1|Page
ENPC Exam Study Guide 2025 | Emergency Nursing
Pediatric Course Practice Test, Questions, and Answers
Prepare for your ENPC Exam with this 2025 comprehensive study guide. Includes pediatric
assessment, trauma, shock, respiratory and cardiac emergencies, and developmental
considerations. Features realistic ENPC-style practice questions, case studies, and answer
explanations to help you pass your Emergency Nursing Pediatric Course exam with confidence.
• ENPC exam 2025
• Emergency Nursing Pediatric Course exam
• ENPC practice test
• ENPC study guide PDF
The caregiver of a 7-year old reports witnessing a seizure at
home, but no seizure history. The patient is post-ictal with a heart
rate of 142 beats per minute, respiratory rate of 36 breaths per
minute, and blood pressure of 86/72 mm Hg. Significant burns are
noted to the patient's back and lower extremities. The caregiver
states the burns accidentally occurred three days ago, but was
afraid to bring the patient in due to an ongoing child welfare
investigation.Which of the following groups of interventions are
the priority for this patient?
,2|Page
A.Call police and child welfare authorities and have security
detain the caregiver
B.Administer intravenous analgesics and obtain a point of care
glucose
C.Draw a metabolic panel, point of care glucose, and administer a
fluid bolus
D.Administer lorazepam and a fluid bolus and place on seizure
precautions - ANSWER-C
Burn injuries result in fluid and electrolyte shifts leading to
hypovolemia and electrolyte imbalances. Early identification
and treatment of electrolyte imbalances can help prevent
further seizures. Contacting child protective services and
other authorities can wait. The patient is post-ictal so does
not require lorazepam medication at this time. Pain
medication can and should be considered with significant
burns, but is not a priority.
What is the priority intervention for symptomatic bradycardia in a
four-year-old child?
A.Administer intravenous atropine
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B.Administer intravenous epinephrine
C.Initiate bag-mask ventilation
D.Initiate transcutaneous pacing - ANSWER-C
\
Identifying and treating other causes, chest compressions, and
epinephrine are interventions for pediatric bradycardia with signs
of poor perfusion that are not improved by adequate oxygenation
and ventilation. Atropine and pacing may be considered if there is
no response to the other interventions.
A 5-year-old child presents to the emergency department after
being hit by a car. The patient complains of left upper quadrant
pain, and the focused assessment with sonography for trauma
(FAST) exam shows fluid around her spleen. Which of the
following findings would be an early indication of ongoing blood
loss?
A.Widening pulse pressure
B.Bradycardia
C.Decreasing diastolic blood pressure
D.Weak peripheral pulses - ANSWER-D
, 4|Page
Early signs of hypovolemic shock include tachycardia and
delayed capillary refill. The nurse may note a strong central pulse
but weaker peripheral pulses, indicating the child is compensating
by shunting blood to their core.
A 4-day-old who is brought to the emergency department with the
parental complaint of "not acting right" is found to be
hypoglycemic. What is the appropriate glucose concentration to
administer to this neonate?
A.Dextrose 5%
B.Dextrose 10%
C.Dextrose 25%
D.Dextrose 50% - ANSWER-B
Dextrose 10% is the preferred concentration for neonates
with hypoglycemia to protect their fragile vasculature while
providing needed glucose. Dextrose 5% is not used to treat
hypoglycemia in children. Dextrose 25% is used for children
above the age of 5 years. Dextrose 50% is not recommended
for use in pediatrics unless it is diluted.
ENPC Exam Study Guide 2025 | Emergency Nursing
Pediatric Course Practice Test, Questions, and Answers
Prepare for your ENPC Exam with this 2025 comprehensive study guide. Includes pediatric
assessment, trauma, shock, respiratory and cardiac emergencies, and developmental
considerations. Features realistic ENPC-style practice questions, case studies, and answer
explanations to help you pass your Emergency Nursing Pediatric Course exam with confidence.
• ENPC exam 2025
• Emergency Nursing Pediatric Course exam
• ENPC practice test
• ENPC study guide PDF
The caregiver of a 7-year old reports witnessing a seizure at
home, but no seizure history. The patient is post-ictal with a heart
rate of 142 beats per minute, respiratory rate of 36 breaths per
minute, and blood pressure of 86/72 mm Hg. Significant burns are
noted to the patient's back and lower extremities. The caregiver
states the burns accidentally occurred three days ago, but was
afraid to bring the patient in due to an ongoing child welfare
investigation.Which of the following groups of interventions are
the priority for this patient?
,2|Page
A.Call police and child welfare authorities and have security
detain the caregiver
B.Administer intravenous analgesics and obtain a point of care
glucose
C.Draw a metabolic panel, point of care glucose, and administer a
fluid bolus
D.Administer lorazepam and a fluid bolus and place on seizure
precautions - ANSWER-C
Burn injuries result in fluid and electrolyte shifts leading to
hypovolemia and electrolyte imbalances. Early identification
and treatment of electrolyte imbalances can help prevent
further seizures. Contacting child protective services and
other authorities can wait. The patient is post-ictal so does
not require lorazepam medication at this time. Pain
medication can and should be considered with significant
burns, but is not a priority.
What is the priority intervention for symptomatic bradycardia in a
four-year-old child?
A.Administer intravenous atropine
,3|Page
B.Administer intravenous epinephrine
C.Initiate bag-mask ventilation
D.Initiate transcutaneous pacing - ANSWER-C
\
Identifying and treating other causes, chest compressions, and
epinephrine are interventions for pediatric bradycardia with signs
of poor perfusion that are not improved by adequate oxygenation
and ventilation. Atropine and pacing may be considered if there is
no response to the other interventions.
A 5-year-old child presents to the emergency department after
being hit by a car. The patient complains of left upper quadrant
pain, and the focused assessment with sonography for trauma
(FAST) exam shows fluid around her spleen. Which of the
following findings would be an early indication of ongoing blood
loss?
A.Widening pulse pressure
B.Bradycardia
C.Decreasing diastolic blood pressure
D.Weak peripheral pulses - ANSWER-D
, 4|Page
Early signs of hypovolemic shock include tachycardia and
delayed capillary refill. The nurse may note a strong central pulse
but weaker peripheral pulses, indicating the child is compensating
by shunting blood to their core.
A 4-day-old who is brought to the emergency department with the
parental complaint of "not acting right" is found to be
hypoglycemic. What is the appropriate glucose concentration to
administer to this neonate?
A.Dextrose 5%
B.Dextrose 10%
C.Dextrose 25%
D.Dextrose 50% - ANSWER-B
Dextrose 10% is the preferred concentration for neonates
with hypoglycemia to protect their fragile vasculature while
providing needed glucose. Dextrose 5% is not used to treat
hypoglycemia in children. Dextrose 25% is used for children
above the age of 5 years. Dextrose 50% is not recommended
for use in pediatrics unless it is diluted.
