CPEN Trauma Care 4

Question 1

A 9-year-old with a traumatic brain injury (TBI) has a GCS of 7, HR 52, BP 160/90, and irregular respirations. This triad is known as:

Accepted Answer

Cushing's triad

Answer

Cushing's triad (hypertension, bradycardia, irregular respirations) indicates dangerously elevated intracranial pressure and impending herniation.

Question 2

Which blood product ratio is currently recommended for massive transfusion in pediatric trauma to simulate whole blood?

Accepted Answer

1:1:1 (PRBCs:FFP:Platelets)

Answer

A 1:1:1 ratio of packed red blood cells, fresh frozen plasma, and platelets is recommended to address all components of coagulopathy in massive hemorrhage.

Question 3

A 5-year-old has a suspected spinal cord injury after diving into a shallow pool. In-line cervical stabilization is initiated. Which statement about pediatric cervical spine injury is TRUE?

Accepted Answer

Children are more vulnerable to upper cervical (C1-C3) injuries than adults

Answer

Due to a proportionally larger head, horizontal facet joints, and ligamentous laxity, children are more susceptible to upper cervical spine injuries (C1-C3).

Question 4

SCIWORA stands for spinal cord injury without radiographic abnormality. It is most common in which age group?

Accepted Answer

Young children under 8 years

Answer

SCIWORA is most common in young children due to the elasticity of their spinal ligaments and immature bone structures, allowing cord injury without bony damage.

Question 5

A 2-year-old presents with a spiral femur fracture, multiple bruises in various stages of healing, and a healing rib fracture. The PRIORITY action is:

Accepted Answer

Initiate child protective services notification and a skeletal survey

Answer

This injury pattern (spiral fracture, patterned bruising, healing fractures) is highly concerning for non-accidental trauma, requiring mandatory reporting and a full skeletal survey.

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN - Certified Pediatric Emergency Nurse Practice Test

CPEN Trauma Care 4