Page 1 of 24
PEPP FINAL EXAM | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
A 3-year-old boy reportedly fell down a flight of stairs and has a
swollen, deformed right
forearm. You also note several small, healing, circular burns on
his arms and back. He appears quiet and withdrawn. What is the
treatment of this patient?
A. Splint the forearm.
B. Establish IV access.
C. Cover the burns.
D. Contact law enforcement. - ✔✔✔ Correct Answer > A. Splint the
forearm.
An 8-year-old girl fell from a tree house that is approximately 10
feet from the ground. She is screaming and crying due to a
deformity of her right lower leg. What is the
appropriate initial management of this patient?
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A. Initiate cervical spine immobilization.
B. Initiate immobilization of the extremity.
C. Consider preparing the AED and applying pads.
D. Cover her with a blanket and apply heat packs. - ✔✔✔ Correct
Answer > A. Initiate cervical spine immobilization.
What is the best way to repair a break in a central line catheter?
A. Place a piece of silk tape horizontally over the break.
B. Remove the catheter.
C. Irrigate the catheter.
D. Clamp the catheter with a hemostat and gauze. - ✔✔✔ Correct
Answer > D. Clamp the catheter with a hemostat and gauze.
What is a contraindication to straightening the head and neck of a
trauma patient during spinal immobilization?
A. Resistance to movement.
B. Multiple facial injuries.
C. Dilated pupils.
D. Severe headache. - ✔✔✔ Correct Answer > A. Resistance to
movement.
, Page 3 of 24
A 4-year-old semi-responsive boy has had difficulty breathing
and a fever for 3 days. Vital signs are BP 60/40, HR 128, and RR
10. What initial management should be performed?
A. Open the airway and maintain cervical spine immobilization.
B. Open the airway and ventilate with a bag-mask device.
C. Place the patient in the Trendelenburg position.
D. Apply oxygen by nonrebreather mask at 15 L/min. - ✔✔✔ Correct
Answer > B. Open the airway and ventilate with a bag-mask device.
A 12-year-old boy was shot in the abdomen during a hunting
accident. He has altered mental status and his skin is cool and
clammy. Vital signs are BP 64/46, weak HR 142, and RR 38. What
do the signs and symptoms suggest?
A. Tension pneumothorax.
B. Neurogenic shock.
C. Cardiac tamponade.
D. Hypovolemic shock. - ✔✔✔ Correct Answer > D. Hypovolemic shock.
What is the priority treatment for a child with altered mental
status?
PEPP FINAL EXAM | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
A 3-year-old boy reportedly fell down a flight of stairs and has a
swollen, deformed right
forearm. You also note several small, healing, circular burns on
his arms and back. He appears quiet and withdrawn. What is the
treatment of this patient?
A. Splint the forearm.
B. Establish IV access.
C. Cover the burns.
D. Contact law enforcement. - ✔✔✔ Correct Answer > A. Splint the
forearm.
An 8-year-old girl fell from a tree house that is approximately 10
feet from the ground. She is screaming and crying due to a
deformity of her right lower leg. What is the
appropriate initial management of this patient?
,Page 2 of 24
A. Initiate cervical spine immobilization.
B. Initiate immobilization of the extremity.
C. Consider preparing the AED and applying pads.
D. Cover her with a blanket and apply heat packs. - ✔✔✔ Correct
Answer > A. Initiate cervical spine immobilization.
What is the best way to repair a break in a central line catheter?
A. Place a piece of silk tape horizontally over the break.
B. Remove the catheter.
C. Irrigate the catheter.
D. Clamp the catheter with a hemostat and gauze. - ✔✔✔ Correct
Answer > D. Clamp the catheter with a hemostat and gauze.
What is a contraindication to straightening the head and neck of a
trauma patient during spinal immobilization?
A. Resistance to movement.
B. Multiple facial injuries.
C. Dilated pupils.
D. Severe headache. - ✔✔✔ Correct Answer > A. Resistance to
movement.
, Page 3 of 24
A 4-year-old semi-responsive boy has had difficulty breathing
and a fever for 3 days. Vital signs are BP 60/40, HR 128, and RR
10. What initial management should be performed?
A. Open the airway and maintain cervical spine immobilization.
B. Open the airway and ventilate with a bag-mask device.
C. Place the patient in the Trendelenburg position.
D. Apply oxygen by nonrebreather mask at 15 L/min. - ✔✔✔ Correct
Answer > B. Open the airway and ventilate with a bag-mask device.
A 12-year-old boy was shot in the abdomen during a hunting
accident. He has altered mental status and his skin is cool and
clammy. Vital signs are BP 64/46, weak HR 142, and RR 38. What
do the signs and symptoms suggest?
A. Tension pneumothorax.
B. Neurogenic shock.
C. Cardiac tamponade.
D. Hypovolemic shock. - ✔✔✔ Correct Answer > D. Hypovolemic shock.
What is the priority treatment for a child with altered mental
status?
