ENPC Pediatric Emergency Care Exam 6th Edition
2025/2026 – Verified Questions and Correct Answers |
Latest ENA Version
Description: Complete
ENPC (Emergency Nursing Pediatric Course) 6th
Edition Exam guide for 2025/2026. Includes verified questions with
100% accurate answers on pediatric emergency care, assessment, and
stabilization procedures following ENA standards.
Keywords: ENPC 6th edition pediatric emergency ENA exam nursing
care child stabilization emergency assessment
ENPC Pediatric Emergency Care Exam 6th Edition 2025/2026 – Verified Questions and
Correct Answers
1. What is the primary objective of the Pediatric Assessment Triangle (PAT)?
A. To obtain a full set of vital signs
B. To form a general impression of the child's condition and identify the type and severity of
pathophysiology
C. To diagnose the specific illness
D. To initiate immediate treatment
2. The three components of the Pediatric Assessment Triangle (PAT) are:
A. Airway, Breathing, Circulation
B. Appearance, Work of Breathing, Circulation to Skin
C. Mental Status, Pulse Oximetry, Capillary Refill
D. Skin Color, Heart Rate, Respiratory Rate
3. A child who is interactive, consolable, and has a gaze that tracks the parent has a
"normal" finding in which component of the PAT?
A. Work of Breathing
B. Circulation to Skin
C. Appearance
D. Mental Status
4. Which finding is a sign of increased work of breathing in a pediatric patient?
A. Warm, dry skin
B. Grunting, nasal flaring, or retractions
,C. Brisk capillary refill < 2 seconds
D. Strong peripheral pulses
5. In the "Circulation to the Skin" component of the PAT, pallor (paleness) is a sign of:
A. Hypoxia
B. Potential hypoperfusion or anemia
C. Fever
D. Adequate cardiac output
6. The initial, rapid assessment of a pediatric patient in the emergency department is best
performed using the:
A. Primary Survey
B. Pediatric Assessment Triangle (PAT)
C. Glasgow Coma Scale
D. Head-to-Toe Assessment
7. The correct order of the systematic approach to the pediatric assessment is:
A. Primary Survey, Secondary Survey, Tertiary Survey
B. History Taking, Physical Exam, Diagnostic Tests
C. Pediatric Assessment Triangle (PAT), Primary Survey, Secondary Survey
D. Vital Signs, Airway Assessment, Breathing Assessment
8. During the primary survey, the nurse's immediate priority is to assess and manage the:
A. Neurological status
B. Airway and Cervical Spine
C. Cardiac rhythm
D. Temperature
9. A high-pitched, noisy breath sound (stridor) is most indicative of:
A. Lower airway obstruction
B. Upper airway obstruction
C. Fluid in the alveoli
D. A normal pediatric breath sound
10. The "E" in the AVPU scale for rapid neurological assessment stands for:
A. Excellent
B. Equal pupils
C. Alert and oriented
D. Eyes open spontaneously
11. An unresponsive child who only responds to a painful stimulus would be categorized as
what on the AVPU scale?
A. A (Alert)
, B. V (Verbal)
C. P (Painful)
D. U (Unresponsive)
12. Capillary refill time is considered a reliable indicator of perfusion in a child when it is:
A. Less than 2 seconds
B. Less than 4 seconds
C. Less than 5 seconds
D. More than 3 seconds
13. The Broselow/Hinkle Pediatric Emergency Tape is used to:
A. Determine the correct cervical collar size
B. Estimate weight and guide equipment sizes and drug dosages
C. Measure head circumference for age
D. Assess the length of a burn injury
14. The most common cause of cardiac arrest in infants and children is:
A. Primary cardiac arrhythmia
B. Respiratory failure or shock
C. Severe head trauma
D. Septicemia
15. When assessing a pediatric patient for shock, an early sign of compensated shock is:
A. Hypotension
B. Lethargy and unresponsiveness
C. Tachycardia and cool extremities
D. Absent peripheral pulses
16. Hypotension in a pediatric patient is a sign of:
A. Compensated shock
B. Decompensated shock
C. Early shock
D. Neurogenic shock
17. The fluid bolus of choice for a child in hypovolemic shock is:
A. 5% Dextrose in Water
B. 0.45% Sodium Chloride
C. 0.9% Normal Saline or Lactated Ringer's
D. Packed Red Blood Cells
18. The standard initial fluid bolus for a pediatric patient in shock is:
A. 10 mL/kg
2025/2026 – Verified Questions and Correct Answers |
Latest ENA Version
Description: Complete
ENPC (Emergency Nursing Pediatric Course) 6th
Edition Exam guide for 2025/2026. Includes verified questions with
100% accurate answers on pediatric emergency care, assessment, and
stabilization procedures following ENA standards.
Keywords: ENPC 6th edition pediatric emergency ENA exam nursing
care child stabilization emergency assessment
ENPC Pediatric Emergency Care Exam 6th Edition 2025/2026 – Verified Questions and
Correct Answers
1. What is the primary objective of the Pediatric Assessment Triangle (PAT)?
A. To obtain a full set of vital signs
B. To form a general impression of the child's condition and identify the type and severity of
pathophysiology
C. To diagnose the specific illness
D. To initiate immediate treatment
2. The three components of the Pediatric Assessment Triangle (PAT) are:
A. Airway, Breathing, Circulation
B. Appearance, Work of Breathing, Circulation to Skin
C. Mental Status, Pulse Oximetry, Capillary Refill
D. Skin Color, Heart Rate, Respiratory Rate
3. A child who is interactive, consolable, and has a gaze that tracks the parent has a
"normal" finding in which component of the PAT?
A. Work of Breathing
B. Circulation to Skin
C. Appearance
D. Mental Status
4. Which finding is a sign of increased work of breathing in a pediatric patient?
A. Warm, dry skin
B. Grunting, nasal flaring, or retractions
,C. Brisk capillary refill < 2 seconds
D. Strong peripheral pulses
5. In the "Circulation to the Skin" component of the PAT, pallor (paleness) is a sign of:
A. Hypoxia
B. Potential hypoperfusion or anemia
C. Fever
D. Adequate cardiac output
6. The initial, rapid assessment of a pediatric patient in the emergency department is best
performed using the:
A. Primary Survey
B. Pediatric Assessment Triangle (PAT)
C. Glasgow Coma Scale
D. Head-to-Toe Assessment
7. The correct order of the systematic approach to the pediatric assessment is:
A. Primary Survey, Secondary Survey, Tertiary Survey
B. History Taking, Physical Exam, Diagnostic Tests
C. Pediatric Assessment Triangle (PAT), Primary Survey, Secondary Survey
D. Vital Signs, Airway Assessment, Breathing Assessment
8. During the primary survey, the nurse's immediate priority is to assess and manage the:
A. Neurological status
B. Airway and Cervical Spine
C. Cardiac rhythm
D. Temperature
9. A high-pitched, noisy breath sound (stridor) is most indicative of:
A. Lower airway obstruction
B. Upper airway obstruction
C. Fluid in the alveoli
D. A normal pediatric breath sound
10. The "E" in the AVPU scale for rapid neurological assessment stands for:
A. Excellent
B. Equal pupils
C. Alert and oriented
D. Eyes open spontaneously
11. An unresponsive child who only responds to a painful stimulus would be categorized as
what on the AVPU scale?
A. A (Alert)
, B. V (Verbal)
C. P (Painful)
D. U (Unresponsive)
12. Capillary refill time is considered a reliable indicator of perfusion in a child when it is:
A. Less than 2 seconds
B. Less than 4 seconds
C. Less than 5 seconds
D. More than 3 seconds
13. The Broselow/Hinkle Pediatric Emergency Tape is used to:
A. Determine the correct cervical collar size
B. Estimate weight and guide equipment sizes and drug dosages
C. Measure head circumference for age
D. Assess the length of a burn injury
14. The most common cause of cardiac arrest in infants and children is:
A. Primary cardiac arrhythmia
B. Respiratory failure or shock
C. Severe head trauma
D. Septicemia
15. When assessing a pediatric patient for shock, an early sign of compensated shock is:
A. Hypotension
B. Lethargy and unresponsiveness
C. Tachycardia and cool extremities
D. Absent peripheral pulses
16. Hypotension in a pediatric patient is a sign of:
A. Compensated shock
B. Decompensated shock
C. Early shock
D. Neurogenic shock
17. The fluid bolus of choice for a child in hypovolemic shock is:
A. 5% Dextrose in Water
B. 0.45% Sodium Chloride
C. 0.9% Normal Saline or Lactated Ringer's
D. Packed Red Blood Cells
18. The standard initial fluid bolus for a pediatric patient in shock is:
A. 10 mL/kg
