PEPP FINAL UPDATED
ACTUAL EXAM
QUESTIONS AND C
ORRECT RIGHT
ANSWERS
1. 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 client in the Trendelenburg position.
D. Apply oxygen by nonrebreather mask.
2. 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 indicators suggest?
A. Respiratory arrest.
B. Bacterial meningitis.
C. Cardiogenic abnormality.
D. Hypovolemic shock.
3. What is the priority intervention for a child who is seizing?
,caregiverA. Open the airway.
B. Obtain a history.
C. Protect the cervical spine.
D. Insert an oropharyngeal airway.
4. What should be included in the intervention 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 client in the shock position.
5. A 2-year-old boy, who is alert and crying, has multiple lacerations and a
deformed lower
leg after he was struck 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.
6. A 9-year-old client 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 client?
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.
,7. Which of the following clients may have injuries that suggest
malintervention?
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.
8. The history provided by the caregiver of which of the following clients is
inconsistent with the injury?
A. A 9-month-old infant with a bump on the head from falling out of a
highchair reaching for a toy.
B. A 2-year-old boy with several small, healing circular burns from running
into a lit cigarette.
C. A 2½-year-old girl with a facial laceration from pulling a toaster off a
counter.
D. A 4-year-old boy with a wrist deformity from falling off a swing set at the
park.
9. A newborn who was just delivered at home has cyanosis of the hands and
feet, has a strong cry, and is moving her extremities vigorously. Vital signs
are HR 164 and RR 52.
What is the first step in managing this client? A.
Dry her and then wrap her in a blanket.
B. Ventilate her with a bag-mask device.
C. Give high-flow oxygen by nonrebreather mask.
D. Maintain her airway using the jaw-thrust maneuver.
10. 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.
, 11. 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.
12. 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 client experiencing? A. Cardiogenic.
B. Hypovolemic.
C. Septic.
D. Neurogenic.
13. 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 client? 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.
14. What is the most common cause of pediatric seizures? A.
Fever.
B. Head trauma.
C. Epilepsy.
ACTUAL EXAM
QUESTIONS AND C
ORRECT RIGHT
ANSWERS
1. 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 client in the Trendelenburg position.
D. Apply oxygen by nonrebreather mask.
2. 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 indicators suggest?
A. Respiratory arrest.
B. Bacterial meningitis.
C. Cardiogenic abnormality.
D. Hypovolemic shock.
3. What is the priority intervention for a child who is seizing?
,caregiverA. Open the airway.
B. Obtain a history.
C. Protect the cervical spine.
D. Insert an oropharyngeal airway.
4. What should be included in the intervention 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 client in the shock position.
5. A 2-year-old boy, who is alert and crying, has multiple lacerations and a
deformed lower
leg after he was struck 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.
6. A 9-year-old client 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 client?
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.
,7. Which of the following clients may have injuries that suggest
malintervention?
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.
8. The history provided by the caregiver of which of the following clients is
inconsistent with the injury?
A. A 9-month-old infant with a bump on the head from falling out of a
highchair reaching for a toy.
B. A 2-year-old boy with several small, healing circular burns from running
into a lit cigarette.
C. A 2½-year-old girl with a facial laceration from pulling a toaster off a
counter.
D. A 4-year-old boy with a wrist deformity from falling off a swing set at the
park.
9. A newborn who was just delivered at home has cyanosis of the hands and
feet, has a strong cry, and is moving her extremities vigorously. Vital signs
are HR 164 and RR 52.
What is the first step in managing this client? A.
Dry her and then wrap her in a blanket.
B. Ventilate her with a bag-mask device.
C. Give high-flow oxygen by nonrebreather mask.
D. Maintain her airway using the jaw-thrust maneuver.
10. 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.
, 11. 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.
12. 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 client experiencing? A. Cardiogenic.
B. Hypovolemic.
C. Septic.
D. Neurogenic.
13. 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 client? 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.
14. What is the most common cause of pediatric seizures? A.
Fever.
B. Head trauma.
C. Epilepsy.
