TNCC Pediatric Trauma 3

Question 1

An 8-year-old pedestrian struck by a vehicle presents with lower extremity fractures and an altered level of consciousness. This injury pattern is best described by which eponym?

Accepted Answer

Waddell's triad

Answer

Waddell's triad describes the classic pediatric pedestrian injury pattern: lower extremity fracture, thoracoabdominal injury, and head injury.

Question 2

Which of the following is the most reliable indicator of adequate fluid resuscitation in a pediatric trauma patient?

Accepted Answer

Urine output of 1 mL/kg/hr

Answer

Urine output of 1 mL/kg/hr indicates adequate renal perfusion and is the most reliable ongoing indicator of resuscitation adequacy in pediatric patients.

Question 3

A 4-year-old with suspected non-accidental trauma has a spiral fracture of the humerus. What additional finding would most increase suspicion for child abuse?

Accepted Answer

Injuries in various stages of healing

Answer

Multiple injuries in various stages of healing on a child is a hallmark indicator of repeated inflicted trauma and strongly suggests non-accidental injury.

Question 4

In pediatric trauma, which location is preferred for intraosseous (IO) access when IV access cannot be rapidly established?

Accepted Answer

Proximal tibia

Answer

The proximal tibia is the preferred primary IO site in children due to the large, flat, easily palpable surface and thin cortex.

Question 5

A 10-year-old with significant thoracic trauma develops absent breath sounds on the left and tracheal deviation to the right. The immediate priority intervention is:

Accepted Answer

Needle decompression of the left chest

Answer

Tension pneumothorax is a clinical diagnosis requiring immediate needle decompression; delaying for imaging risks rapid cardiovascular collapse.

(TNCC) Trauma Nursing Core Course Certified Practice Test

(TNCC) Trauma Nursing Core Course Certified Practice Test

TNCC Pediatric Trauma 3