CFRN - Certified Flight Registered Nurse Pediatric and Neonatal Patients Questions and Answers

Question 1

A term neonate is born through thick meconium-stained amniotic fluid and is limp with poor respiratory effort and a heart rate of 70 bpm.
According to the most recent Neonatal Resuscitation Program (NRP) guidelines, what is the most appropriate initial action?

Accepted Answer

Begin positive-pressure ventilation (PPV) with a bag-mask device.

Answer

Provide vigorous tactile stimulation to encourage crying.

Answer

Immediately intubate and perform deep tracheal suctioning.

Answer

Administer blow-by oxygen and reassess in 30 seconds.

Question 2

A 12 kg, 2-year-old child is being transported with suspected septic shock, presenting with tachycardia, delayed capillary refill, and cool extremities. According to Pediatric Advanced Life Support (PALS) guidelines, what is the appropriate initial isotonic crystalloid fluid bolus?

Accepted Answer

A 240 mL bolus administered over 5-20 minutes.

Answer

A 500 mL bolus administered over 30 minutes.

Answer

A 120 mL bolus administered as rapidly as possible.

Answer

A 480 mL bolus administered over one hour.

Question 3

A flight crew is dispatched for a 3-year-old in acute respiratory distress. The child is sitting in a tripod position, is drooling, has a muffled voice, and appears toxic with a high fever. Which of the following conditions is most likely, and what is the priority action?

Accepted Answer

Epiglottitis; minimize stimulation and prepare for definitive airway management.

Answer

Croup; prepare to administer nebulized racemic epinephrine.

Answer

Anaphylaxis; administer intramuscular epinephrine immediately.

Answer

Foreign body aspiration; perform abdominal thrusts.

Question 4

When utilizing the Broselow Pediatric Emergency Tape on a critically ill child, the flight nurse places the red end at the child's head. The measurement corresponding to the child's heels falls within the purple color zone. This information primarily provides the user with:

Accepted Answer

Estimated weight, pre-calculated drug doses, and equipment sizes.

Answer

The child's exact age and allergy information.

Answer

A definitive diagnosis based on the color zone.

Answer

The percentage of body surface area burned.

Question 5

A flight nurse is transporting a 2-day-old neonate who becomes jittery and lethargic. A point-of-care blood glucose is 28 mg/dL (1.6 mmol/L). What is the most appropriate immediate intervention?

Accepted Answer

Administer an intravenous bolus of 2 mL/kg of D10W.

Answer

Administer an intravenous bolus of 2 mL/kg of D25W.

Answer

Provide a 5 mL/kg bolus of formula via orogastric tube.

Answer

Administer glucagon 1 mg intramuscularly.

Question 6

According to the most recent PALS guidelines, which of the following is the correct intravenous (IV) or intraosseous (IO) dose of epinephrine for a 10 kg child in pulseless ventricular tachycardia?

Accepted Answer

0.1 mg of 1:10,000 concentration

Answer

1 mg of 1:1,000 concentration

Answer

0.01 mg of 1:1,000 concentration

Answer

1 mg of 1:10,000 concentration

A term neonate is born through thick meconium-stained amniotic fluid and is limp with poor respiratory effort and a heart rate of 70 bpm.According to the most recent Neonatal Resuscitation Program (NRP) guidelines, what is the most appropriate initial action?

A term neonate is born through thick meconium-stained amniotic fluid and is limp with poor respiratory effort and a heart rate of 70 bpm.
According to the most recent Neonatal Resuscitation Program (NRP) guidelines, what is the most appropriate initial action?