PEPP CERTIFICATION EVALUATION
COMPLETE QUESTIONS AND VERIFIED
ANSWERS
●● A 4-month old infant who has had vomiting and diarrhea for the past
36 hours is lethargic, has a weak cry, and has mottled skin color. Vital
signs are BP 62/46, HR 172, and RR 48. What do the signs and
symptoms suggest?
A. Respiratory arrest.
B. Bacterial meningitis.
C. Cardiogenic abnormality.
D. Hypovolemic shock.
Answer: D. Hypovolemic shock.
●● What is the priority treatment for a child who is seizing?
A. Open the airway.
B. Obtain a history.
C. Protect the cervical spine.
D. Insert an oropharyngeal airway.
Answer: A. Open the airway.
,●● What should be included in the treatment of thermal burns to the
chest, abdomen, and legs?
A. Apply burn cream to burned areas.
B. Administer 100% oxygen.
C. Apply wet dressings to the burned areas.
D. Place the patient in the shock position.
Answer: B. Administer 100% oxygen.
●● A 2-year-old boy, who is alert and crying, has multiple lacerations
and a deformed lower leg after being hit by a car. Additional assessment
reveals that he has warm, dry, pink skin and bruising on the lateral right
lower chest. What is the significance of the bruising to the right side of
his chest?
A. The ribs are pliable, which makes organs more susceptible to
underlying damage.
B. The chest wall muscles absorb the energy of impact and protect
underlying organs from injury.
C. Rib fractures may be present because the chest wall is thin.
D. The intercostal muscles may be damaged because they are not well
developed.
, Answer: A. The ribs are pliable, which makes organs more susceptible to
underlying damage.
●● A 9-year-old patient fell down a steep incline after he rolled over the
handlebars of his bicycle. He was not wearing a helmet and has begun
vomiting. How should you manage this patient?
A. Elevate his head to 90 degrees.
B. Begin suctioning the airway.
C. Insert an oropharyngeal airway.
D. Open the airway with a head-tilt/chin-lift maneuver.
Answer: B. Begin suctioning the airway.
●● Which of the following patients may have injuries that suggest
maltreatment?
A. A 4-year-old with bilateral bruises to the shins.
B. A 6-year-old with bruises throughout the back.
C. An 8-year-old with a laceration on the face.
D. A 10-year-old with several abrasions on the forearm.
Answer: B. A 6-year-old with bruises throughout the back.
COMPLETE QUESTIONS AND VERIFIED
ANSWERS
●● A 4-month old infant who has had vomiting and diarrhea for the past
36 hours is lethargic, has a weak cry, and has mottled skin color. Vital
signs are BP 62/46, HR 172, and RR 48. What do the signs and
symptoms suggest?
A. Respiratory arrest.
B. Bacterial meningitis.
C. Cardiogenic abnormality.
D. Hypovolemic shock.
Answer: D. Hypovolemic shock.
●● What is the priority treatment for a child who is seizing?
A. Open the airway.
B. Obtain a history.
C. Protect the cervical spine.
D. Insert an oropharyngeal airway.
Answer: A. Open the airway.
,●● What should be included in the treatment of thermal burns to the
chest, abdomen, and legs?
A. Apply burn cream to burned areas.
B. Administer 100% oxygen.
C. Apply wet dressings to the burned areas.
D. Place the patient in the shock position.
Answer: B. Administer 100% oxygen.
●● A 2-year-old boy, who is alert and crying, has multiple lacerations
and a deformed lower leg after being hit by a car. Additional assessment
reveals that he has warm, dry, pink skin and bruising on the lateral right
lower chest. What is the significance of the bruising to the right side of
his chest?
A. The ribs are pliable, which makes organs more susceptible to
underlying damage.
B. The chest wall muscles absorb the energy of impact and protect
underlying organs from injury.
C. Rib fractures may be present because the chest wall is thin.
D. The intercostal muscles may be damaged because they are not well
developed.
, Answer: A. The ribs are pliable, which makes organs more susceptible to
underlying damage.
●● A 9-year-old patient fell down a steep incline after he rolled over the
handlebars of his bicycle. He was not wearing a helmet and has begun
vomiting. How should you manage this patient?
A. Elevate his head to 90 degrees.
B. Begin suctioning the airway.
C. Insert an oropharyngeal airway.
D. Open the airway with a head-tilt/chin-lift maneuver.
Answer: B. Begin suctioning the airway.
●● Which of the following patients may have injuries that suggest
maltreatment?
A. A 4-year-old with bilateral bruises to the shins.
B. A 6-year-old with bruises throughout the back.
C. An 8-year-old with a laceration on the face.
D. A 10-year-old with several abrasions on the forearm.
Answer: B. A 6-year-old with bruises throughout the back.
