CFRN Practice Test
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 _______.
A. Liver
B. Diaphragm
C. Stomach
D. Pancreas - B. Diaphragm
The _______ is the largest solid organ in the human body.
A. Brain
B. Pancreas
C. Spleen
D. Liver - D. Liver
A root cause of esophageal varices is/are:
A. Mallory-Weiss syndrome
B. Reactive gastritis
C. Cirrhosis
D. Peptic ulcers - C. Cirrhosis
The most common cause of lower GI bleeding is:
,A. Ulcerative colitis
B. Diverticulosis
C. Inflammatory bowel disease (IBD)
D. Angiodysplasia - B. Diverticulosis
The appearance of dark, tarry blood in the stool is known as:
A. Hematemesis
B. Melena
C. Hematochezia
D. Crohn's disease - B. Melena
The most common cause of pancreatitis is:
A. Gallstones
B. Alcohol abuse
C. Hypercalcemia
D. Tumors - A. Gallstones
Development of peripheral edema, ascites, and pulmonary edema in the patient with
liver failure is a result of a decreased production of:
A. Bilirubin
B. Aspartate amniotransferase
C. Albumin
D. Creatinine - C. Albumin
Fulminant hepatic failure is most commonly caused by:
A. Alcohol abuse
B. Idiosyncratic drug reactions
C. Hepatitis
D. Acetaminophen toxicity - D. Acetaminophen toxicity
In young children, the narrowest part of the trachea is the:
A. Vallecula
B. Cricoid ring
C. Epiglottis
,D. Hyoid - B. Cricoid ring
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
In a child in shock, the heart rate is the:
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 _______.
A. Liver
B. Diaphragm
C. Stomach
D. Pancreas - B. Diaphragm
The _______ is the largest solid organ in the human body.
A. Brain
B. Pancreas
C. Spleen
D. Liver - D. Liver
A root cause of esophageal varices is/are:
A. Mallory-Weiss syndrome
B. Reactive gastritis
C. Cirrhosis
D. Peptic ulcers - C. Cirrhosis
The most common cause of lower GI bleeding is:
,A. Ulcerative colitis
B. Diverticulosis
C. Inflammatory bowel disease (IBD)
D. Angiodysplasia - B. Diverticulosis
The appearance of dark, tarry blood in the stool is known as:
A. Hematemesis
B. Melena
C. Hematochezia
D. Crohn's disease - B. Melena
The most common cause of pancreatitis is:
A. Gallstones
B. Alcohol abuse
C. Hypercalcemia
D. Tumors - A. Gallstones
Development of peripheral edema, ascites, and pulmonary edema in the patient with
liver failure is a result of a decreased production of:
A. Bilirubin
B. Aspartate amniotransferase
C. Albumin
D. Creatinine - C. Albumin
Fulminant hepatic failure is most commonly caused by:
A. Alcohol abuse
B. Idiosyncratic drug reactions
C. Hepatitis
D. Acetaminophen toxicity - D. Acetaminophen toxicity
In young children, the narrowest part of the trachea is the:
A. Vallecula
B. Cricoid ring
C. Epiglottis
,D. Hyoid - B. Cricoid ring
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
In a child in shock, the heart rate is the:
