True or false: A child’s relatively large head increases the likelihood of head injury, especially in younger children.
5 Pediatric Trauma Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Pediatric Trauma, test your knowledge, and prepare for your next test or exam.
True or false: In pediatric trauma, heart rate, respiratory rate, and blood pressure should be interpreted using age-appropriate ranges.
- A
True
- B
False
In the AVPU alertness scale, what response category does the letter P represent?
During the E step of c-ABCDE, after exposing a child sufficiently to identify injuries, cover the child and actively prevent .
A child has immediately life-threatening external bleeding. What method should be used to control it?
In pediatric shock, is a late and dangerous sign, so its absence does not rule out worsening perfusion.
A distressed child with suspected cervical-spine injury needs airway support. Which approach is appropriate?
- A
Keep the neck completely immobilized before attempting any airway support.
- B
Open and maintain the airway while limiting neck movement.
- C
Avoid airway intervention until cervical-spine imaging is completed.
- D
Place the child flat even if a different position better supports breathing.
A child with trauma has clinical findings that raise suspicion for a tension pneumothorax. What is the appropriate approach?
- A
Wait for imaging to confirm the diagnosis before taking action.
- B
Treat only if the chest wall also has visible bruising.
- C
Treat the suspected tension pneumothorax based on clinical findings without waiting for imaging.
- D
Reassess only after the child’s blood pressure becomes low.
A child with blunt abdominal trauma has a negative FAST examination, but clinical concern for injury remains. Which interpretation is most appropriate?
- A
A negative FAST reliably excludes abdominal injury, so no further assessment is needed.
- B
A negative FAST does not reliably exclude abdominal injury; continue assessment when concern remains.
- C
A negative FAST rules out abdominal injury unless the child becomes hypotensive.
- D
FAST results should replace the clinical examination in a child with possible abdominal injury.
A trauma team is preparing for an incoming seriously injured child. Select all preparation steps supported by the pediatric trauma guidance.
- A
Prepare age- and weight-appropriate equipment and medication when possible.
- B
Assign team roles.
- C
Wait to assess the child until every possible diagnostic test is ready.
- D
Obtain a brief pre-arrival handover when possible.
- E
Require one team member to finish each priority before anyone addresses another.
A child’s blood pressure is still normal after trauma. Select all findings that may nevertheless signal worsening perfusion.
- A
Increasing heart rate.
- B
Cool or mottled skin.
- C
Delayed capillary refill.
- D
Weak pulses.
- E
Normal blood pressure, by itself, excludes shock.
- F
Altered behavior or alertness.
- G
Decreasing urine output.
True or false: If the history does not fit the child’s developmental abilities, injuries, or timing of care, consider possible inflicted injury but do not assume a cause before careful assessment.
- A
True
- B
False
For a child with traumatic hypotensive hemorrhagic shock who needs ongoing volume resuscitation, which approach does the cited 2025 AHA/AAP guidance consider reasonable when available?
- A
Crystalloid is required instead of blood products in every case.
- B
Blood products are considered reasonable instead of crystalloid when available, while following local protocols.
- C
Neither blood products nor crystalloid should be considered until imaging is complete.
- D
Blood products are recommended only after blood pressure has returned to normal.
A child has bruising across the abdomen after a seat-belt impact. Explain why this finding matters in pediatric trauma and how the injury mechanism should guide clinical reasoning.
After exposing a child enough to examine for injuries, what environmental threat should the team actively prevent?
A child has abdominal bruising where a seat belt crossed during a collision. What should this finding prompt the team to consider?
- A
It rules out significant abdominal injury if the child is alert.
- B
It should raise concern for internal abdominal injury.
- C
It indicates that the injury is limited to the skin and abdominal wall.
- D
It means abdominal assessment can wait until blood pressure falls.
A child sustains a forceful blow to the chest but has little bruising and no obvious rib injury. Which conclusion best reflects pediatric injury patterns?
- A
Significant lung injury is unlikely unless a rib fracture is visible.
- B
The force is most likely limited to the skin when there is no bruising.
- C
Internal lung injury remains possible despite little external evidence.
- D
A flexible chest wall protects the lungs from blunt impact.
When an injury history does not seem consistent with what the child could do, which aspect of the child should the clinician compare the history against?
During the catastrophic-bleeding check, a child is found with an object embedded in a wound. Which action is appropriate regarding the object?
- A
Leave the object in place rather than removing it.
- B
Remove the object promptly to inspect the wound.
- C
Delay bleeding control until imaging identifies the object's path.
- D
Move the object to determine whether it is lodged deeply.
A distressed child with possible neck injury is struggling to maintain an open airway. Which approach best balances the immediate priorities?
- A
Immobilize the neck fully before checking whether the child can breathe.
- B
Keep the child flat even if that position worsens breathing.
- C
Wait for imaging before managing a potentially obstructed airway.
- D
Prioritize maintaining the airway and limit neck movement when possible.