PEPP ALL STUDYS SET ANSWERS AND QUESTIONS
SET A+
✔✔A 4-year-old boy fell down a 15-foot embankment and landed on packed dirt. He is
unresponsive and has pale, cool skin and a capillary refill time of 4 seconds. Additional
assessment reveals a 2 cm laceration on the left side of the forehead with minimal
bleeding and a distended abdomen. His vital signs are BP 78/56, HR 146, and RR 48.
What are the initial management steps for this patient?
A. Administer oxygen by nasal cannula, followed by a detailed physical exam before
transport.
B. Manage blood loss from the forehead, establish IV access and give a slow infusion of
fluids, and prepare for transport.
C. Administer oxygen by nonrebreather mask, establish intraosseous access and give a
10 mL/kg bolus, and place him in a high Fowler's position.
D. Maintain cervical spine stabilization, establish IV access and give a 20 mL/kg bolus,
complete the spinal immobilization, and initiate transport. - ✔✔D. Maintain cervical
spine stabilization, establish IV access and give a 20 mL/kg bolus, complete the spinal
immobilization, and initiate transport.
✔✔What is the dysrhythmia for a 3-year-old with a heart rate of 180 beats/min, a narrow
QRS complex, and a variable R-R interval called?
A. Supraventricular tachycardia.
B. Sinus tachycardia.
C. Ventricular tachycardia.
D. Pulseless electrical activity (PEA). - ✔✔B. Sinus tachycardia.
✔✔What is the initial airway management of a child who is seizing and has gurgling
respirations?
A. Suction the oropharynx.
B. Insert an endotracheal tube.
C. Insert an oropharyngeal airway.
D. Administer bag-mask ventilation. - ✔✔A. Suction the oropharynx.
, ✔✔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appears quiet and withdrawn.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. - ✔✔A. Splint the forearm.
✔✔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. - ✔✔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. - ✔✔A. Resistance to movement.
✔✔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. - ✔✔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. - ✔✔D. Hypovolemic shock.
SET A+
✔✔A 4-year-old boy fell down a 15-foot embankment and landed on packed dirt. He is
unresponsive and has pale, cool skin and a capillary refill time of 4 seconds. Additional
assessment reveals a 2 cm laceration on the left side of the forehead with minimal
bleeding and a distended abdomen. His vital signs are BP 78/56, HR 146, and RR 48.
What are the initial management steps for this patient?
A. Administer oxygen by nasal cannula, followed by a detailed physical exam before
transport.
B. Manage blood loss from the forehead, establish IV access and give a slow infusion of
fluids, and prepare for transport.
C. Administer oxygen by nonrebreather mask, establish intraosseous access and give a
10 mL/kg bolus, and place him in a high Fowler's position.
D. Maintain cervical spine stabilization, establish IV access and give a 20 mL/kg bolus,
complete the spinal immobilization, and initiate transport. - ✔✔D. Maintain cervical
spine stabilization, establish IV access and give a 20 mL/kg bolus, complete the spinal
immobilization, and initiate transport.
✔✔What is the dysrhythmia for a 3-year-old with a heart rate of 180 beats/min, a narrow
QRS complex, and a variable R-R interval called?
A. Supraventricular tachycardia.
B. Sinus tachycardia.
C. Ventricular tachycardia.
D. Pulseless electrical activity (PEA). - ✔✔B. Sinus tachycardia.
✔✔What is the initial airway management of a child who is seizing and has gurgling
respirations?
A. Suction the oropharynx.
B. Insert an endotracheal tube.
C. Insert an oropharyngeal airway.
D. Administer bag-mask ventilation. - ✔✔A. Suction the oropharynx.
, ✔✔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. - ✔✔A. Splint the forearm.
✔✔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. - ✔✔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. - ✔✔A. Resistance to movement.
✔✔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. - ✔✔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. - ✔✔D. Hypovolemic shock.
