PEPP ALL TEST PAPER ACTUAL ANSWERS AND
QUESTIONS SET A+
✔✔What is the best way to obtain information about the medical history of a 6-year-old
girl who is on a ventilator and has a tracheostomy?
A. Ask the caregivers.
B. Ask the home health agency.
C. Contact the hospital where she is usually admitted.
D. Contact her physician. - ✔✔B. Ask the home health agency.
✔✔In what position should the child in mild respiratory distress be placed?
A. Left lateral recumbent.
B. Position of comfort.
C. Supine with feet up.
D. On his or her right side. - ✔✔B. Position of comfort.
✔✔An 8-year-old boy has been sick for 3 days. He has been experiencing nausea and
diarrhea that has become progressively worse. He is semi-responsive with pale and
diaphoretic skin. It is difficult to obtain a BP. Other vital signs are HR 54 and RR 10.
What type of shock is this patient experiencing?
A. Cardiogenic.
B. Hypovolemic.
C. Septic.
D. Neurogenic. - ✔✔B. Hypovolemic.
✔✔An unrestrained 4-year-old girl was ejected during a two-vehicle motor vehicle
collision. She is crying vigorously while moving her upper extremities. Her lower
extremities appear deformed. What is the appropriate initial management of this
patient?
A. Initiate cervical spine immobilization.
, B. Initiate immobilization of the lower extremities.
C. Ventilate her with a bag-mask device.
D. Cover her with a blanket to keep her warm. - ✔✔A. Initiate cervical spine
immobilization.
✔✔What is the most common cause of pediatric seizures?
A. Fever.
B. Head trauma.
C. Epilepsy.
D. Brain cancer. - ✔✔A. Fever.
✔✔When is it appropriate to use an AED in a witnessed pediatric cardiac arrest?
A. After 4 minutes of CPR.
B. As soon as possible.
C. Once the patient is in the ambulance.
D. When the ambulance is en route to the hospital. - ✔✔B. As soon as possible.
✔✔A 7-year-old boy was having difficulty breathing during his physical education class.
He
appears tired and has audible wheezing. His vital signs are BP 98/66, HR 124
beats/min, and RR 32 breaths/min. What should the treatment of this patient include?
A. Preparing equipment for orotracheal intubation.
B. Initiating bag-mask ventilation at 12 breaths per minute.
C. Administering a nebulized beta-agonist medication.
D. Administering IV epinephrine 1:10,000. - ✔✔C. Administering a nebulized beta-
agonist medication.
✔✔What is the first step in caring for a patient with a tracheostomy tube who is having
difficulty breathing?
A. Suction the tracheostomy tube.
B. Remove the tracheostomy tube.
C. Administer a nebulizer treatment with a beta-agonist medication.
D. Place a mask over the mouth and initiate bag-mask ventilation. - ✔✔A. Suction the
tracheostomy tube.
✔✔A 3-month-old infant is found unresponsive in his crib and has cool, mottled skin. His
vital signs are HR 50 and RR 6. What is the initial treatment for this patient?
A. Establish IV access and administer an IV fluid bolus of 20 mL/kg.
B. Establish IV access and administer 0.01 mg/kg IV epinephrine 1:10,000.
C. Perform chest compressions and ventilate with a bag-mask device.
QUESTIONS SET A+
✔✔What is the best way to obtain information about the medical history of a 6-year-old
girl who is on a ventilator and has a tracheostomy?
A. Ask the caregivers.
B. Ask the home health agency.
C. Contact the hospital where she is usually admitted.
D. Contact her physician. - ✔✔B. Ask the home health agency.
✔✔In what position should the child in mild respiratory distress be placed?
A. Left lateral recumbent.
B. Position of comfort.
C. Supine with feet up.
D. On his or her right side. - ✔✔B. Position of comfort.
✔✔An 8-year-old boy has been sick for 3 days. He has been experiencing nausea and
diarrhea that has become progressively worse. He is semi-responsive with pale and
diaphoretic skin. It is difficult to obtain a BP. Other vital signs are HR 54 and RR 10.
What type of shock is this patient experiencing?
A. Cardiogenic.
B. Hypovolemic.
C. Septic.
D. Neurogenic. - ✔✔B. Hypovolemic.
✔✔An unrestrained 4-year-old girl was ejected during a two-vehicle motor vehicle
collision. She is crying vigorously while moving her upper extremities. Her lower
extremities appear deformed. What is the appropriate initial management of this
patient?
A. Initiate cervical spine immobilization.
, B. Initiate immobilization of the lower extremities.
C. Ventilate her with a bag-mask device.
D. Cover her with a blanket to keep her warm. - ✔✔A. Initiate cervical spine
immobilization.
✔✔What is the most common cause of pediatric seizures?
A. Fever.
B. Head trauma.
C. Epilepsy.
D. Brain cancer. - ✔✔A. Fever.
✔✔When is it appropriate to use an AED in a witnessed pediatric cardiac arrest?
A. After 4 minutes of CPR.
B. As soon as possible.
C. Once the patient is in the ambulance.
D. When the ambulance is en route to the hospital. - ✔✔B. As soon as possible.
✔✔A 7-year-old boy was having difficulty breathing during his physical education class.
He
appears tired and has audible wheezing. His vital signs are BP 98/66, HR 124
beats/min, and RR 32 breaths/min. What should the treatment of this patient include?
A. Preparing equipment for orotracheal intubation.
B. Initiating bag-mask ventilation at 12 breaths per minute.
C. Administering a nebulized beta-agonist medication.
D. Administering IV epinephrine 1:10,000. - ✔✔C. Administering a nebulized beta-
agonist medication.
✔✔What is the first step in caring for a patient with a tracheostomy tube who is having
difficulty breathing?
A. Suction the tracheostomy tube.
B. Remove the tracheostomy tube.
C. Administer a nebulizer treatment with a beta-agonist medication.
D. Place a mask over the mouth and initiate bag-mask ventilation. - ✔✔A. Suction the
tracheostomy tube.
✔✔A 3-month-old infant is found unresponsive in his crib and has cool, mottled skin. His
vital signs are HR 50 and RR 6. What is the initial treatment for this patient?
A. Establish IV access and administer an IV fluid bolus of 20 mL/kg.
B. Establish IV access and administer 0.01 mg/kg IV epinephrine 1:10,000.
C. Perform chest compressions and ventilate with a bag-mask device.
