ENPC 6th Edition Course Exam ACTUAL
EXAM 2026/2027 Version A B C D | ENPC
6th Edition | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Pediatric Assessment & Triage
Q1: A 6-month-old infant is brought to the emergency department by their parent. The infant is alert,
has a strong cry, moves all extremities, and has pink skin. Using the Pediatric Assessment Triangle (PAT),
which component is being assessed by observing the infant's strong cry and movement?
A. Work of breathing
B. Circulation to skin
C. Appearance [CORRECT]
D. Respiratory effort
Correct Answer: C
Rationale: The "Appearance" component of the PAT evaluates tone, interactivity, consolability,
look/gaze, and speech/cry to determine the child's overall neurologic and physiologic status.
Q2: Which of the following vital sign parameters in a 2-year-old toddler would be considered abnormal
and require immediate intervention?
A. Heart rate of 110 beats per minute
B. Respiratory rate of 28 breaths per minute
C. Systolic blood pressure of 70 mm Hg [CORRECT]
D. Temperature of 37.2°C (99.0°F)
Correct Answer: C
,Rationale: A systolic blood pressure of 70 mm Hg is considered the lower limit of normal for a 2-year-old
(minimum systolic BP = 70 + [2 x age in years] = 74 mm Hg), indicating potential hypotension and shock.
Q3: A 4-year-old child presents to the triage desk with a history of asthma. The child is sitting upright,
unable to speak in full sentences, and has suprasternal retractions. Using the Emergency Severity Index
(ESI), what is the appropriate triage level?
A. ESI Level 2 [CORRECT]
B. ESI Level 3
C. ESI Level 4
D. ESI Level 5
Correct Answer: A
Rationale: The child is exhibiting signs of severe respiratory distress (inability to speak in sentences,
retractions), which constitutes a high-risk situation requiring immediate assessment and intervention,
categorizing them as ESI Level 2.
Q4: When assessing a 3-year-old child for pain using the FLACC scale, which parameter is included in the
scoring?
A. Blood pressure changes
B. Facial expression [CORRECT]
C. Pupil reaction
D. Skin turgor
Correct Answer: B
Rationale: The FLACC scale assesses pain in non-verbal or pre-verbal children using five criteria: Face,
Legs, Activity, Cry, and Consolability.
Q5: During the primary survey of a 5-year-old trauma patient, the nurse notes absent breath sounds on
the left side and tracheal deviation to the right. Which condition should the nurse suspect?
A. Massive hemothorax
, B. Tension pneumothorax [CORRECT]
C. Simple pneumothorax
D. Ruptured bronchus
Correct Answer: B
Rationale: Tracheal deviation away from the affected side combined with absent breath sounds and
signs of shock is a classic presentation of tension pneumothorax, a life-threatening emergency requiring
immediate needle decompression.
Q6: Which of the following represents the correct sequence for the primary survey in a pediatric
patient?
A. Airway, Breathing, Circulation, Disability, Exposure [CORRECT]
B. Airway, Circulation, Breathing, Disability, Exposure
C. Breathing, Airway, Circulation, Disability, Exposure
D. Circulation, Airway, Breathing, Disability, Exposure
Correct Answer: A
Rationale: The primary survey follows the ABCDE sequence: Airway, Breathing, Circulation, Disability
(neurologic status), and Exposure (temperature control).
Q7: A 2-week-old neonate presents with a rectal temperature of 38.2°C (100.8°F). The infant is irritable
but feeding adequately. What is the most appropriate triage category and disposition?
A. ESI Level 4; discharge home with fever instructions
B. ESI Level 3; send home with follow-up in 24 hours
C. ESI Level 2; immediate sepsis evaluation and admission [CORRECT]
D. ESI Level 1; immediate intubation
Correct Answer: C
Rationale: Fever in a neonate (0-28 days old) is a medical emergency due to the high risk of serious
bacterial infection; these patients require immediate evaluation (blood, urine, CSF cultures) and typically
admission for antibiotics.
EXAM 2026/2027 Version A B C D | ENPC
6th Edition | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Pediatric Assessment & Triage
Q1: A 6-month-old infant is brought to the emergency department by their parent. The infant is alert,
has a strong cry, moves all extremities, and has pink skin. Using the Pediatric Assessment Triangle (PAT),
which component is being assessed by observing the infant's strong cry and movement?
A. Work of breathing
B. Circulation to skin
C. Appearance [CORRECT]
D. Respiratory effort
Correct Answer: C
Rationale: The "Appearance" component of the PAT evaluates tone, interactivity, consolability,
look/gaze, and speech/cry to determine the child's overall neurologic and physiologic status.
Q2: Which of the following vital sign parameters in a 2-year-old toddler would be considered abnormal
and require immediate intervention?
A. Heart rate of 110 beats per minute
B. Respiratory rate of 28 breaths per minute
C. Systolic blood pressure of 70 mm Hg [CORRECT]
D. Temperature of 37.2°C (99.0°F)
Correct Answer: C
,Rationale: A systolic blood pressure of 70 mm Hg is considered the lower limit of normal for a 2-year-old
(minimum systolic BP = 70 + [2 x age in years] = 74 mm Hg), indicating potential hypotension and shock.
Q3: A 4-year-old child presents to the triage desk with a history of asthma. The child is sitting upright,
unable to speak in full sentences, and has suprasternal retractions. Using the Emergency Severity Index
(ESI), what is the appropriate triage level?
A. ESI Level 2 [CORRECT]
B. ESI Level 3
C. ESI Level 4
D. ESI Level 5
Correct Answer: A
Rationale: The child is exhibiting signs of severe respiratory distress (inability to speak in sentences,
retractions), which constitutes a high-risk situation requiring immediate assessment and intervention,
categorizing them as ESI Level 2.
Q4: When assessing a 3-year-old child for pain using the FLACC scale, which parameter is included in the
scoring?
A. Blood pressure changes
B. Facial expression [CORRECT]
C. Pupil reaction
D. Skin turgor
Correct Answer: B
Rationale: The FLACC scale assesses pain in non-verbal or pre-verbal children using five criteria: Face,
Legs, Activity, Cry, and Consolability.
Q5: During the primary survey of a 5-year-old trauma patient, the nurse notes absent breath sounds on
the left side and tracheal deviation to the right. Which condition should the nurse suspect?
A. Massive hemothorax
, B. Tension pneumothorax [CORRECT]
C. Simple pneumothorax
D. Ruptured bronchus
Correct Answer: B
Rationale: Tracheal deviation away from the affected side combined with absent breath sounds and
signs of shock is a classic presentation of tension pneumothorax, a life-threatening emergency requiring
immediate needle decompression.
Q6: Which of the following represents the correct sequence for the primary survey in a pediatric
patient?
A. Airway, Breathing, Circulation, Disability, Exposure [CORRECT]
B. Airway, Circulation, Breathing, Disability, Exposure
C. Breathing, Airway, Circulation, Disability, Exposure
D. Circulation, Airway, Breathing, Disability, Exposure
Correct Answer: A
Rationale: The primary survey follows the ABCDE sequence: Airway, Breathing, Circulation, Disability
(neurologic status), and Exposure (temperature control).
Q7: A 2-week-old neonate presents with a rectal temperature of 38.2°C (100.8°F). The infant is irritable
but feeding adequately. What is the most appropriate triage category and disposition?
A. ESI Level 4; discharge home with fever instructions
B. ESI Level 3; send home with follow-up in 24 hours
C. ESI Level 2; immediate sepsis evaluation and admission [CORRECT]
D. ESI Level 1; immediate intubation
Correct Answer: C
Rationale: Fever in a neonate (0-28 days old) is a medical emergency due to the high risk of serious
bacterial infection; these patients require immediate evaluation (blood, urine, CSF cultures) and typically
admission for antibiotics.
