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EPC 4E EXAM LATEST VERSION -2025/2026- 100+ QUESTIONS
AND VERIFIED ANSWERS ALL THE BEST
You are dispatched to an 11 year old female patient complaining of abdominal
pain. Upon your arrival, you find the patient lying on the couch in the fetal
position. The PAT reveals the patient is alert and has a patent airway, increased
work ob breathing, and pale skin. The patient is crying and says, "my belly hurts."
Mom informs you that the patient has been vomiting all day. Your physical examW
notes a distended abdomen, but no signs of physical trauma. Vital signs are BP
82/50, HR 138, RR 28, SpO2 94%, GCS 15 (E4, V5, M6), and a blood glucose 112
mg/dL. The patient has a history of asthma and sickle cell disease. In this scenario,
which of the following findings is critical with this patient?
- Patient age
- Respiratory rate
- Blood glucose level
- Patient is crying in the fetal position
Patient is crying in the fetal position
When initiating fluid replacement in a badly injured 5 year old, which of the
following is correct?
- 10 mL/kg is the amount for IV crystalloid boluses
- Oral fluids are preferred over IV fluids
- D5NS is the fluid of choice
- 20 mL/kg boluses of NS are preferred
, 2
20 mL/kg boluses of NS are preferred
Children respond to volume-related hypo perfusion by which of the following
mechanisms?
- Vigorous vasodilation
- Increasing cerebral perfusion
- Decreasing heart rate
- Vigorous vasoconstriction
Vigorous vasoconstriction
An 8 year old male has had vomiting and diarrhea for 4 days. His general
appearance is poor and his interactions are obtunded. The family states this is not
usual for him. You note that he has weak peripheral pulses, but his central pulses
are strong. What does this tell you?
- He requires immediate intubation
- He is in compensated shock
- Nothing; you need a blood pressure to determine if he is in shock
- He is in decompensated shock
He is in compensated shock
While caring for an infant or toddler, the healthcare provider should do which of
the following?
- Examine the infant from toe to head unless they are critical
- Remove all the patient's clothing immediately
, 3
- Immediately load the child and transport to the closest facility as quickly as
possible
- Let the infant ride on mom's lap on the stretcher during transport
Examine the infant from toe to head unless they are critical
When evaluating a child with multiple bruises on their body, which of the
following is the best indicator that the injuries are not the result of child
maltreatment?
- Bruising found on infants who are not yet crawling
- An 18 month old with bruising on his head
- Bruising on the torso, ears, or neck in a child 4 years of age or younger
- Bruises that are located away from bony prominences
An 18 year old with bruising on his head
Which of the following behavioral health disorders is most likely to be a risk factor
for suicidal ideation?
- Anxiety
- Depression
- Autism spectrum disorder
- Attention-deficit/hyperactivity disorder (ADHD)
Depression
When caring for children with special healthcare needs, it is important to
remember which of the following?
EPC 4E EXAM LATEST VERSION -2025/2026- 100+ QUESTIONS
AND VERIFIED ANSWERS ALL THE BEST
You are dispatched to an 11 year old female patient complaining of abdominal
pain. Upon your arrival, you find the patient lying on the couch in the fetal
position. The PAT reveals the patient is alert and has a patent airway, increased
work ob breathing, and pale skin. The patient is crying and says, "my belly hurts."
Mom informs you that the patient has been vomiting all day. Your physical examW
notes a distended abdomen, but no signs of physical trauma. Vital signs are BP
82/50, HR 138, RR 28, SpO2 94%, GCS 15 (E4, V5, M6), and a blood glucose 112
mg/dL. The patient has a history of asthma and sickle cell disease. In this scenario,
which of the following findings is critical with this patient?
- Patient age
- Respiratory rate
- Blood glucose level
- Patient is crying in the fetal position
Patient is crying in the fetal position
When initiating fluid replacement in a badly injured 5 year old, which of the
following is correct?
- 10 mL/kg is the amount for IV crystalloid boluses
- Oral fluids are preferred over IV fluids
- D5NS is the fluid of choice
- 20 mL/kg boluses of NS are preferred
, 2
20 mL/kg boluses of NS are preferred
Children respond to volume-related hypo perfusion by which of the following
mechanisms?
- Vigorous vasodilation
- Increasing cerebral perfusion
- Decreasing heart rate
- Vigorous vasoconstriction
Vigorous vasoconstriction
An 8 year old male has had vomiting and diarrhea for 4 days. His general
appearance is poor and his interactions are obtunded. The family states this is not
usual for him. You note that he has weak peripheral pulses, but his central pulses
are strong. What does this tell you?
- He requires immediate intubation
- He is in compensated shock
- Nothing; you need a blood pressure to determine if he is in shock
- He is in decompensated shock
He is in compensated shock
While caring for an infant or toddler, the healthcare provider should do which of
the following?
- Examine the infant from toe to head unless they are critical
- Remove all the patient's clothing immediately
, 3
- Immediately load the child and transport to the closest facility as quickly as
possible
- Let the infant ride on mom's lap on the stretcher during transport
Examine the infant from toe to head unless they are critical
When evaluating a child with multiple bruises on their body, which of the
following is the best indicator that the injuries are not the result of child
maltreatment?
- Bruising found on infants who are not yet crawling
- An 18 month old with bruising on his head
- Bruising on the torso, ears, or neck in a child 4 years of age or younger
- Bruises that are located away from bony prominences
An 18 year old with bruising on his head
Which of the following behavioral health disorders is most likely to be a risk factor
for suicidal ideation?
- Anxiety
- Depression
- Autism spectrum disorder
- Attention-deficit/hyperactivity disorder (ADHD)
Depression
When caring for children with special healthcare needs, it is important to
remember which of the following?
