TNCC Pediatric Trauma 2

Question 1

A 3-year-old is brought in after a motor vehicle crash. Which anatomical feature makes pediatric airway management uniquely challenging compared to adults?

Accepted Answer

Proportionally larger occiput causing neck flexion when supine

Answer

The proportionally larger occiput in young children causes passive neck flexion when supine, which can obstruct the airway without proper positioning.

Question 2

When calculating estimated blood volume for a pediatric trauma patient weighing 20 kg, what is the approximate total blood volume?

Accepted Answer

1600 mL

Answer

Pediatric blood volume is approximately 80 mL/kg, so a 20 kg child has an estimated blood volume of 1600 mL.

Question 3

A 7-year-old with blunt abdominal trauma has a rigid abdomen and tachycardia. Which organ is most commonly injured in pediatric blunt abdominal trauma?

Accepted Answer

Spleen

Answer

The spleen is the most commonly injured organ in pediatric blunt abdominal trauma due to its relatively unprotected position and large size.

Question 4

Which pain scale is most appropriate for assessing pain in a 2-year-old pediatric trauma patient who cannot verbalize?

Accepted Answer

FLACC scale

Answer

The FLACC (Face, Legs, Activity, Cry, Consolability) scale is the validated tool for assessing pain in non-verbal and pre-verbal children.

Question 5

A 5-year-old trauma patient is in compensated shock. Which vital sign finding best indicates early compensated shock in a pediatric patient?

Accepted Answer

Tachycardia with normal blood pressure

Answer

Children compensate effectively for blood loss by increasing heart rate while maintaining blood pressure until approximately 30–40% of blood volume is lost.

(TNCC) Trauma Nursing Core Course Certified Practice Test

(TNCC) Trauma Nursing Core Course Certified Practice Test

TNCC Pediatric Trauma 2