PEPP FINAL EXAM 2026 WITH 100%
ACCURATE ANSSWER
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. - Precise Answer ✔✔D. Apply oxygen by non-
rebreather mask.
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. - Precise 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. - Precise 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. - Precise 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. - Precise
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. - Precise 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. - Precise Answer ✔✔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. A 9-month-old infant with a bump on the head from falling out of a highchair reaching for a
toy.
B. A 2½-year-old girl with a facial laceration from pulling a toaster off a counter.
C. A 2-year-old boy with several small, healing circular burns from running into a lit cigarette.
D. A 4-year-old boy with a wrist deformity from falling off a swing set at the park. - Precise
Answer ✔✔C. A 2-year-old boy with several small, healing circular burns from running into a lit
cigarette.
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 patient?
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. - Precise Answer ✔✔A. Dry her and then
wrap her in a blanket.
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. - Precise Answer ✔✔B. Ask the home health agency.
ACCURATE ANSSWER
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. - Precise Answer ✔✔D. Apply oxygen by non-
rebreather mask.
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. - Precise 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. - Precise 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. - Precise 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. - Precise
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. - Precise 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. - Precise Answer ✔✔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. A 9-month-old infant with a bump on the head from falling out of a highchair reaching for a
toy.
B. A 2½-year-old girl with a facial laceration from pulling a toaster off a counter.
C. A 2-year-old boy with several small, healing circular burns from running into a lit cigarette.
D. A 4-year-old boy with a wrist deformity from falling off a swing set at the park. - Precise
Answer ✔✔C. A 2-year-old boy with several small, healing circular burns from running into a lit
cigarette.
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 patient?
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. - Precise Answer ✔✔A. Dry her and then
wrap her in a blanket.
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. - Precise Answer ✔✔B. Ask the home health agency.
