1|Page
**ENPC PRACTICE TEST – EMERGENCY NURSING
PEDIATRIC COURSE** **150+ QUESTIONS WITH
VERIFIED ANSWERS & DETAILED RATIONALES**
**PEDIATRIC ASSESSMENT • TRIAGE •
RESPIRATORY EMERGENCIES • CARDIOVASCULAR
EMERGENCIES • NEUROLOGICAL EMERGENCIES •
PEDIATRIC TRAUMA • TOXICOLOGY •
ENVIRONMENTAL EMERGENCIES • CHILD
MALTREATMENT • CRISIS INTERVENTION** **ENA
5TH EDITION ALIGNED • HIGH-YIELD CONTENT •
FIRST-TIME PASS**
# SECTION 1: PEDIATRIC ASSESSMENT & TRIAGE (ENPC) –
Questions 1–15
**1. The ENPC recommends using which assessment model as the
framework for pediatric emergency nursing?**
A) ABCDE (Airway, Breathing, Circulation, Disability, Exposure)
B) C-L (Crying, Lung sounds, look)
C) CAT (Child Assessment Triangle) – also known as Pediatric
Assessment Triangle (PAT)
D) SAMPLE history
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**Answer: C**
*Rationale:* ENPC uses the **Pediatric Assessment Triangle (PAT)**
as the initial, rapid, visual assessment (Appearance, Work of Breathing,
Circulation to Skin). This is followed by the ABCDE primary survey.
**2. The Pediatric Assessment Triangle (PAT) consists of which three
components?**
A) Airway, Breathing, Circulation
B) Appearance, Work of breathing, Circulation to skin
C) History, Head-to-toe, Vital signs
D) Mental status, Pulse, Temperature
**Answer: B**
*Rationale:* PAT: **Appearance** (muscle tone, interactiveness,
consolability, gaze, speech/cry), **Work of Breathing** (abnormal
sounds, position, retractions), **Circulation to Skin** (pallor, mottling,
cyanosis). It takes 30-60 seconds and identifies priority.
**3. A 2-year-old child presents with stiff posture, staring, and
inconsolability. According to the PAT, this child's appearance would be
categorized as:**
A) Normal
B) Sick but stable
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C) Unstable (abnormal appearance)
D) Well-appearing
**Answer: C**
*Rationale:* Abnormal appearance includes: agitation, lethargy,
decreased interactiveness, stiff or limp posture, inability to be consoled,
poor eye contact. This child requires immediate further assessment.
**4. A 6-month-old infant has nasal flaring, grunting, and intercostal
retractions. The PAT finding for work of breathing is:**
A) Normal
B) Increased work of breathing
C) Absent work of breathing
D) Respiratory failure
**Answer: B**
*Rationale:* Increased work of breathing signs: nasal flaring, grunting,
retractions (subcostal, intercostal, suprasternal, substernal), head
bobbing, accessory muscle use, tripod position. Grunting is a sign of
impending respiratory failure.
**5. A child presents with mottled skin and delayed capillary refill (>3
seconds). According to PAT, this indicates:**
A) Normal circulation
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B) Compensated shock
C) Abnormal circulation to skin (shock)
D) Dehydration only
**Answer: C**
*Rationale:* Abnormal circulation to skin includes: pallor, mottling,
cyanosis, petechiae, purpura. This indicates poor perfusion/compen-
sated or decompensated shock.
**6. In the ENPC primary survey, the first step after the PAT is:**
A) Disposition
B) Airway assessment with cervical spine immobilization if indicated (A
of ABCDE)
C) Vital signs
D) IV access
**Answer: B**
*Rationale:* After PAT, proceed to **Primary Survey (ABCDE)** :
Airway with cervical spine protection, Breathing, Circulation, Disability,
Exposure. Never delay life-saving interventions.
**7. The ENPC pediatric weight estimation formula for children 1-10
years old is:**
A) (Age in years × 2) + 8 kg
**ENPC PRACTICE TEST – EMERGENCY NURSING
PEDIATRIC COURSE** **150+ QUESTIONS WITH
VERIFIED ANSWERS & DETAILED RATIONALES**
**PEDIATRIC ASSESSMENT • TRIAGE •
RESPIRATORY EMERGENCIES • CARDIOVASCULAR
EMERGENCIES • NEUROLOGICAL EMERGENCIES •
PEDIATRIC TRAUMA • TOXICOLOGY •
ENVIRONMENTAL EMERGENCIES • CHILD
MALTREATMENT • CRISIS INTERVENTION** **ENA
5TH EDITION ALIGNED • HIGH-YIELD CONTENT •
FIRST-TIME PASS**
# SECTION 1: PEDIATRIC ASSESSMENT & TRIAGE (ENPC) –
Questions 1–15
**1. The ENPC recommends using which assessment model as the
framework for pediatric emergency nursing?**
A) ABCDE (Airway, Breathing, Circulation, Disability, Exposure)
B) C-L (Crying, Lung sounds, look)
C) CAT (Child Assessment Triangle) – also known as Pediatric
Assessment Triangle (PAT)
D) SAMPLE history
,2|Page
**Answer: C**
*Rationale:* ENPC uses the **Pediatric Assessment Triangle (PAT)**
as the initial, rapid, visual assessment (Appearance, Work of Breathing,
Circulation to Skin). This is followed by the ABCDE primary survey.
**2. The Pediatric Assessment Triangle (PAT) consists of which three
components?**
A) Airway, Breathing, Circulation
B) Appearance, Work of breathing, Circulation to skin
C) History, Head-to-toe, Vital signs
D) Mental status, Pulse, Temperature
**Answer: B**
*Rationale:* PAT: **Appearance** (muscle tone, interactiveness,
consolability, gaze, speech/cry), **Work of Breathing** (abnormal
sounds, position, retractions), **Circulation to Skin** (pallor, mottling,
cyanosis). It takes 30-60 seconds and identifies priority.
**3. A 2-year-old child presents with stiff posture, staring, and
inconsolability. According to the PAT, this child's appearance would be
categorized as:**
A) Normal
B) Sick but stable
,3|Page
C) Unstable (abnormal appearance)
D) Well-appearing
**Answer: C**
*Rationale:* Abnormal appearance includes: agitation, lethargy,
decreased interactiveness, stiff or limp posture, inability to be consoled,
poor eye contact. This child requires immediate further assessment.
**4. A 6-month-old infant has nasal flaring, grunting, and intercostal
retractions. The PAT finding for work of breathing is:**
A) Normal
B) Increased work of breathing
C) Absent work of breathing
D) Respiratory failure
**Answer: B**
*Rationale:* Increased work of breathing signs: nasal flaring, grunting,
retractions (subcostal, intercostal, suprasternal, substernal), head
bobbing, accessory muscle use, tripod position. Grunting is a sign of
impending respiratory failure.
**5. A child presents with mottled skin and delayed capillary refill (>3
seconds). According to PAT, this indicates:**
A) Normal circulation
, 4|Page
B) Compensated shock
C) Abnormal circulation to skin (shock)
D) Dehydration only
**Answer: C**
*Rationale:* Abnormal circulation to skin includes: pallor, mottling,
cyanosis, petechiae, purpura. This indicates poor perfusion/compen-
sated or decompensated shock.
**6. In the ENPC primary survey, the first step after the PAT is:**
A) Disposition
B) Airway assessment with cervical spine immobilization if indicated (A
of ABCDE)
C) Vital signs
D) IV access
**Answer: B**
*Rationale:* After PAT, proceed to **Primary Survey (ABCDE)** :
Airway with cervical spine protection, Breathing, Circulation, Disability,
Exposure. Never delay life-saving interventions.
**7. The ENPC pediatric weight estimation formula for children 1-10
years old is:**
A) (Age in years × 2) + 8 kg
