PEPP EXAMS SET TESTED QUESTIONS WITH
FULL SOLUTION VIEW AHEAD
●● 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?
Answer: Hypovolemic shock.
●● What is the priority treatment for a child who is seizing?
Answer: Open the airway.
●● What should be included in the treatment of thermal burns to the
chest, abdomen, and legs?
Answer: 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?
Answer: 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?
Answer: Begin suctioning the airway.
●● Which of the following patients may have injuries that suggest
maltreatment?
Answer: A 6-year-old with bruises throughout the back.
●● The history provided by the caregiver of which of the following
patients is inconsistent with the injury?
Answer: A 2-year-old boy with several small, healing circular burns
from running into a lit cigarette.
●● A newborn who was just delivered at home has cyanosis of the hands
and feet, has a strong cry, and is moving her extremities vigorously. Vital
signs are HR 164 and RR 52. What is the first step in managing this
patient?
Answer: Dry her and then wrap her in a blanket.
●● In what position should the child in mild respiratory distress be
placed?
Answer: Position of comfort.
FULL SOLUTION VIEW AHEAD
●● 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?
Answer: Hypovolemic shock.
●● What is the priority treatment for a child who is seizing?
Answer: Open the airway.
●● What should be included in the treatment of thermal burns to the
chest, abdomen, and legs?
Answer: 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?
Answer: 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?
Answer: Begin suctioning the airway.
●● Which of the following patients may have injuries that suggest
maltreatment?
Answer: A 6-year-old with bruises throughout the back.
●● The history provided by the caregiver of which of the following
patients is inconsistent with the injury?
Answer: A 2-year-old boy with several small, healing circular burns
from running into a lit cigarette.
●● A newborn who was just delivered at home has cyanosis of the hands
and feet, has a strong cry, and is moving her extremities vigorously. Vital
signs are HR 164 and RR 52. What is the first step in managing this
patient?
Answer: Dry her and then wrap her in a blanket.
●● In what position should the child in mild respiratory distress be
placed?
Answer: Position of comfort.
