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ENPC 6TH EDITION EXAM NEWEST 2025
ACTUAL EXAM COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWER S
(VERIFIED ANSWER S) |ALREADY GRADED A+
Question: A 5-year-old with no health problems presents to the
Emergency Department with a sudden onset of chest pain and shortness of breath. Parents state that the family was involved in a bad car crash one week ago. A thorough assessment and workup has not revealed any abnormalities. Which of the following steps is the best next step to take?
Answer : Ask about any new bed-wetting or sleep disturbances
Question: You are discharging a patient to home with a history
of depression. Discharge teaching should include which of the following?
Answer : Ensuring all firearms in the home are locked in a safe
place with no access by the patient.
Question: A 2-year-old has uniformly demarcated burns to
bilateral lower extremities, approximately 30% of the child’s total body surface area. The father states he briefly left the room while the child was in the bath and the child apparently played with the faucet. Which of the following interventions has the highest priority?
Answer : Obtain vascular access for rapid fluid administration
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Question: A 7-year-old arrives via ambulance. The patient's
mother reports witnessing a seizure at home. The patient has no seizure history. Upon examination, 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 mother states the burns accidentally occurred 3 days ago, but she was afraid to bring patient in due to an ongoing child welfare investigation. Which of the following are the MOST appropriate immediate interventions?
Answer : Draw and send a metabolic panel and venous blood
gas, administer a fluid bolus, and obtain a point of care glucose
Question: What is the priority intervention for symptomatic
bradycardia in a four-year-old child?
Answer : Ventilation to address hypoxia is the priority
intervention.
Question: A 14-year-old high school student who was pitching
for his baseball team was hit in the chest by the ball and had a sudden cardiac arrest. Of the following, which is the most likely cause of the cardiac arrest?
Answer : Commotio cordis
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Question: A 5-year-old child presents to the emergency
department after being hit by a car. She 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?Answer : Increasing heart rate (Rewritten from original: "As the patient compensates for altered tissue perfusion, an early sign of ongoing blood loss is an increasing heart rate due to narrowing pulse pressure.")
Question: A 5-year-old patient presents to the emergency
department with severe dehydration due to viral gastroenteritis.He has signs of shock due to his hypovolemia. Which of the following physiologic responses to shock has the greatest impact on improving cardiac output in the pediatric patient?
Answer : Increasing heart rate
Question: Which of the following patient presentations should
increase suspicion of potential child maltreatment?
Answer : Bruising to the left ear of a newborn from sleeping on
his side
Question: All of the vaccine administrations listed are
appropriate EXCEPT for which of the following?
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Answer : Fifth Disease at 6 months
Question: Which of the following statements indicates the
caregiver understands your discharge teaching on influenza?
Answer : My child can go to daycare since they have been off of
Tylenol and fever free for 24 hours.
Question: The neurosurgeon has decided to perform an invasive
procedure in the emergency department to monitor the intracranial pressure on a 5-year-old patient. The family does not speak English and has identified their religion as Muslim.Which of the following interventions is most supportive of the family?
Answer : Dedicate a healthcare team member with a qualified
interpreter to be with the family during the procedure.
Question: A 6-year-old child presents to the emergency
department with caregivers who report a cough with nasal congestion and pink-eye that started 2 days ago. They have been treating with an over-the-counter medicine without relief. Today they noticed a raised red rash on the face and papules in the mouth. You suspect which of the following?