PEPP REVIEW TIPS ANSWERS AND QUESTIONS SET
A+
✔✔What is the dysrhythmia for a 16-year-old with a heart rate of 180 beats/min, a
narrow QRS complex, and a nonvariable RR interval?
A. Supraventricular tachycardia.
B. Sinus tachycardia.
C. Ventricular tachycardia.
D. Pulseless electrical activity (PEA). - ✔✔A. Supraventricular tachycardia.
✔✔What is the initial airway management of an unrestrained child in a motor vehicle
collision who has blood and broken teeth noted in the airway along with 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.
✔✔An 18-month-old boy reportedly fell down a flight of stairs and has a swollen,
deformed right forearm. You also note several small, healing, circular bruises on his
legs and back. What is the initial 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. Severe pain on movement.
B. Multiple facial injuries.
C. Unilateral dilated or sluggish pupils.
D. Severe headache. - ✔✔A. Severe pain on movement.
✔✔ A 7-year-old boy has difficulty breathing and is wheezing. Vital signs are BP 94/62,
HR 128, and RR 32. What initial management should be performed?
A. Open the airway with the jaw-thrust maneuver.
B. Initiate bag-mask ventilation.
C. Place the patient in the Trendelenburg position.
D. Apply oxygen by non-rebreather mask. - ✔✔D. Apply oxygen by non-rebreather
mask.
✔✔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. - ✔✔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. - ✔✔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. - ✔✔B. Administer 100% oxygen.
A+
✔✔What is the dysrhythmia for a 16-year-old with a heart rate of 180 beats/min, a
narrow QRS complex, and a nonvariable RR interval?
A. Supraventricular tachycardia.
B. Sinus tachycardia.
C. Ventricular tachycardia.
D. Pulseless electrical activity (PEA). - ✔✔A. Supraventricular tachycardia.
✔✔What is the initial airway management of an unrestrained child in a motor vehicle
collision who has blood and broken teeth noted in the airway along with 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.
✔✔An 18-month-old boy reportedly fell down a flight of stairs and has a swollen,
deformed right forearm. You also note several small, healing, circular bruises on his
legs and back. What is the initial 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. Severe pain on movement.
B. Multiple facial injuries.
C. Unilateral dilated or sluggish pupils.
D. Severe headache. - ✔✔A. Severe pain on movement.
✔✔ A 7-year-old boy has difficulty breathing and is wheezing. Vital signs are BP 94/62,
HR 128, and RR 32. What initial management should be performed?
A. Open the airway with the jaw-thrust maneuver.
B. Initiate bag-mask ventilation.
C. Place the patient in the Trendelenburg position.
D. Apply oxygen by non-rebreather mask. - ✔✔D. Apply oxygen by non-rebreather
mask.
✔✔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. - ✔✔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. - ✔✔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. - ✔✔B. Administer 100% oxygen.
