CFRN Practice Test -Study Questions with
Solutions
In a child, it may be normal for the liver and spleen to:
A. Be enlarged
B. Bleed easily
C. Be palpated below the costal margin
D. Push up against the diaphragm, causing decreased vital capacity - ✔✔C. Be palpated
below the costal margin
In infants, the minimum expected urine output is:
A. 1 mL/kg/hr.
B. 2 mL/kg/hr.
C. 3 mL/kg/hr.
D. 4 mL/kg/hr. - ✔✔B. 2 mL/kg/hr
Which of the following is a major factor that makes children susceptible to hypothermia?
A. The inability to shiver
B. Fewer glycogen stores
C. A larger proportion of body fat
D. All of the above - ✔✔A. The inability to shiver
,All pediatric assessments should begin with forming a general impression using the Pediatric:
A. Trauma score
B. Assessment triangle
C. Perfusion score
D. Faces scale - ✔✔B. Assessment triangle
Due to the relatively large tongue of a child in proportion to his or her mouth, successful
intubation requires: proper blade size, proper positioning, and proper:
A. Suctioning
B. Sedation
C. Sweeping of the tongue
D. Cricoid pressure - ✔✔C. Sweeping of the tongue
Physical assessment of a child's cardiovascular system begins with:
A. Observing the child's general appearance and level of consciousness
B. Checking the child's central pulse rate
C. Feeling the child's skin temperature
D. Placing the child on a cardiac monitor - ✔✔A. Observing the child's general appearance
and level of consciousness
,An increase in _______ is the chief compensatory mechanism in children to increase end-organ
perfusion and to maintain blood pressure.
A. Heart rate
B. Stroke volume
C. Contractility
D. Peripheral vasoconstriction - ✔✔A. Heart rate
Epiglottitis is a medical emergency in the pediatric population. Remember the four Ds, which
stand for:
A. Dysphagia, dysphonia, drooling, and distress
B. Diaphoresis, diplopia, diarrhea, and distress
C. Dilated (pupils), drooling, distress, and diaphoresis
D. Drooling, dysphagia, distant lung sounds, and distress - ✔✔A. Dysphagia, dysphonia,
drooling, and distress
Options to relieve a foreign body airway obstruction in a pediatric includes:
A. Abdominal thrusts only
B. One attempt at nasotracheal intubation
C. Carotid massage
D. Chest thrusts, Heimlich maneuver, and laryngoscopy with Magill forceps - ✔✔D. Chest
thrusts, Heimlich maneuver, and laryngoscopy with Magill forceps
, A child in shock will fail quickly when the child's compensatory systems:
A. Are in overdrive
B. Fail
C. Thrive
D. Are functioning normally - ✔✔B. Fail
Which of the following is the MOST commonly injured organ in the abdominal cavity?
A. Pancreas
B. Spleen
C. Liver
D. Kidneys - ✔✔B. Spleen
Liver injuries will cause pain in the right upper quadrant along with right shoulder pain as blood
accumulates around the diaphragm. The pain in the right shoulder is called:
A. Gourd's sign
B. Kehr's sign
C. Vagal's sign
D. Hobb's sign - ✔✔B. Kehr's sign
The phrenic nerve that arises from cervical vertebrae 3, 4, and 5 controls the _______.
Solutions
In a child, it may be normal for the liver and spleen to:
A. Be enlarged
B. Bleed easily
C. Be palpated below the costal margin
D. Push up against the diaphragm, causing decreased vital capacity - ✔✔C. Be palpated
below the costal margin
In infants, the minimum expected urine output is:
A. 1 mL/kg/hr.
B. 2 mL/kg/hr.
C. 3 mL/kg/hr.
D. 4 mL/kg/hr. - ✔✔B. 2 mL/kg/hr
Which of the following is a major factor that makes children susceptible to hypothermia?
A. The inability to shiver
B. Fewer glycogen stores
C. A larger proportion of body fat
D. All of the above - ✔✔A. The inability to shiver
,All pediatric assessments should begin with forming a general impression using the Pediatric:
A. Trauma score
B. Assessment triangle
C. Perfusion score
D. Faces scale - ✔✔B. Assessment triangle
Due to the relatively large tongue of a child in proportion to his or her mouth, successful
intubation requires: proper blade size, proper positioning, and proper:
A. Suctioning
B. Sedation
C. Sweeping of the tongue
D. Cricoid pressure - ✔✔C. Sweeping of the tongue
Physical assessment of a child's cardiovascular system begins with:
A. Observing the child's general appearance and level of consciousness
B. Checking the child's central pulse rate
C. Feeling the child's skin temperature
D. Placing the child on a cardiac monitor - ✔✔A. Observing the child's general appearance
and level of consciousness
,An increase in _______ is the chief compensatory mechanism in children to increase end-organ
perfusion and to maintain blood pressure.
A. Heart rate
B. Stroke volume
C. Contractility
D. Peripheral vasoconstriction - ✔✔A. Heart rate
Epiglottitis is a medical emergency in the pediatric population. Remember the four Ds, which
stand for:
A. Dysphagia, dysphonia, drooling, and distress
B. Diaphoresis, diplopia, diarrhea, and distress
C. Dilated (pupils), drooling, distress, and diaphoresis
D. Drooling, dysphagia, distant lung sounds, and distress - ✔✔A. Dysphagia, dysphonia,
drooling, and distress
Options to relieve a foreign body airway obstruction in a pediatric includes:
A. Abdominal thrusts only
B. One attempt at nasotracheal intubation
C. Carotid massage
D. Chest thrusts, Heimlich maneuver, and laryngoscopy with Magill forceps - ✔✔D. Chest
thrusts, Heimlich maneuver, and laryngoscopy with Magill forceps
, A child in shock will fail quickly when the child's compensatory systems:
A. Are in overdrive
B. Fail
C. Thrive
D. Are functioning normally - ✔✔B. Fail
Which of the following is the MOST commonly injured organ in the abdominal cavity?
A. Pancreas
B. Spleen
C. Liver
D. Kidneys - ✔✔B. Spleen
Liver injuries will cause pain in the right upper quadrant along with right shoulder pain as blood
accumulates around the diaphragm. The pain in the right shoulder is called:
A. Gourd's sign
B. Kehr's sign
C. Vagal's sign
D. Hobb's sign - ✔✔B. Kehr's sign
The phrenic nerve that arises from cervical vertebrae 3, 4, and 5 controls the _______.
