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ENPC 6TH EDITION COURSE EXAMS 2026 (4 VERSIONS
A,B, C& D) EACH EXAM CONTAINS 200 QUESTIONS AND
CORRECT VERIFIED ANSWERS GRADED A+
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.
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
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be definitive treatment for the suspected diagnosis?
......ANSWER......Computed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking
incident with subsequent failure to improve on antibiotics. Wheezing or
decreased lung sounds in one area of the pulmonary system is a high
indicator for a foreign body along with signs of hypoxia such as cyanosis,
tachypnea, tachycardia, increased respiratory effort, agitation or
lethargy, and elevated white blood cell counts indicating an infectious
process. 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.
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
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......Humidified oxygen (wrong)
Remediation feedback:
pg. 2
,3|Page
Wheezing is most often identified with asthma in the pediatric
population. Initial medication intervention includes an inhaled short-
acting beta agonist.
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
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......Hydromorphone (wrong)
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.
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 quiet and lets her boyfriend answer most of the questions. Which of
the following is the most appropriate action for the nurse to take at this
point? ......ANSWER......Have the boyfriend leave the room during the
pelvic exam.
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A 2-year-old arrives at the ED in hypovolemic shock and needs fluids
immediately. After several attempts, your team has been unsuccessful
at establishing vascular access. Of the following, which is the next best
option for establishing access quickly? ......ANSWER......Intraosseous in
the patient's medial tibia.
A child with an electrical injury is seen 1 hour post event. Which of the
following types of specimen samples would provide visual information
regarding a potential complication of this injury?
......ANSWER......Sputum (wrong)
Remediation feedback:
Electrical injuries, though they may appear to be small, can produce
large amounts of damage internally, including muscle damage.
Myoglobin is excreted in the urine and is evidenced by dark, red-tinged
urine.
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
When taking vital signs on a stable infant, which of the following should
be done first? ......ANSWER......Respiratory rate
pg. 4
ENPC 6TH EDITION COURSE EXAMS 2026 (4 VERSIONS
A,B, C& D) EACH EXAM CONTAINS 200 QUESTIONS AND
CORRECT VERIFIED ANSWERS GRADED A+
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.
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
pg. 1
,2|Page
be definitive treatment for the suspected diagnosis?
......ANSWER......Computed tomography (wrong)
Remediation feedback:
Manifestations of a lower airway foreign body include a choking
incident with subsequent failure to improve on antibiotics. Wheezing or
decreased lung sounds in one area of the pulmonary system is a high
indicator for a foreign body along with signs of hypoxia such as cyanosis,
tachypnea, tachycardia, increased respiratory effort, agitation or
lethargy, and elevated white blood cell counts indicating an infectious
process. 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.
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
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......Humidified oxygen (wrong)
Remediation feedback:
pg. 2
,3|Page
Wheezing is most often identified with asthma in the pediatric
population. Initial medication intervention includes an inhaled short-
acting beta agonist.
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
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......Hydromorphone (wrong)
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.
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 quiet and lets her boyfriend answer most of the questions. Which of
the following is the most appropriate action for the nurse to take at this
point? ......ANSWER......Have the boyfriend leave the room during the
pelvic exam.
pg. 3
, 4|Page
A 2-year-old arrives at the ED in hypovolemic shock and needs fluids
immediately. After several attempts, your team has been unsuccessful
at establishing vascular access. Of the following, which is the next best
option for establishing access quickly? ......ANSWER......Intraosseous in
the patient's medial tibia.
A child with an electrical injury is seen 1 hour post event. Which of the
following types of specimen samples would provide visual information
regarding a potential complication of this injury?
......ANSWER......Sputum (wrong)
Remediation feedback:
Electrical injuries, though they may appear to be small, can produce
large amounts of damage internally, including muscle damage.
Myoglobin is excreted in the urine and is evidenced by dark, red-tinged
urine.
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
When taking vital signs on a stable infant, which of the following should
be done first? ......ANSWER......Respiratory rate
pg. 4
