CFRN Pediatric and Neonatal Patients 5

Question 1

A 6-year-old with known type 1 diabetes is unresponsive with a blood glucose of 28 mg/dL and no IV access. The most appropriate immediate treatment is:

Accepted Answer

Glucagon 1 mg IM

Answer

Glucagon 1 mg IM is the appropriate emergency treatment for severe hypoglycemia in a child without IV access.

Question 2

A neonate is born with gastroschisis. During transport, the exposed bowel should be managed by:

Accepted Answer

Covering the bowel with saline-moistened warm gauze and a plastic wrap or bowel bag

Answer

Exposed bowel in gastroschisis must be kept moist and warm with saline-moistened gauze and covered with plastic wrap or a bowel bag to prevent heat and fluid loss.

Question 3

A 16-month-old presents with multiple bruises in various stages of healing, a posterior rib fracture on X-ray, and a history inconsistent with the injury pattern. The flight nurse's priority is:

Accepted Answer

Document and notify receiving facility of suspected non-accidental trauma

Answer

Posterior rib fractures and inconsistent history are hallmarks of non-accidental trauma; the flight nurse must document findings and notify the receiving team per mandatory reporting obligations.

Question 4

A 3-year-old weighing 15 kg requires intraosseous (IO) access. After confirming placement, the maximum single fluid bolus volume that should be delivered via IO in this patient is:

Accepted Answer

300 mL (normal saline)

Answer

IO bolus dose for pediatric resuscitation is 20 mL/kg; for a 15 kg child that equals 300 mL per bolus.

Question 5

A term neonate requires PPV during resuscitation. After 30 seconds of PPV with no improvement in heart rate, what is the NEXT step per NRP guidelines?

Accepted Answer

Perform MR. SOPA corrective steps (mask adjustment, reposition, suction, open mouth, pressure increase, alternative airway)

Answer

If PPV is not producing chest rise or improving heart rate, NRP directs the provider through corrective ventilation steps (MR. SOPA) before escalating to compressions.

CFRN - Certified Flight Registered Nurse Practice Test

CFRN - Certified Flight Registered Nurse Practice Test

CFRN Pediatric and Neonatal Patients 5