CPN Safety & Emergency Procedures 3 — Questions and Answers
Question 1: A child with a known bee sting allergy is stung and begins showing hives and difficulty breathing. The epinephrine auto-injector is available. Where is the correct injection site?
- Upper arm (deltoid muscle)
- Outer thigh (mid-outer thigh) (Correct answer)
- Abdomen
- Buttocks
Correct answer: Outer thigh (mid-outer thigh)
Epinephrine auto-injectors (e.g., EpiPen) should be administered into the outer mid-thigh, even through clothing if necessary.
Question 2: A toddler pulls a pot of boiling water from the stove and sustains a large scald burn on the arm. What is the correct first-aid response?
- Apply butter or oil to soothe the burn immediately
- Cover the burn with ice packs for 15 minutes
- Cool the burn with cool (not cold) running water for at least 10–20 minutes (Correct answer)
- Pop any blisters and cover with a dry bandage
Correct answer: Cool the burn with cool (not cold) running water for at least 10–20 minutes
Cool running water for 10–20 minutes is the evidence-based first aid for burns; ice, butter, and popping blisters can worsen injury.
Question 3: When should a nanny perform a home safety walk-through in a new childcare setting?
- Only after the first week of employment
- Before the first day caring for the children (Correct answer)
- On the first day while the children are present to identify hazards together
- Only if the employer requests it
Correct answer: Before the first day caring for the children
A safety walk-through should be completed before beginning care so hazards are identified and addressed proactively.
Question 4: A child aged 18 months puts a small button battery in their mouth. What is the primary danger of button battery ingestion?
- The battery may cause choking only if it lodges in the trachea
- The battery can cause chemical burns and tissue necrosis in as little as two hours if lodged in the esophagus (Correct answer)
- The battery will pass harmlessly through the digestive system
- The primary risk is heavy metal poisoning over several weeks
Correct answer: The battery can cause chemical burns and tissue necrosis in as little as two hours if lodged in the esophagus
Button batteries lodged in the esophagus generate an electrical current that causes rapid, severe chemical burns and can be fatal within hours.
Question 5: During an active tornado warning, which location in a home is the safest for sheltering children?
- Near a window to monitor the storm's approach
- An interior room on the lowest floor away from windows (Correct answer)
- The garage, which provides structural support
- The attic, which is above flooding risk
Correct answer: An interior room on the lowest floor away from windows
An interior room on the lowest floor (such as a bathroom or closet) away from windows offers the best protection from tornado debris and structural collapse.
Question 6: A child in your care has a documented severe peanut allergy. A visitor accidentally brings a peanut-containing snack into the home. The child has not yet eaten it. What is the correct response?
- Allow the child a small amount to assess their current sensitivity
- Remove the snack from the environment immediately and ensure no cross-contamination has occurred (Correct answer)
- Keep the snack in a sealed container and monitor the child for any symptoms
- Consult the parents before removing the snack
Correct answer: Remove the snack from the environment immediately and ensure no cross-contamination has occurred
Known allergens must be removed from the environment immediately to prevent accidental exposure — no assessment or delay is appropriate.
Question 7: Which of the following is a required element of an emergency contact sheet that a nanny should have readily accessible?
- The child's school grades and academic history
- Parents' work, cell, and alternate contact numbers plus the child's physician and any known allergies (Correct answer)
- The family's insurance policy number and premium amounts
- A list of the child's extracurricular activities and schedules
Correct answer: Parents' work, cell, and alternate contact numbers plus the child's physician and any known allergies
An emergency contact sheet must include multiple ways to reach parents, the child's doctor, and critical health information like allergies.
CPN Safety & Emergency Procedures 3
A child with a known bee sting allergy is stung and begins showing hives and difficulty breathing.
The epinephrine auto-injector is available.
Where is the correct injection site?