CPN Safety & Emergency Procedures 2 — Questions and Answers
Question 1: A child is found unresponsive and not breathing. After calling 911, what is the correct compression-to-breath ratio for pediatric CPR when one rescuer is present?
- 15 compressions to 2 breaths
- 30 compressions to 2 breaths (Correct answer)
- 5 compressions to 1 breath
- 20 compressions to 2 breaths
Correct answer: 30 compressions to 2 breaths
Single-rescuer pediatric CPR uses a 30:2 compression-to-breath ratio, the same as for adults.
Question 2: You suspect a toddler has ingested a household cleaning product. After calling Poison Control (1-800-222-1222), what information will they most likely ask for first?
- The child's weight and age
- The exact product name and amount ingested (Correct answer)
- The child's vaccination history
- The last time the child ate a meal
Correct answer: The exact product name and amount ingested
Poison Control requires the product name and estimated amount ingested to determine the appropriate course of action.
Question 3: A 4-year-old has a febrile seizure lasting about 90 seconds and stops on its own. What is the MOST appropriate immediate action?
- Put something in the child's mouth to prevent tongue-biting
- Place the child on their side and call the child's parents and 911 (Correct answer)
- Restrain the child's movements to prevent injury
- Give the child fever-reducing medication immediately after the seizure
Correct answer: Place the child on their side and call the child's parents and 911
After a febrile seizure ends, position the child on their side to protect the airway, then notify parents and emergency services.
Question 4: Which of the following best describes the 'danger zone' temperature range for food that can cause foodborne illness in children?
- 32°F to 65°F (0°C to 18°C)
- 40°F to 140°F (4°C to 60°C) (Correct answer)
- 50°F to 160°F (10°C to 71°C)
- 35°F to 120°F (2°C to 49°C)
Correct answer: 40°F to 140°F (4°C to 60°C)
The USDA defines the temperature danger zone as 40°F–140°F, where bacteria multiply rapidly.
Question 5: During a power outage at night, a child becomes scared. Which safety-focused action should the nanny take first?
- Light candles to provide visibility throughout the home
- Locate and use flashlights or battery-powered lights (Correct answer)
- Take the children outside to wait for power restoration
- Call the utility company before attending to the children
Correct answer: Locate and use flashlights or battery-powered lights
Battery-powered flashlights are the safest immediate light source, eliminating fire risk from candles.
Question 6: A child receives a deep puncture wound from a rusty nail. The wound is cleaned and bleeding is controlled. What additional action is most important to communicate to the parents?
- Apply a heating pad to the wound area
- Advise the parents the child may need a tetanus booster (Correct answer)
- Recommend the child avoid all physical activity for two weeks
- Apply topical antibiotic ointment every hour
Correct answer: Advise the parents the child may need a tetanus booster
Puncture wounds from rusty objects carry risk of tetanus, and parents should be informed so the child can receive a booster if needed.
Question 7: What is the safest sleep position for an infant to reduce the risk of Sudden Infant Death Syndrome (SIDS)?
- On their stomach on a firm, flat surface
- On their back on a firm, flat surface (Correct answer)
- On their side supported by a sleep positioner
- In a slightly inclined position at 30 degrees
Correct answer: On their back on a firm, flat surface
The American Academy of Pediatrics recommends placing infants on their back on a firm, flat surface to reduce SIDS risk.
CPN Safety & Emergency Procedures 2
A child is found unresponsive and not breathing.
After calling 911, what is the correct compression-to-breath ratio for pediatric CPR when one rescuer is present?