isolation
Fingerstick Glucose
QUESTION: A 12-year-old is being prepped for surgical intervention of acute appendicitis.
Which of the following intravenous medication orders should the nurse question? - ANSWER-
Morphine
Acetaminophen
Hydromorphone
*Ketorolac
QUESTION: A child with an injury to the lower cervical spine with spinal cord involvment would
most likely demonstrate which of the following findings during assessment? - ANSWER-
Increased rectal tone
