PEPP ANSWERS AND QUESTIONS SET A+
✔✔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. -
✔✔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. - ✔✔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. - ✔✔B. 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?
✔✔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. -
✔✔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. - ✔✔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. - ✔✔B. 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?
