PEPP Final UPDATED ACTUAL Exam
Question and Answer (2026/2027) | A+
Verified
• Normal HR & RR for Infant (<1 y/o) -✓✓ HR 100-160, RR 30-60, Min BP >65 systolic
(<1 mon = 60)
• Normal HR & RR for Toddler (1-3 y/o) -✓✓ HR 95-150, RR 24-40, Min BP >70 systolic
• Normal HR & RR for Preschooler (3-5 y/o) -✓✓ HR 80-140, RR 22-34, Min BP >75
systolic
• Normal HR & RR for School-aged (6-12 y/o) -✓✓ HR 70-120, RR 18-30, Min BP >80
systolic
• Normal HR & RR for Adolescent (13-18 y/o) -✓✓ HR 60-100, RR 12-16, Min BP >90
systolic
• Treatment for unstable SVT -✓✓ Adenosine (NOT for asthmatics) — 1st dose 0.1
mg/kg (max 6 mg), 2nd dose 0.2 mg/kg (max 12 mg)
• Sinus Tachy vs SVT -✓✓ Sinus Tachy = variable R-R interval; SVT = non-variable R-R
interval (child HR >180 bpm, infant HR >220)
• Diazepam dose -✓✓ 0.1 mg/kg
• Atropine dose -✓✓ 0.02 mg/kg (max 0.5 mg)
• Narcan dose -✓✓ 0.1 mg/kg
• Lidocaine dose -✓✓ 1 mg/kg
• Versed I.N. dose -✓✓ 0.2 mg/kg
• Dextrose dose -✓✓ 5-10 mg/kg
• Fluid bolus -✓✓ 20 ml/kg x3 (max 60 ml)
• EPI dose for Bradycardia -✓✓ 0.1 mg/ml concentration, 0.01 mg/kg IV/IO dose; 1
mg/ml concentration, 0.1 mg/kg E.T. dose
, • Hypoglycemia values -✓✓ BGL <40 in infants & BGL <60 in a child
• Reversal for beta blocker overdose -✓✓ Glucagon
• Treatment for seizures >5 minutes -✓✓ Benzos — Midazolam, Diazepam, Lorazepam
• Most common cause of bradycardia -✓✓ Hypoxia
• Charcoal contraindications (poorly adsorbed) -✓✓ Altered LOC, Pesticides,
Potassium, Hydrocarbons, Acids/alcohol/alkali, Iron, Lithium, Solvents
• Intranasal meds -✓✓ Midazolam, Versed, Narcan, Ketamine, Hydromorphone,
Glucagon
• Misplaced I.O. sign -✓✓ Needle wiggles = it is misplaced
• Vomiting/diarrhea or low BP -✓✓ Think hypovolemic shock
• HR 200+ sign -✓✓ Think cardiogenic shock
• Tachycardia meaning -✓✓ Early sign of compensated shock
• Wheezing -✓✓ High-pitched exhale sound
• Stridor -✓✓ High-pitched inhale sound
• Child falls into a manhole -✓✓ Give them a C-Collar
• Treatment for thermal burns -✓✓ Fentanyl
• Treatment for fire burn -✓✓ O2
• Treatment for bronchiolitis -✓✓ Nasal suctioning (NO Albuterol)
• Children with ADHD -✓✓ Usually respond well to calming techniques
• I.O. site -✓✓ Proximal tibia (NOT the sternum)
• Child restraint system (CRS) -✓✓ 5-point harness; secure infants in a child restraint
system
• If stable car seat -✓✓ Front-facing car seat attached to COT with at least 2 points
Question and Answer (2026/2027) | A+
Verified
• Normal HR & RR for Infant (<1 y/o) -✓✓ HR 100-160, RR 30-60, Min BP >65 systolic
(<1 mon = 60)
• Normal HR & RR for Toddler (1-3 y/o) -✓✓ HR 95-150, RR 24-40, Min BP >70 systolic
• Normal HR & RR for Preschooler (3-5 y/o) -✓✓ HR 80-140, RR 22-34, Min BP >75
systolic
• Normal HR & RR for School-aged (6-12 y/o) -✓✓ HR 70-120, RR 18-30, Min BP >80
systolic
• Normal HR & RR for Adolescent (13-18 y/o) -✓✓ HR 60-100, RR 12-16, Min BP >90
systolic
• Treatment for unstable SVT -✓✓ Adenosine (NOT for asthmatics) — 1st dose 0.1
mg/kg (max 6 mg), 2nd dose 0.2 mg/kg (max 12 mg)
• Sinus Tachy vs SVT -✓✓ Sinus Tachy = variable R-R interval; SVT = non-variable R-R
interval (child HR >180 bpm, infant HR >220)
• Diazepam dose -✓✓ 0.1 mg/kg
• Atropine dose -✓✓ 0.02 mg/kg (max 0.5 mg)
• Narcan dose -✓✓ 0.1 mg/kg
• Lidocaine dose -✓✓ 1 mg/kg
• Versed I.N. dose -✓✓ 0.2 mg/kg
• Dextrose dose -✓✓ 5-10 mg/kg
• Fluid bolus -✓✓ 20 ml/kg x3 (max 60 ml)
• EPI dose for Bradycardia -✓✓ 0.1 mg/ml concentration, 0.01 mg/kg IV/IO dose; 1
mg/ml concentration, 0.1 mg/kg E.T. dose
, • Hypoglycemia values -✓✓ BGL <40 in infants & BGL <60 in a child
• Reversal for beta blocker overdose -✓✓ Glucagon
• Treatment for seizures >5 minutes -✓✓ Benzos — Midazolam, Diazepam, Lorazepam
• Most common cause of bradycardia -✓✓ Hypoxia
• Charcoal contraindications (poorly adsorbed) -✓✓ Altered LOC, Pesticides,
Potassium, Hydrocarbons, Acids/alcohol/alkali, Iron, Lithium, Solvents
• Intranasal meds -✓✓ Midazolam, Versed, Narcan, Ketamine, Hydromorphone,
Glucagon
• Misplaced I.O. sign -✓✓ Needle wiggles = it is misplaced
• Vomiting/diarrhea or low BP -✓✓ Think hypovolemic shock
• HR 200+ sign -✓✓ Think cardiogenic shock
• Tachycardia meaning -✓✓ Early sign of compensated shock
• Wheezing -✓✓ High-pitched exhale sound
• Stridor -✓✓ High-pitched inhale sound
• Child falls into a manhole -✓✓ Give them a C-Collar
• Treatment for thermal burns -✓✓ Fentanyl
• Treatment for fire burn -✓✓ O2
• Treatment for bronchiolitis -✓✓ Nasal suctioning (NO Albuterol)
• Children with ADHD -✓✓ Usually respond well to calming techniques
• I.O. site -✓✓ Proximal tibia (NOT the sternum)
• Child restraint system (CRS) -✓✓ 5-point harness; secure infants in a child restraint
system
• If stable car seat -✓✓ Front-facing car seat attached to COT with at least 2 points
