PEPP EXAM SCRIPT FINAL PAPER 2026 FULL
QUESTIONS AND VERIFIED SOLUTIONS
◉ 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.
Answer: 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.
Answer: 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.
Answer: B. 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?
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.
, Answer: 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.
Answer: 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.
Answer: B. A 6-year-old with bruises throughout the back.
QUESTIONS AND VERIFIED SOLUTIONS
◉ 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.
Answer: 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.
Answer: 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.
Answer: B. 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?
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.
, Answer: 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.
Answer: 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.
Answer: B. A 6-year-old with bruises throughout the back.
