Practice Test GeeksCPEN - Certified Pediatric Emergency Nurse Practice Test
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Trauma Care Flashcards

7 cards from real CPEN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Trauma Care flashcards as text

  1. A 10-year-old sustains burns over the entire front torso and both arms. Using the Rule of Nines (modified for children), what percentage of total body surface area (TBSA) is burned?

    Answer: 27%

    In children, the anterior torso is 18% and each arm is 9% (9% × 2 = 18%), but the Lund-Browder chart or pediatric-modified Rule of Nines gives the anterior trunk as 18% and both arms as 9% total, making approximately 27% TBSA.

  2. What is the Parkland formula for burn resuscitation, and how is it calculated for a 20 kg child with 30% TBSA burns?

    Answer: 4 mL × kg × %TBSA = 2400 mL in first 24 hours

    The Parkland formula is 4 mL × weight (kg) × %TBSA = total mL in first 24 hours; for this patient: 4 × 20 × 30 = 2400 mL.

  3. A 13-year-old with penetrating abdominal trauma has tachycardia and peritoneal signs. The MOST appropriate next step is:

    Answer: Immediate surgical consultation for exploratory laparotomy

    Peritoneal signs (rigidity, rebound tenderness) after penetrating trauma indicate the need for emergent surgical consultation and likely operative intervention.

  4. Which cervical spine clearance criterion is validated for use in children and helps avoid unnecessary CT radiation?

    Answer: NEXUS criteria

    The NEXUS (National Emergency X-Radiography Utilization Study) criteria are validated for pediatric cervical spine clearance and include assessment of midline tenderness, distracting injury, intoxication, altered mentation, and neurological deficit.

  5. A 4-year-old is brought in after a near-drowning event in a backyard pool. Initial resuscitation is successful. The nurse should prioritize monitoring for:

    Answer: Delayed pulmonary edema and secondary drowning

    Secondary drowning can occur hours after apparent recovery due to pulmonary edema from aspirated water, requiring at least 6-8 hours of observation.

  6. In pediatric trauma, which radiographic view is included in the primary survey imaging for hemodynamically unstable patients?

    Answer: Chest X-ray, pelvis X-ray, and FAST exam

    In hemodynamically unstable pediatric trauma patients, the primary survey imaging includes chest X-ray, pelvis X-ray, and FAST exam to identify life-threatening hemorrhage without delaying resuscitation.

  7. A 16-year-old is involved in a high-speed motor vehicle collision and arrives with BP 70/40, HR 138, distended abdomen, and decreasing GCS. The PRIORITY intervention is:

    Answer: Two large-bore IV lines and immediate type and crossmatch

    Establishing large-bore IV access and obtaining blood for type and crossmatch is the immediate priority to prepare for blood product transfusion in this patient with signs of hemorrhagic shock.