ENPC Exam Prep 2025-2026: 100
Verified Questions and Answers for
First-Attempt Success (Graded A+)
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?
- 100 correct answer as-Initial medication
intervention includes an inhaled short-acting beta agonist.
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? - 100 correct answer as-
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 be definitive
treatment for the suspected diagnosis? - 100 correct
answer as-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? - 100 correct answer as-Establishing a
secure airway
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? - 100
correct answer as-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? - 100
correct answer as-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? - 100 correct answer as-Have the
boyfriend leave the room during the pelvic exam.
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? - 100 correct answer
as-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? - 100 correct answer as-
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? - 100 correct answer as-
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? - 100 correct answer
as-Respiratory rate
A laceration on a toddler's arm is prepared for suturing.
Which of the following preparations for topical anesthesia
would be the best choice for this procedure? - 100
correct answer as-LET
(lidocaine/epinephrine/tetracaine)
Which of the following is appropriate administration of N-
acetylcysteine (NAC) for an acetaminophen overdose? -
100 correct answer as-A bolus infusion of 150 mg/kg
NAC should be administered.
A 10-year-old arrives at the ED post motor vehicle crash.
The following assessment is noted: hypotension,
tachycardia, absent breath sounds from the left chest with
an increased respiratory rate, pain on palpation of the
pelvis, tinge of blood noted at the urinary meatus,
moderate active bleeding from a laceration to left thigh,
Verified Questions and Answers for
First-Attempt Success (Graded A+)
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?
- 100 correct answer as-Initial medication
intervention includes an inhaled short-acting beta agonist.
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? - 100 correct answer as-
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 be definitive
treatment for the suspected diagnosis? - 100 correct
answer as-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? - 100 correct answer as-Establishing a
secure airway
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? - 100
correct answer as-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? - 100
correct answer as-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? - 100 correct answer as-Have the
boyfriend leave the room during the pelvic exam.
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? - 100 correct answer
as-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? - 100 correct answer as-
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? - 100 correct answer as-
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? - 100 correct answer
as-Respiratory rate
A laceration on a toddler's arm is prepared for suturing.
Which of the following preparations for topical anesthesia
would be the best choice for this procedure? - 100
correct answer as-LET
(lidocaine/epinephrine/tetracaine)
Which of the following is appropriate administration of N-
acetylcysteine (NAC) for an acetaminophen overdose? -
100 correct answer as-A bolus infusion of 150 mg/kg
NAC should be administered.
A 10-year-old arrives at the ED post motor vehicle crash.
The following assessment is noted: hypotension,
tachycardia, absent breath sounds from the left chest with
an increased respiratory rate, pain on palpation of the
pelvis, tinge of blood noted at the urinary meatus,
moderate active bleeding from a laceration to left thigh,
