1|Page
ENPC PRE-COURSE EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Caregivers state an 18-month-old child had a harsh, barky cough,
low-grade fever, and irritability throughout the night. On
assessment this morning, the child appears alert, is interactive,
their present cough is quiet, and their temperature is 98.8°F
(37.1°C) axillary. Which of the following diagnoses is the highest
probablity for this child? - ANSWER-Croup
A 5-year-old presents with decreased level of consciousness and
a wide complex and rapid rate on the electrocardiogram. Which of
the following characteristics would indicate ventricular tachycardia
as opposed to other tachydysrhythmias? - ANSWER-Heart rate
between 120 and 200 beats/minute
A school-aged child arrives in the emergency department with a
2-day history of vomiting. The child is cool and pale, with weak
pulses, elevated heart rate, and capillary refill of 4 to 5 seconds.
Which of the following is the priority intervention for the child? -
ANSWER-Initiate fluid bolus
,2|Page
After a seizure at home, a 9-month-old infant is awake and
interacting appropriately. Vital signs on arrival are HR 150
beats/minutes, RR 36 breaths/minute (unlabored), BP 80/52 mm
Hg, SaO2 97% without supplemental oxygen, and T 102.7°F
(39.3°C) rectally. During re-evaluation 2 hours after arrival, which
of the following assessments would indicate appropriate
measures were taken in treating this child? - ANSWER-
Temperature 37.7C (99.9F)
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.
,3|Page
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distressed and withdrawn.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
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
, 4|Page
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
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
ENPC PRE-COURSE EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Caregivers state an 18-month-old child had a harsh, barky cough,
low-grade fever, and irritability throughout the night. On
assessment this morning, the child appears alert, is interactive,
their present cough is quiet, and their temperature is 98.8°F
(37.1°C) axillary. Which of the following diagnoses is the highest
probablity for this child? - ANSWER-Croup
A 5-year-old presents with decreased level of consciousness and
a wide complex and rapid rate on the electrocardiogram. Which of
the following characteristics would indicate ventricular tachycardia
as opposed to other tachydysrhythmias? - ANSWER-Heart rate
between 120 and 200 beats/minute
A school-aged child arrives in the emergency department with a
2-day history of vomiting. The child is cool and pale, with weak
pulses, elevated heart rate, and capillary refill of 4 to 5 seconds.
Which of the following is the priority intervention for the child? -
ANSWER-Initiate fluid bolus
,2|Page
After a seizure at home, a 9-month-old infant is awake and
interacting appropriately. Vital signs on arrival are HR 150
beats/minutes, RR 36 breaths/minute (unlabored), BP 80/52 mm
Hg, SaO2 97% without supplemental oxygen, and T 102.7°F
(39.3°C) rectally. During re-evaluation 2 hours after arrival, which
of the following assessments would indicate appropriate
measures were taken in treating this child? - ANSWER-
Temperature 37.7C (99.9F)
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.
,3|Page
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
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
, 4|Page
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
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
