2026 Ultimate ENPC Test Questions 6th
Edition: 120+ Questions & Complete
Detailed Solutions (New 2026/2027
Update)
This Emergency Nursing Pediatric Course (ENPC) 6th Edition test is a 123-
question multiple-choice exam. Study set featuring the "120+ questions &
answers" a popular deck designed to prepare nurses by covering essential
pediatric emergency scenarios, triage protocols, and critical interventions.
These 123-question study decks typically encompass the core curriculum of the
6th Edition provider manual. Their primary description and focus include:
• Trauma & Resuscitation: Prioritized assessments and interventions for
severe pediatric trauma, including traumatic brain injuries, fractures, and
shock management.
• Respiratory Emergencies: Identifying the signs of respiratory distress,
failure, and arrest, as well as specific management steps for conditions like
croup, asthma, and bronchiolitis.
• Medical Emergencies: Toxicological exposures, infectious diseases, and
pediatric cardiac arrest protocols (aligned with American Heart Association
guidelines).
• Developmental & Family-Centered Care: Modifications in assessment
and communication based on the child's developmental age (infant to
adolescent) and integrating family presence during resuscitation.
To Use these specific practice decks and test your knowledge before certification,
you can download this user-generated study material directly on this platform.
A 4-year-old presents with vomiting, lethargy, frequent urination, weight
loss, and dry mucous membranes. Vital signs reveal deep respirations at
44 breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per
,minute. Which of the following laboratory values would be most expected in
this child? -
Answer☑️
Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifestations include signs of dehydration ( dry mucous membranes,
hypotension, tachycardia), incontinence (polyuria), vomiting, abdominal
pain, Kussmaul respirations (to counter the acidosis), polydipsia, anorexia,
and weight loss. Expected laboratory values would reveal an acidotic state
with a pH level below 7.3, an elevated serum bIcarbonate level, and an
elevated blood glucose level > 200 mg.dL.
Quiz_________________?
An 18-month-old is seen for fever, slight circumoral cyanosis, and
wheezing noted on auscultation in the right upper lobe of the lung field after
a choking event 4 days ago. The white blood cell count is elevated and the
patient noted to be tachypneic, tachycardic, agitated, and has an increased
respiratory effort. At the time of the event, the patient was started on
antibiotics with subsequent increasing manifestations instead of
improvement. Which of the following would be considered to be definitive
treatment for the suspected diagnosis? -
Answer☑️
,The definitive treatment would be a bronchoscopy in order to retrieve the
suspected foreign body instead of diagnostic tests to locate the foreign
body itself.
Quiz_________________?
A child in cardiopulmonary arrest is receiving chest compressions and
manual ventilations with a bag-mask device. Once return of spontaneous
circulation has been confirmed, which of the following would be the priority
intervention? -
Answer☑️
Establishing a secure airway
Quiz_________________?
Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on
inspiration and expiration. What medication would be appropriate to
administer first? -
Answer☑️
initial medication intervention includes an inhaled short-acting beta agonist.
Quiz_________________?
A 6-week-old is brought to the emergency department by the caregivers for
poor feeding, listlessness, and fever. Assessment reveals a crying infant,
, HR 160 beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F
(35.5 C), and a bulging anterior fontanel. Capillary refill is 4 seconds.
Based on these findings what is the most likely diagnostic test the nurse
should anticipate? -
Answer☑️
Lumbar puncture
Quiz_________________?
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☑️
Ketorolac
Remediation feedback:
Ketorolac is an appropriate medication for moderate to severe pain,
however, it should not be used pre-operatively due to its potential to
increase the bleeding risk.
Quiz_________________?
A 17-year-old female arrives in the ED with her boyfriend who states she is
pregnant and having vaginal bleeding. The patient is unsure of the
gestational age and has not had any prenatal treatment. The patient is
Edition: 120+ Questions & Complete
Detailed Solutions (New 2026/2027
Update)
This Emergency Nursing Pediatric Course (ENPC) 6th Edition test is a 123-
question multiple-choice exam. Study set featuring the "120+ questions &
answers" a popular deck designed to prepare nurses by covering essential
pediatric emergency scenarios, triage protocols, and critical interventions.
These 123-question study decks typically encompass the core curriculum of the
6th Edition provider manual. Their primary description and focus include:
• Trauma & Resuscitation: Prioritized assessments and interventions for
severe pediatric trauma, including traumatic brain injuries, fractures, and
shock management.
• Respiratory Emergencies: Identifying the signs of respiratory distress,
failure, and arrest, as well as specific management steps for conditions like
croup, asthma, and bronchiolitis.
• Medical Emergencies: Toxicological exposures, infectious diseases, and
pediatric cardiac arrest protocols (aligned with American Heart Association
guidelines).
• Developmental & Family-Centered Care: Modifications in assessment
and communication based on the child's developmental age (infant to
adolescent) and integrating family presence during resuscitation.
To Use these specific practice decks and test your knowledge before certification,
you can download this user-generated study material directly on this platform.
A 4-year-old presents with vomiting, lethargy, frequent urination, weight
loss, and dry mucous membranes. Vital signs reveal deep respirations at
44 breaths per minute, BP of 70/44 mm Hg, and HR of 144 beats per
,minute. Which of the following laboratory values would be most expected in
this child? -
Answer☑️
Hypoglycemia (wrong)
Remediation feedback:
Children can present with new onset diabetes in diabetic ketoacidosis.
Manifestations include signs of dehydration ( dry mucous membranes,
hypotension, tachycardia), incontinence (polyuria), vomiting, abdominal
pain, Kussmaul respirations (to counter the acidosis), polydipsia, anorexia,
and weight loss. Expected laboratory values would reveal an acidotic state
with a pH level below 7.3, an elevated serum bIcarbonate level, and an
elevated blood glucose level > 200 mg.dL.
Quiz_________________?
An 18-month-old is seen for fever, slight circumoral cyanosis, and
wheezing noted on auscultation in the right upper lobe of the lung field after
a choking event 4 days ago. The white blood cell count is elevated and the
patient noted to be tachypneic, tachycardic, agitated, and has an increased
respiratory effort. At the time of the event, the patient was started on
antibiotics with subsequent increasing manifestations instead of
improvement. Which of the following would be considered to be definitive
treatment for the suspected diagnosis? -
Answer☑️
,The definitive treatment would be a bronchoscopy in order to retrieve the
suspected foreign body instead of diagnostic tests to locate the foreign
body itself.
Quiz_________________?
A child in cardiopulmonary arrest is receiving chest compressions and
manual ventilations with a bag-mask device. Once return of spontaneous
circulation has been confirmed, which of the following would be the priority
intervention? -
Answer☑️
Establishing a secure airway
Quiz_________________?
Parents report their 3-year-old child has developed noisy breathing. On
assessment, high-pitched wheezes are audible and auscultated on
inspiration and expiration. What medication would be appropriate to
administer first? -
Answer☑️
initial medication intervention includes an inhaled short-acting beta agonist.
Quiz_________________?
A 6-week-old is brought to the emergency department by the caregivers for
poor feeding, listlessness, and fever. Assessment reveals a crying infant,
, HR 160 beats/minute, RR 52 breaths/minute, rectal temperature of 96.0 F
(35.5 C), and a bulging anterior fontanel. Capillary refill is 4 seconds.
Based on these findings what is the most likely diagnostic test the nurse
should anticipate? -
Answer☑️
Lumbar puncture
Quiz_________________?
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☑️
Ketorolac
Remediation feedback:
Ketorolac is an appropriate medication for moderate to severe pain,
however, it should not be used pre-operatively due to its potential to
increase the bleeding risk.
Quiz_________________?
A 17-year-old female arrives in the ED with her boyfriend who states she is
pregnant and having vaginal bleeding. The patient is unsure of the
gestational age and has not had any prenatal treatment. The patient is
