Traumatic Injuries in Children

~ Exam ~

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This test has 25 questions.

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1. The number of deaths in children ages one to fourteen caused by traumatic injuries is:
  a. One million
  b. 22,000 to 25,000
  c. 25 million
  d. 100,000
2. Common areas for accidents to happen to children include:
  a. The home
  b. The streets
  c. Schools

  d. All of the above
3. Choose one of the most common type of traumatic accidents in children ages six to twelve years of age:
  a. Falls down stairs

  b. Falls from monkey bars

  c. Bicycle accidents

  d. None of the above

4. Choose one of the most common types of traumatic accidents in children ages one to three:
  a. Falls down stairs

  b. Falls from monkey bars
  c. Vehicular accidents

  d. None of the above

5. Nurses can aid in the prevention of traumatic injuries in children by educating parents to the following:
  a. Insist that their children wear helmets when riding bicycles

  b. Review traffic laws with their children

  c. Supervise children even when they are busy

  d. All of the above

6. Head injuries in children are common because:
  a. In a child the head is proportionately large for the size of the child
  b. A child has poor balance
  c. The child frequently becomes a projectile with the head at the front of the projectile

  d. The bones are not well developed

7. A scale which is used to evaluate the severity of injury is called:

  a. The Patterson Index of Severity
  b. The Glascow Coma Scale
  c. The Trauma Center Scale for Traumatic Injuries
  d. Reynolds Scale of Injury
8. One of the primary causes of death in a traumatically injured child is:
  a. Heal injury
  b. Airway compromise

  c. Blood loss
  d. Internal injuries

9. When estimating blood loss in the injured child the nurse needs to monitor the following:
  a. Blood pressure
  b. Capillary refill
  c. Peripheral pulse rates
  d. All of the above

10. When administering IV on an injured child, it is important for the nurse to:
  a. Carefully calculate the IV

  b. Make sure that the output is also measured
  c. Use appropriately sized equipment
  d. All of the above

11. In a Trauma Center, the leader of the Trauma team is most often the:
  a. Anesthesiologist
  b. Radio nurse

  c. Respiratory therapist
  d. Trauma surgeon

12. When stabilizing the injured child “in the field”, one of the prime considerations of the field personnel is:
  a. Notification of parents

  b. To prevent or reverse any effects of hypoxia
  c. Prevention of exposure
  d. Arranging transportation

13. The field personnel also need to stabilize the:
  a. Cervical spine
  b. Chaos at the scene
  c. Child’s blood pressure
  d. Child’s temperature
14. The nurse in the Trauma Center will usually be assigned to do the following during a trauma resuscitation:
  a. Intubate the child
  b. Set up the ventilator

  c. Take vital signs
  d. Take the cervical spine X-rays

15. The pediatric trauma patient should always be transported:

  a. By helicopter
  b. To the nearest hospital
  c. To the designated trauma center
  d. To the hospital indicated by the parents.
16. Family members should:
  a. Be transported with the child

  b. Be allowed to see the child before transport
  c. Go with the police to the trauma center

  d. None of the above

17. Cervical spine immobilization should occur:
  a. In the Emergency Department
  b. In the Transport Vehicle

  c. At the scene
  d. In Radiology after X-rays

18. Signs of airway obstruction include:
  a. Stridor
  b. Loud, high pitched cry

  c. Tachycardia
  d. Hypovolemic shock

19. If airway obstruction is present, the nurse needs to monitor for adequate ventilation. If ventilation is not adequate, the nurse should anticipate:

  a. The initiation of a ventilator
  b. Immediate surgical intervention
  c. Opening the chest

  d. An MRI

20. After the initial interventions are implemented, the nurse will do another assessment. One of the purposes of this assessment is to:
  a. Reassure the patient

  b. Evaluate the patient’s response to the initial resuscitative efforts
  c. Determine any orthopedic injuries
  d. Review injuries with the parents

21. When a child has a Modified Glascow Coma score of less than eight, the nurse can anticipate that the patient will:

  a. Die
  b. Go to Radiology for a CAT Scan
  c. Be discharged
  d. Be transferred to another Trauma Center

22. The MRI is not usually used with an unstable patient because of the difficulty in providing:
  a. Adequate transportation
  b. Resuscitative measures if needed

  c. Adequate visualization of the patient

  d. Adequate fluids to the patient

23. One of the most common types of injuries seen in children is:
  a. Cervical spine
  b. Closed head injury
  c. Fractured ribs

  d. Penetrating abdominal injury

24. When the nurse is evaluating musculoskeletal injuries, he/she needs to report the following:
  a. Absence of pulses in the extremity
  b. Protrusion of bones
  c. Diminished capillary refill
  d. All of the above

25. A bruise with bleeding into the soft tissues is a:

  a. Strain

  b. Contusion
  c. Fracture
  d. Subluxation