CFRN Practice Test COMPLETE SOLUTIONS LATEST 2022
( 210 QUESTIONS, 41 PAGES)
Which of the following is the MOST commonly injured organ in the abdominal cavity?
A. Pancreas
B. Spleen
C. Liver
D. Kidneys Correct Answer: 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 Correct Answer: 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 Correct Answer: B. Diaphragm
The _______ is the largest solid organ in the human body.
A. Brain
B. Pancreas
C. Spleen
D. Liver Correct Answer: D. Liver
A root cause of esophageal varices is/are:
A. Mallory-Weiss syndrome
B. Reactive gastritis
C. Cirrhosis
D. Peptic ulcers Correct Answer: C. Cirrhosis
The most common cause of lower GI bleeding is:
,A. Ulcerative colitis
B. Diverticulosis
C. Inflammatory bowel disease (IBD)
D. Angiodysplasia Correct Answer: B. Diverticulosis
The appearance of dark, tarry blood in the stool is known as:
A. Hematemesis
B. Melena
C. Hematochezia
D. Crohn's disease Correct Answer: B. Melena
The most common cause of pancreatitis is:
A. Gallstones
B. Alcohol abuse
C. Hypercalcemia
D. Tumors Correct Answer: 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 Correct Answer: C. Albumin
Fulminant hepatic failure is most commonly caused by:
A. Alcohol abuse
B. Idiosyncratic drug reactions
C. Hepatitis
D. Acetaminophen toxicity Correct Answer: D. Acetaminophen toxicity
In young children, the narrowest part of the trachea is the:
A. Vallecula
B. Cricoid ring
C. Epiglottis
D. Hyoid Correct Answer: 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 Correct Answer: 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. Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: B. Fail
In a child in shock, the heart rate is the:
A. Only compensatory mechanism
( 210 QUESTIONS, 41 PAGES)
Which of the following is the MOST commonly injured organ in the abdominal cavity?
A. Pancreas
B. Spleen
C. Liver
D. Kidneys Correct Answer: 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 Correct Answer: 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 Correct Answer: B. Diaphragm
The _______ is the largest solid organ in the human body.
A. Brain
B. Pancreas
C. Spleen
D. Liver Correct Answer: D. Liver
A root cause of esophageal varices is/are:
A. Mallory-Weiss syndrome
B. Reactive gastritis
C. Cirrhosis
D. Peptic ulcers Correct Answer: C. Cirrhosis
The most common cause of lower GI bleeding is:
,A. Ulcerative colitis
B. Diverticulosis
C. Inflammatory bowel disease (IBD)
D. Angiodysplasia Correct Answer: B. Diverticulosis
The appearance of dark, tarry blood in the stool is known as:
A. Hematemesis
B. Melena
C. Hematochezia
D. Crohn's disease Correct Answer: B. Melena
The most common cause of pancreatitis is:
A. Gallstones
B. Alcohol abuse
C. Hypercalcemia
D. Tumors Correct Answer: 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 Correct Answer: C. Albumin
Fulminant hepatic failure is most commonly caused by:
A. Alcohol abuse
B. Idiosyncratic drug reactions
C. Hepatitis
D. Acetaminophen toxicity Correct Answer: D. Acetaminophen toxicity
In young children, the narrowest part of the trachea is the:
A. Vallecula
B. Cricoid ring
C. Epiglottis
D. Hyoid Correct Answer: 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 Correct Answer: 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. Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: 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 Correct Answer: B. Fail
In a child in shock, the heart rate is the:
A. Only compensatory mechanism
