PEPP Final UPDATED ACTUAL Exam
Complete Questions and Guide Answers
100% Verified Graded A+
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 patient in the Trendelenburg position.
D. Apply oxygen by non-rebreather mask.
Answer: D. Apply oxygen by non-rebreather 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 symptoms suggest?
A. Respiratory arrest.
,B. Bacterial meningitis.
C. Cardiogenic abnormality.
D. Hypovolemic shock.
Answer: D. Hypovolemic shock.
3. 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.
4. 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.
5. 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 devel- oped.
Answer: A. The ribs are pliable, which makes organs more susceptible to underlying damage.
6. A 9-year-old patient fell down a steep incline after he rolled over the handle- bars 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.
Complete Questions and Guide Answers
100% Verified Graded A+
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 patient in the Trendelenburg position.
D. Apply oxygen by non-rebreather mask.
Answer: D. Apply oxygen by non-rebreather 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 symptoms suggest?
A. Respiratory arrest.
,B. Bacterial meningitis.
C. Cardiogenic abnormality.
D. Hypovolemic shock.
Answer: D. Hypovolemic shock.
3. 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.
4. 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.
5. 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 devel- oped.
Answer: A. The ribs are pliable, which makes organs more susceptible to underlying damage.
6. A 9-year-old patient fell down a steep incline after he rolled over the handle- bars 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.
