CPEN Trauma Care 3

Question 1

A 3-year-old presents with bilateral black eyes (raccoon eyes) and clear fluid from the nose after a fall. What injury should be suspected?

Accepted Answer

Basilar skull fracture

Answer

Raccoon eyes and CSF rhinorrhea are classic signs of a basilar skull fracture.

Question 2

Which is the preferred initial fluid resuscitation volume for hemorrhagic shock in a pediatric trauma patient?

Accepted Answer

20 mL/kg isotonic crystalloid

Answer

ATLS and pediatric trauma guidelines recommend 20 mL/kg of isotonic crystalloid as the initial fluid bolus for hemorrhagic shock.

Question 3

A 12-year-old hit by a car is combative, tachycardic, and has absent breath sounds on the left. After needle decompression, a chest tube is placed. The MOST common complication of chest tube insertion in children is:

Accepted Answer

Tube malposition

Answer

Tube malposition (too shallow, too deep, or kinked) is the most common complication of chest tube insertion in pediatric patients.

Question 4

Pediatric trauma patients are at higher risk for hypothermia than adults primarily because:

Accepted Answer

They have a larger body surface area relative to body mass

Answer

Children have a higher ratio of body surface area to mass, leading to rapid heat loss and greater risk of hypothermia.

Question 5

A 6-year-old sustained a stab wound to the right upper quadrant. On FAST exam, free fluid is noted in Morrison's pouch. This finding indicates:

Accepted Answer

Hemoperitoneum

Answer

Free fluid in Morrison's pouch (hepatorenal space) on FAST exam represents hemoperitoneum until proven otherwise.

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN Trauma Care 3