EMERGENCY NURSING PEDIATRIC COURSE (ENPC) 2026 –
QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES MUST BE IN IT |
GUARANTEED PASS | LATEST EXAM UPDATE
Question 1
A 4-year-old presents with stridor, drooling, and tripod positioning. What is the priority intervention?
A. Obtain throat culture
B. Place child supine for exam
C. Prepare for airway management and keep child calm
D. Give oral fluids immediately
Correct Answer: C. Prepare for airway management and keep child calm
Rationale: Signs indicate acute upper airway obstruction (likely epiglottitis or severe obstruction).
Agitation can worsen airway compromise, so maintaining calm and preparing for airway intervention
is priority.
Question 2
A child with asthma is using accessory muscles and has a silent chest. What does this indicate?
A. Improvement
B. Mild bronchospasm
C. Severe airway obstruction
D. Anxiety attack
Correct Answer: C. Severe airway obstruction
Rationale: A silent chest indicates minimal air movement, a life-threatening sign of severe
bronchoconstriction requiring immediate intervention.
Question 3
What is the first step in pediatric trauma assessment?
A. Neurological assessment
B. Airway with cervical spine protection
C. Circulation assessment
D. Disability evaluation
Correct Answer: B. Airway with cervical spine protection
Rationale: Pediatric trauma follows ABC priorities; airway with C-spine protection is always first.
Question 4
A 2-year-old with vomiting and diarrhea shows sunken eyes and delayed capillary refill. This
indicates:
A. Mild dehydration
B. Moderate dehydration
C. Severe dehydration
D. Fluid overload
,Correct Answer: C. Severe dehydration
Rationale: Sunken eyes and delayed capillary refill indicate poor perfusion consistent with severe
dehydration.
Question 5
Which sign is most consistent with anaphylaxis in a child?
A. Bradycardia and hypertension
B. Urticaria and wheezing
C. Dry cough only
D. Hypertension and headache
Correct Answer: B. Urticaria and wheezing
Rationale: Anaphylaxis involves multi-system allergic reaction including skin manifestations and
respiratory compromise.
Question 6
A child with head trauma is increasingly drowsy. What is the priority concern?
A. Pain
B. Infection
C. Increased intracranial pressure
D. Anxiety
Correct Answer: C. Increased intracranial pressure
Rationale: Decreased level of consciousness after head injury suggests rising intracranial pressure.
Question 7
Which finding is most concerning in a child with suspected shock?
A. Tachycardia
B. Bradycardia
C. Fever
D. Irritability
Correct Answer: B. Bradycardia
Rationale: Bradycardia in pediatric shock is a late and pre-arrest sign.
Question 8
What is the appropriate initial action for a pediatric seizure lasting 3 minutes?
A. Restrain the child
B. Insert oral airway
C. Ensure safety and maintain airway
D. Give oral fluids
Correct Answer: C. Ensure safety and maintain airway
Rationale: Priority during seizures is airway protection and preventing injury.
, Question 9
Which burn is most concerning in a child?
A. Superficial burn on arm
B. Partial thickness burn on leg
C. Full-thickness burn on face
D. Minor sunburn
Correct Answer: C. Full-thickness burn on face
Rationale: Facial burns threaten airway involvement and require urgent evaluation.
Question 10
A child presents with fever, stiff neck, and petechial rash. What is the priority action?
A. Delay antibiotics until labs return
B. Start isolation and administer IV antibiotics immediately
C. Give oral fluids
D. Discharge home
Correct Answer: B. Start isolation and administer IV antibiotics immediately
Rationale: Findings suggest meningococcal meningitis requiring immediate treatment and isolation.
Question 11
What is the most appropriate position for a child in respiratory distress?
A. Supine
B. Trendelenburg
C. Upright position
D. Prone
Correct Answer: C. Upright position
Rationale: Upright positioning improves lung expansion and breathing effort.
Question 12
A child has a foreign body airway obstruction but is coughing effectively. What should you do?
A. Perform abdominal thrusts
B. Encourage coughing
C. Blind finger sweep
D. Give back blows
Correct Answer: B. Encourage coughing
Rationale: Effective coughing indicates partial obstruction; intervention may worsen it.
Question 13
Which sign indicates compensated shock in a child?
A. Hypotension
B. Bradycardia
C. Tachycardia with normal blood pressure
D. Cyanosis
QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES MUST BE IN IT |
GUARANTEED PASS | LATEST EXAM UPDATE
Question 1
A 4-year-old presents with stridor, drooling, and tripod positioning. What is the priority intervention?
A. Obtain throat culture
B. Place child supine for exam
C. Prepare for airway management and keep child calm
D. Give oral fluids immediately
Correct Answer: C. Prepare for airway management and keep child calm
Rationale: Signs indicate acute upper airway obstruction (likely epiglottitis or severe obstruction).
Agitation can worsen airway compromise, so maintaining calm and preparing for airway intervention
is priority.
Question 2
A child with asthma is using accessory muscles and has a silent chest. What does this indicate?
A. Improvement
B. Mild bronchospasm
C. Severe airway obstruction
D. Anxiety attack
Correct Answer: C. Severe airway obstruction
Rationale: A silent chest indicates minimal air movement, a life-threatening sign of severe
bronchoconstriction requiring immediate intervention.
Question 3
What is the first step in pediatric trauma assessment?
A. Neurological assessment
B. Airway with cervical spine protection
C. Circulation assessment
D. Disability evaluation
Correct Answer: B. Airway with cervical spine protection
Rationale: Pediatric trauma follows ABC priorities; airway with C-spine protection is always first.
Question 4
A 2-year-old with vomiting and diarrhea shows sunken eyes and delayed capillary refill. This
indicates:
A. Mild dehydration
B. Moderate dehydration
C. Severe dehydration
D. Fluid overload
,Correct Answer: C. Severe dehydration
Rationale: Sunken eyes and delayed capillary refill indicate poor perfusion consistent with severe
dehydration.
Question 5
Which sign is most consistent with anaphylaxis in a child?
A. Bradycardia and hypertension
B. Urticaria and wheezing
C. Dry cough only
D. Hypertension and headache
Correct Answer: B. Urticaria and wheezing
Rationale: Anaphylaxis involves multi-system allergic reaction including skin manifestations and
respiratory compromise.
Question 6
A child with head trauma is increasingly drowsy. What is the priority concern?
A. Pain
B. Infection
C. Increased intracranial pressure
D. Anxiety
Correct Answer: C. Increased intracranial pressure
Rationale: Decreased level of consciousness after head injury suggests rising intracranial pressure.
Question 7
Which finding is most concerning in a child with suspected shock?
A. Tachycardia
B. Bradycardia
C. Fever
D. Irritability
Correct Answer: B. Bradycardia
Rationale: Bradycardia in pediatric shock is a late and pre-arrest sign.
Question 8
What is the appropriate initial action for a pediatric seizure lasting 3 minutes?
A. Restrain the child
B. Insert oral airway
C. Ensure safety and maintain airway
D. Give oral fluids
Correct Answer: C. Ensure safety and maintain airway
Rationale: Priority during seizures is airway protection and preventing injury.
, Question 9
Which burn is most concerning in a child?
A. Superficial burn on arm
B. Partial thickness burn on leg
C. Full-thickness burn on face
D. Minor sunburn
Correct Answer: C. Full-thickness burn on face
Rationale: Facial burns threaten airway involvement and require urgent evaluation.
Question 10
A child presents with fever, stiff neck, and petechial rash. What is the priority action?
A. Delay antibiotics until labs return
B. Start isolation and administer IV antibiotics immediately
C. Give oral fluids
D. Discharge home
Correct Answer: B. Start isolation and administer IV antibiotics immediately
Rationale: Findings suggest meningococcal meningitis requiring immediate treatment and isolation.
Question 11
What is the most appropriate position for a child in respiratory distress?
A. Supine
B. Trendelenburg
C. Upright position
D. Prone
Correct Answer: C. Upright position
Rationale: Upright positioning improves lung expansion and breathing effort.
Question 12
A child has a foreign body airway obstruction but is coughing effectively. What should you do?
A. Perform abdominal thrusts
B. Encourage coughing
C. Blind finger sweep
D. Give back blows
Correct Answer: B. Encourage coughing
Rationale: Effective coughing indicates partial obstruction; intervention may worsen it.
Question 13
Which sign indicates compensated shock in a child?
A. Hypotension
B. Bradycardia
C. Tachycardia with normal blood pressure
D. Cyanosis
