ENPC 6TH EDITION EXAM 2026 – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES MUST BE IN ITALICS| GUARANTEED PASS | LATEST EXAM UPDATE

ENPC 6TH EDITION EXAM 2026 – QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES MUST
BE IN ITALICS| GUARANTEED PASS | LATEST EXAM UPDATE
Question 1
A 4-year-old presents with stridor, drooling, and tripod positioning. What is the priority action?
A. Obtain throat culture
B. Inspect throat with tongue depressor
C. Prepare for airway management
D. Administer oral fluids
Correct Answer: C. Prepare for airway management
Rationale: Signs suggest epiglottitis; airway must be secured immediately to prevent obstruction.



Question 2
Which finding is most concerning in pediatric shock?
A. Tachycardia
B. Delayed capillary refill
C. Bradycardia
D. Fever
Correct Answer: C. Bradycardia
Rationale: Bradycardia is a late and pre-arrest sign in children.



Question 3
Initial management of an unconscious child should prioritize:
A. Disability
B. Airway
C. Exposure
D. Circulation
Correct Answer: B. Airway
Rationale: Airway takes priority in pediatric primary survey.



Question 4
A child with suspected cervical spine injury should be positioned:
A. Head turned to side
B. Neutral alignment with immobilization
C. Trendelenburg position
D. Sitting upright
Correct Answer: B. Neutral alignment with immobilization
Rationale: Prevents further spinal cord injury.



Question 5
Which is the earliest sign of hypoxia in children?

,A. Cyanosis
B. Bradycardia
C. Restlessness
D. Hypotension
Correct Answer: C. Restlessness
Rationale: Behavioral changes occur before cyanosis or hypotension.



Question 6
Most accurate indicator of fluid status in pediatric trauma is:
A. Blood pressure
B. Urine output
C. Skin temperature
D. Respiratory rate
Correct Answer: B. Urine output
Rationale: Urine output reflects perfusion and renal function.



Question 7
A child with asthma exacerbation shows silent chest. This indicates:
A. Improvement
B. Severe airway obstruction
C. Normal finding
D. Anxiety only
Correct Answer: B. Severe airway obstruction
Rationale: Silent chest indicates minimal air movement and impending respiratory failure.



Question 8
Priority intervention for anaphylaxis is:
A. Diphenhydramine PO
B. Epinephrine IM
C. Oxygen via nasal cannula
D. Steroids IV
Correct Answer: B. Epinephrine IM
Rationale: Epinephrine is first-line treatment for anaphylaxis.



Question 9
Normal pediatric heart rate for a 2-year-old is:
A. 40–60 bpm
B. 60–80 bpm
C. 80–130 bpm
D. 140–180 bpm
Correct Answer: C. 80–130 bpm
Rationale: Toddlers have higher baseline heart rates.

, Question 10
Most common cause of shock in children is:
A. Cardiogenic
B. Septic
C. Hypovolemic
D. Neurogenic
Correct Answer: C. Hypovolemic
Rationale: Fluid loss is the most common cause in pediatrics.



Question 11
A bulging fontanel in an infant suggests:
A. Dehydration
B. Increased intracranial pressure
C. Hypoglycemia
D. Normal finding
Correct Answer: B. Increased intracranial pressure
Rationale: Bulging fontanel indicates elevated ICP.



Question 12
First action for seizure lasting >5 minutes:
A. Restrain patient
B. Administer benzodiazepine
C. Place oral airway
D. Start IV fluids only
Correct Answer: B. Administer benzodiazepine
Rationale: Benzodiazepines are first-line for active seizures.



Question 13
Which injury pattern suggests child abuse?
A. Linear burn
B. Spiral fracture
C. Symmetric bruising over knees
D. Fracture from fall off bike
Correct Answer: B. Spiral fracture
Rationale: Spiral fractures may indicate twisting injury.



Question 14
Normal respiratory rate for an infant is:
A. 10–20
B. 20–30
C. 30–60
D. 60–80