PEPP Pretest fn
1. Afn10fnyearfnoldfngirlfnisfnunresponsivefnwhenfnshefnsurfacesfnafterfndivingfnintofnafnqu
arry.fnBystandersfnreportfnthatfnshefnwasfnshakingfnallfnoverfnasfntheyfnpulledfnherfnout
fnoffnthefnwater.fnThefnfirstfnstepfninfncaringfnforfnthisfnpatientfnisfnto:fn-
fncorrectfnanswer✔ ✔ stabilizefnherfncervicalfnspinefntofnreducefnthefnriskfnoffnfurth
erfnspinalfninjury.
2. Assessmentfnoffnafnnewbornfn5fnminutesfnafterfndeliveryfnrevealsfncyanosisfnoffnthefnh
ands,fnfeet,fntrunk,fnandfnface.fnVitalfnsignsfnincludefnafnpulsefnoffn160fnbeats/min.,fnan
dfnrespiratoryfnratefnoffn44fnbreaths/min.fnTreatmentfnoffnthisfnnewbornfnincludes:fn-
fncorrectfnanswer✔ ✔ applyingfnfree-flowfnoxygenfnbyfnmaskfnatfn5fnliters/min.
3. Whatfninformationfnisfnimportantfntofnobtainfnaboutfnafnchildfnwithfnsmokefninhalation?f
- correctfnanswer✔ ✔ Possibilityfnoffnconcurrentfntrauma
n fn
4. Anfninfantfnlessfnthanfnonefnmonthfnshouldfnbefnevaluatedfnbyfnafnphysicianfniffnwhichfn
offnthefnfollowingfnsignsfnorfnsymptomsfnisfnpresent?fn-fncorrectfnanswer✔ ✔
Actingfnfussierfnthanfnusual.
5. Afnwomanfnwhofnisfnaboutfntofndeliverfnafnbabyfnatfnhomefnreportsfnthatfnthefnfluidfnwas
fnthickfnandfngreenfnwhenfnherfnbagfnoffnwatersfnbroke.fnThefnmostfnimportantfntreatm
entfnoffnthefnnewbornfnisfnto:fn-fncorrectfnanswer✔ ✔
copiouslyfnsuctionfnthefnmouthfnandfnnose.
6. Whichfnoffnthefnfollowingfnfindingsfninfnafn2fnyearfnoldfnchildfnassistsfninfnidentifyingfnth
efncausefnoffnafngrandfnmalfnseizure?fn-fncorrectfnanswer✔ ✔ Fever
, 7. Whatfnisfnthefncorrectfnmethodfntofnconfirmfnproperfnplacementfnoffnanfnendotrachealf
ntube?fn-fncorrectfnanswer✔ ✔
Auscultatefnforfnbubblingfnorfngurglingfnsoundsfnoverfnthefnepigastriumfnandfnforfnbr
eathfnsoundsfnatfnthefnmidaxillaryfnregions.
8. Afn3fnmonthfnoldfninfantfnwhofnisfnextremelyfnlethargicfnhasfnhadfnafncough,fnvomiting,f
nandfndiarrheafnforfnthefnpastfn3fndays.fnAssessmentfnrevealsfnthatfnhefnrespondsfntofn
pain,fnhasfnmottledfnskinfncolor,fnandfnafncapillaryfnrefillfntimefnoffn4fnseconds.fnHefnhas
a bloodfnpressurefnoffn74/60fnmmfnHg,fnafnpulsefnoffn190fnbeats/min.,fnandfnrapidfnre
fn fn
spirationsfn(60fnbreaths/min)fnwithoutfnincreasedfnworkfnoffnbreathing.fnThefnappropri
atefninitialfntreatmentfnisfnto:fn-fncorrectfnanswer✔ ✔
administerfn100%fnoxygenfnbyfnmask.
9. Whenfnshouldfnthefnchild'sfnheadfnbefnsecuredfntofnthefnspinefnboardfnduringfnthefnim
mobilizationfnprocedure?fn-fncorrectfnanswer✔ ✔
Afterfnthefnbodyfnstrapsfnandfnlateralfnstabilizationfndevicesfnhavefnbeenfnapplied.
10. Whichfnoffnthefnfollowingfnsubstancesfncanfnbefninfusedfnviafnanfnintraosseousfnneedl
e?fn-fncorrectfnanswer✔ ✔ Allfnmedicationsfnandfnintravenousfnfluids.
11. Anfn8fnyearfnoldfnboyfnfellfn7fnfeetfnoutfnoffnafntree,fnlandingfnonfnhisfnrightfnarmfnandfnfall
ingfntofnhisfnrightfnside.fnHefnisfncryingfnandfnappearsfnagitated.fnAssessmentfnrevealsf
nthatfnhefnhasfnpale,fnwarmfnskin,fnmultiplefnabrasionsfnonfnhisfnrightfnshoulderfnandfnh
ip,fnandfnafndeformedfnrightfnforearm.fnHefnhasfnafnbloodfnpressurefnoffn92/74fnmmfnH
g,fnafnpulsefnoffn128fnbeats/min.,fnandfnrespirationsfnoffn32fnbreaths/min.fnWhatfnisfnth
efnbestfnapproachfntofnconductingfnthefnassessmentfnoffnthisfnpatient?fn-
fn correctfnanswer✔ ✔
Exposingfnonlyfnthosefnareasfncurrentlyfnbeingfnassessedfnandfnthenfncoveringfnthe
m.
1. Afn10fnyearfnoldfngirlfnisfnunresponsivefnwhenfnshefnsurfacesfnafterfndivingfnintofnafnqu
arry.fnBystandersfnreportfnthatfnshefnwasfnshakingfnallfnoverfnasfntheyfnpulledfnherfnout
fnoffnthefnwater.fnThefnfirstfnstepfninfncaringfnforfnthisfnpatientfnisfnto:fn-
fncorrectfnanswer✔ ✔ stabilizefnherfncervicalfnspinefntofnreducefnthefnriskfnoffnfurth
erfnspinalfninjury.
2. Assessmentfnoffnafnnewbornfn5fnminutesfnafterfndeliveryfnrevealsfncyanosisfnoffnthefnh
ands,fnfeet,fntrunk,fnandfnface.fnVitalfnsignsfnincludefnafnpulsefnoffn160fnbeats/min.,fnan
dfnrespiratoryfnratefnoffn44fnbreaths/min.fnTreatmentfnoffnthisfnnewbornfnincludes:fn-
fncorrectfnanswer✔ ✔ applyingfnfree-flowfnoxygenfnbyfnmaskfnatfn5fnliters/min.
3. Whatfninformationfnisfnimportantfntofnobtainfnaboutfnafnchildfnwithfnsmokefninhalation?f
- correctfnanswer✔ ✔ Possibilityfnoffnconcurrentfntrauma
n fn
4. Anfninfantfnlessfnthanfnonefnmonthfnshouldfnbefnevaluatedfnbyfnafnphysicianfniffnwhichfn
offnthefnfollowingfnsignsfnorfnsymptomsfnisfnpresent?fn-fncorrectfnanswer✔ ✔
Actingfnfussierfnthanfnusual.
5. Afnwomanfnwhofnisfnaboutfntofndeliverfnafnbabyfnatfnhomefnreportsfnthatfnthefnfluidfnwas
fnthickfnandfngreenfnwhenfnherfnbagfnoffnwatersfnbroke.fnThefnmostfnimportantfntreatm
entfnoffnthefnnewbornfnisfnto:fn-fncorrectfnanswer✔ ✔
copiouslyfnsuctionfnthefnmouthfnandfnnose.
6. Whichfnoffnthefnfollowingfnfindingsfninfnafn2fnyearfnoldfnchildfnassistsfninfnidentifyingfnth
efncausefnoffnafngrandfnmalfnseizure?fn-fncorrectfnanswer✔ ✔ Fever
, 7. Whatfnisfnthefncorrectfnmethodfntofnconfirmfnproperfnplacementfnoffnanfnendotrachealf
ntube?fn-fncorrectfnanswer✔ ✔
Auscultatefnforfnbubblingfnorfngurglingfnsoundsfnoverfnthefnepigastriumfnandfnforfnbr
eathfnsoundsfnatfnthefnmidaxillaryfnregions.
8. Afn3fnmonthfnoldfninfantfnwhofnisfnextremelyfnlethargicfnhasfnhadfnafncough,fnvomiting,f
nandfndiarrheafnforfnthefnpastfn3fndays.fnAssessmentfnrevealsfnthatfnhefnrespondsfntofn
pain,fnhasfnmottledfnskinfncolor,fnandfnafncapillaryfnrefillfntimefnoffn4fnseconds.fnHefnhas
a bloodfnpressurefnoffn74/60fnmmfnHg,fnafnpulsefnoffn190fnbeats/min.,fnandfnrapidfnre
fn fn
spirationsfn(60fnbreaths/min)fnwithoutfnincreasedfnworkfnoffnbreathing.fnThefnappropri
atefninitialfntreatmentfnisfnto:fn-fncorrectfnanswer✔ ✔
administerfn100%fnoxygenfnbyfnmask.
9. Whenfnshouldfnthefnchild'sfnheadfnbefnsecuredfntofnthefnspinefnboardfnduringfnthefnim
mobilizationfnprocedure?fn-fncorrectfnanswer✔ ✔
Afterfnthefnbodyfnstrapsfnandfnlateralfnstabilizationfndevicesfnhavefnbeenfnapplied.
10. Whichfnoffnthefnfollowingfnsubstancesfncanfnbefninfusedfnviafnanfnintraosseousfnneedl
e?fn-fncorrectfnanswer✔ ✔ Allfnmedicationsfnandfnintravenousfnfluids.
11. Anfn8fnyearfnoldfnboyfnfellfn7fnfeetfnoutfnoffnafntree,fnlandingfnonfnhisfnrightfnarmfnandfnfall
ingfntofnhisfnrightfnside.fnHefnisfncryingfnandfnappearsfnagitated.fnAssessmentfnrevealsf
nthatfnhefnhasfnpale,fnwarmfnskin,fnmultiplefnabrasionsfnonfnhisfnrightfnshoulderfnandfnh
ip,fnandfnafndeformedfnrightfnforearm.fnHefnhasfnafnbloodfnpressurefnoffn92/74fnmmfnH
g,fnafnpulsefnoffn128fnbeats/min.,fnandfnrespirationsfnoffn32fnbreaths/min.fnWhatfnisfnth
efnbestfnapproachfntofnconductingfnthefnassessmentfnoffnthisfnpatient?fn-
fn correctfnanswer✔ ✔
Exposingfnonlyfnthosefnareasfncurrentlyfnbeingfnassessedfnandfnthenfncoveringfnthe
m.