EMERGENCY NURSING PEDIATRIC COURSE (ENPC)
SPECIALTY CERTIFICATION – ENA COMPREHENSIVE EXAM-
READY ASSESSMENT - LATEST PRACTICE QUESTIONS AND
100% VERIFIED CORRECT ANSWERS | COMPLETE EXAM PREP
TESTBANK | GUARANTEED PASS | INSTANT DOWNLOAD PDF
Exam Overview
This 150-question comprehensive examination is designed to reflect the core curriculum, professional
standards, and clinical competencies of the Emergency Nursing Pediatric Course (ENPC).
Content Areas Covered (150 Questions Total):
Pediatric Assessment Triangle (PAT) and systematic pediatric assessment
Airway and respiratory emergencies
Shock and cardiovascular emergencies
Neurologic emergencies and altered mental status
Trauma (including head, spinal, abdominal, and multisystem trauma)
Medical emergencies (respiratory, endocrine, GI/GU, infectious diseases)
Toxicology and environmental emergencies
Child maltreatment and forensic considerations
Procedural sedation and pain management
Neonatal emergencies
Behavioral and psychiatric emergencies
Ethical/legal standards and professional practice
Family-centered care and communication
Disaster preparedness and triage
1. A 3-year-old child presents with stridor at rest, retractions, and agitation.
Using the Pediatric Assessment Triangle (PAT), which component is most
concerning?
A. Circulation to skin
B. Appearance
C. Work of breathing
D. Level of consciousness
Rationale: Stridor at rest and retractions indicate significant increased work of
breathing, signaling impending airway compromise.
, 2. A 6-month-old infant is lethargic with poor tone and weak cry. Which PAT
element is primarily abnormal?
A. Circulation
B. Appearance
C. Work of breathing
D. Pulse oximetry
Rationale: Tone, interactiveness, consolability, look/gaze, and speech/cry are
components of appearance.
3. Which is the most appropriate initial airway intervention for an unconscious
child without trauma?
A. Jaw thrust
B. Head tilt–chin lift
C. Immediate intubation
D. Nasopharyngeal airway
Rationale: In non-trauma unconscious patients, head tilt–chin lift is first-line to
open the airway.
4. A child with suspected epiglottitis should be managed by:
A. Immediate throat culture
B. Supine positioning
C. Minimal stimulation and preparation for controlled airway
management
D. Oral suctioning
Rationale: Epiglottitis requires minimal agitation and controlled airway
intervention.
, 5. A 2-year-old with bronchiolitis has SpO₂ 90% on room air. Initial
management includes:
A. Antibiotics
B. Humidified oxygen therapy
C. Intubation
D. Corticosteroids routinely
Rationale: Oxygen therapy is first-line for hypoxemia in bronchiolitis.
6. Which finding is an early sign of pediatric shock?
A. Hypotension
B. Tachycardia
C. Bradycardia
D. Cyanosis
Rationale: Tachycardia is typically the earliest compensatory sign.
7. Hypotension in children is considered a:
A. Early sign of shock
B. Mild finding
C. Late and ominous sign
D. Expected with fever
Rationale: Children maintain blood pressure until decompensation.
8. A 5-year-old presents with petechiae, fever, and lethargy. Priority action?
A. Discharge home
B. Oral antibiotics
, C. Immediate IV access and broad-spectrum antibiotics
D. Await lab confirmation
Rationale: Suspected meningococcemia requires rapid antibiotic administration.
9. For a child in hypovolemic shock, initial fluid bolus is:
A. 5 mL/kg
B. 10 mL/kg
C. 20 mL/kg isotonic crystalloid
D. 40 mL/kg
Rationale: Standard pediatric resuscitation bolus is 20 mL/kg.
10.A child with DKA should initially receive:
A. Immediate insulin bolus
B. Fluid resuscitation before insulin therapy
C. Bicarbonate
D. Potassium bolus
Rationale: Fluids restore perfusion before insulin initiation.
11.Which is most suggestive of increased intracranial pressure (ICP)?
A. Tachycardia
B. Hypotension
C. Bradycardia with hypertension
D. Hyperactivity
Rationale: Cushing triad includes bradycardia and hypertension.
SPECIALTY CERTIFICATION – ENA COMPREHENSIVE EXAM-
READY ASSESSMENT - LATEST PRACTICE QUESTIONS AND
100% VERIFIED CORRECT ANSWERS | COMPLETE EXAM PREP
TESTBANK | GUARANTEED PASS | INSTANT DOWNLOAD PDF
Exam Overview
This 150-question comprehensive examination is designed to reflect the core curriculum, professional
standards, and clinical competencies of the Emergency Nursing Pediatric Course (ENPC).
Content Areas Covered (150 Questions Total):
Pediatric Assessment Triangle (PAT) and systematic pediatric assessment
Airway and respiratory emergencies
Shock and cardiovascular emergencies
Neurologic emergencies and altered mental status
Trauma (including head, spinal, abdominal, and multisystem trauma)
Medical emergencies (respiratory, endocrine, GI/GU, infectious diseases)
Toxicology and environmental emergencies
Child maltreatment and forensic considerations
Procedural sedation and pain management
Neonatal emergencies
Behavioral and psychiatric emergencies
Ethical/legal standards and professional practice
Family-centered care and communication
Disaster preparedness and triage
1. A 3-year-old child presents with stridor at rest, retractions, and agitation.
Using the Pediatric Assessment Triangle (PAT), which component is most
concerning?
A. Circulation to skin
B. Appearance
C. Work of breathing
D. Level of consciousness
Rationale: Stridor at rest and retractions indicate significant increased work of
breathing, signaling impending airway compromise.
, 2. A 6-month-old infant is lethargic with poor tone and weak cry. Which PAT
element is primarily abnormal?
A. Circulation
B. Appearance
C. Work of breathing
D. Pulse oximetry
Rationale: Tone, interactiveness, consolability, look/gaze, and speech/cry are
components of appearance.
3. Which is the most appropriate initial airway intervention for an unconscious
child without trauma?
A. Jaw thrust
B. Head tilt–chin lift
C. Immediate intubation
D. Nasopharyngeal airway
Rationale: In non-trauma unconscious patients, head tilt–chin lift is first-line to
open the airway.
4. A child with suspected epiglottitis should be managed by:
A. Immediate throat culture
B. Supine positioning
C. Minimal stimulation and preparation for controlled airway
management
D. Oral suctioning
Rationale: Epiglottitis requires minimal agitation and controlled airway
intervention.
, 5. A 2-year-old with bronchiolitis has SpO₂ 90% on room air. Initial
management includes:
A. Antibiotics
B. Humidified oxygen therapy
C. Intubation
D. Corticosteroids routinely
Rationale: Oxygen therapy is first-line for hypoxemia in bronchiolitis.
6. Which finding is an early sign of pediatric shock?
A. Hypotension
B. Tachycardia
C. Bradycardia
D. Cyanosis
Rationale: Tachycardia is typically the earliest compensatory sign.
7. Hypotension in children is considered a:
A. Early sign of shock
B. Mild finding
C. Late and ominous sign
D. Expected with fever
Rationale: Children maintain blood pressure until decompensation.
8. A 5-year-old presents with petechiae, fever, and lethargy. Priority action?
A. Discharge home
B. Oral antibiotics
, C. Immediate IV access and broad-spectrum antibiotics
D. Await lab confirmation
Rationale: Suspected meningococcemia requires rapid antibiotic administration.
9. For a child in hypovolemic shock, initial fluid bolus is:
A. 5 mL/kg
B. 10 mL/kg
C. 20 mL/kg isotonic crystalloid
D. 40 mL/kg
Rationale: Standard pediatric resuscitation bolus is 20 mL/kg.
10.A child with DKA should initially receive:
A. Immediate insulin bolus
B. Fluid resuscitation before insulin therapy
C. Bicarbonate
D. Potassium bolus
Rationale: Fluids restore perfusion before insulin initiation.
11.Which is most suggestive of increased intracranial pressure (ICP)?
A. Tachycardia
B. Hypotension
C. Bradycardia with hypertension
D. Hyperactivity
Rationale: Cushing triad includes bradycardia and hypertension.
