CPN Risk Assessment & Mitigation 2 — Questions and Answers
Question 1: A 3-year-old child insists on riding a tricycle near the edge of a sloped driveway. What is the nanny's BEST immediate response?
- Allow it to build confidence
- Redirect the child to a flat, safe area (Correct answer)
- Call the parents before deciding
- Let the child learn from the experience
Correct answer: Redirect the child to a flat, safe area
Redirecting the child to a flat, safe area eliminates the hazard without conflict or delay.
Question 2: Which action BEST reduces the risk of a young child accessing household cleaning products?
- Store products on a high shelf
- Place products in a cabinet with a child-safety lock (Correct answer)
- Keep products in a locked room at all times
- Teach the child not to touch cleaning products
Correct answer: Place products in a cabinet with a child-safety lock
Child-safety locks on accessible cabinets are the most practical and effective barrier for common storage areas.
Question 3: During a playdate, a visiting child displays signs of a severe allergic reaction. The host family has not left emergency instructions. What should the nanny do FIRST?
- Call the visiting child's parents
- Administer the host child's EpiPen
- Call 911 immediately (Correct answer)
- Give the child an antihistamine from the medicine cabinet
Correct answer: Call 911 immediately
A severe allergic reaction is a medical emergency requiring immediate activation of EMS before any other step.
Question 4: What does a 'risk matrix' help a nanny do when assessing household dangers?
- Rank hazards by the likelihood and severity of harm (Correct answer)
- Create a cleaning schedule for hazardous areas
- Document all incidents for parents
- Determine the child's developmental milestones
Correct answer: Rank hazards by the likelihood and severity of harm
A risk matrix prioritizes hazards based on both their probability of occurring and the potential severity of the resulting harm.
Question 5: A nanny notices a loose handrail on the staircase in the family's home. The parents are unavailable. What is the MOST appropriate action?
- Restrict the child from using the stairs and notify parents at the earliest opportunity (Correct answer)
- Attempt to tighten the handrail herself
- Allow stair use but supervise closely
- Document it and wait until the parents return home
Correct answer: Restrict the child from using the stairs and notify parents at the earliest opportunity
Restricting access to the hazard and promptly notifying parents addresses the immediate danger and keeps decision-making with the family.
Question 6: Which of the following is an example of a 'passive' safety measure?
- Teaching a child to look both ways before crossing the street
- Installing window guards on upper-floor windows (Correct answer)
- Reviewing pool safety rules with the child daily
- Requiring the child to ask permission before going outside
Correct answer: Installing window guards on upper-floor windows
Passive safety measures like window guards provide protection automatically without requiring action from the child or caregiver.
Question 7: A 5-year-old asks to help the nanny cook dinner on the stove. What is the SAFEST approach?
- Decline entirely until the child is older
- Allow the child to stir a cold bowl while the nanny manages the stove (Correct answer)
- Let the child stand on a step stool and stir a pot with supervision
- Permit participation only after reviewing kitchen rules
Correct answer: Allow the child to stir a cold bowl while the nanny manages the stove
Assigning the child an age-appropriate, low-risk task away from the active heat source allows participation while managing the primary hazard.
A 3-year-old child insists on riding a tricycle near the edge of a sloped driveway.
What is the nanny's BEST immediate response?