PEPP FINAL EXAM - PEDIATRIC EMERGENCY
AND PRIMARY PRACTICE FINAL EXAM
ACTUAL PREP QUESTIONS AND WELL
REVISED ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS –
ASSURES PASS
1. A 4-year-old child presents with stridor, drooling, and a high fever. Which
of the following is the most appropriate initial action?
A. Administer nebulized albuterol
B. Place the child in a position of comfort and prepare for airway
intervention
C. Perform blind suctioning of the airway
D. Give oral antibiotics immediately
Rationale: In a suspected case of epiglottitis, airway management is critical. The
child should be kept calm and upright, and preparations for definitive airway
management should be made. Blind suctioning can worsen obstruction.
2. During a pediatric resuscitation, you note pulseless electrical activity (PEA).
Which intervention should you prioritize first?
A. Defibrillation
B. High-quality CPR with epinephrine administration
, C. Administer amiodarone
D. Intubation only
Rationale: PEA requires high-quality CPR and administration of epinephrine.
Defibrillation is not indicated because PEA is a non-shockable rhythm.
3. A 6-month-old presents with a fever of 39.5°C and lethargy. No signs of
focal infection are present. What is the most appropriate next step?
A. Prescribe oral antibiotics
B. Obtain blood, urine, and cerebrospinal fluid cultures
C. Administer acetaminophen and discharge home
D. Order a chest X-ray only
Rationale: Infants under 12 months with fever and no clear source are at high risk
for serious bacterial infection; full sepsis workup is indicated.
4. A child is brought in with a suspected ingestion of a toxic substance.
Activated charcoal is indicated within which timeframe?
A. 24 hours
B. 12 hours
C. 1 hour
D. 6 hours
,Rationale: Activated charcoal is most effective if given within 1 hour of ingestion
to prevent absorption of the toxin.
5. In pediatric airway assessment, which sign is most indicative of a partial
upper airway obstruction?
A. Absence of breath sounds
B. Cyanosis only
C. Stridor with suprasternal retractions
D. Bradycardia
Rationale: Stridor with retractions indicates a partial obstruction. Complete
obstruction presents with silence and severe distress.
6. Which of the following represents the correct pediatric dose of
epinephrine for anaphylaxis?
A. 0.1 mg/kg IM
B. 0.01 mg/kg IM
C. 0.1 mg/kg IV
D. 0.01 mg/kg IV
, Rationale: The recommended intramuscular dose for pediatric anaphylaxis is 0.01
mg/kg (max 0.3–0.5 mg). IV dosing is reserved for refractory cases under
controlled settings.
7. A 3-year-old presents with sudden onset wheezing after exposure to a known
allergen. Which is the first-line therapy?
A. Corticosteroid IV only
B. Short-acting beta-agonist via nebulizer
C. Epinephrine IV
D. Oral antihistamines only
Rationale: Acute wheezing due to allergic reaction is initially managed with
nebulized short-acting beta-agonists. Systemic steroids may follow but are not
first-line for immediate relief.
8. A 5-year-old is admitted after near-drowning. He is breathing spontaneously
but hypoxic. What is the most appropriate oxygen therapy?
A. Room air
B. Nasal cannula at 1 L/min
C. High-flow oxygen via non-rebreather mask
D. Immediate intubation
AND PRIMARY PRACTICE FINAL EXAM
ACTUAL PREP QUESTIONS AND WELL
REVISED ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS –
ASSURES PASS
1. A 4-year-old child presents with stridor, drooling, and a high fever. Which
of the following is the most appropriate initial action?
A. Administer nebulized albuterol
B. Place the child in a position of comfort and prepare for airway
intervention
C. Perform blind suctioning of the airway
D. Give oral antibiotics immediately
Rationale: In a suspected case of epiglottitis, airway management is critical. The
child should be kept calm and upright, and preparations for definitive airway
management should be made. Blind suctioning can worsen obstruction.
2. During a pediatric resuscitation, you note pulseless electrical activity (PEA).
Which intervention should you prioritize first?
A. Defibrillation
B. High-quality CPR with epinephrine administration
, C. Administer amiodarone
D. Intubation only
Rationale: PEA requires high-quality CPR and administration of epinephrine.
Defibrillation is not indicated because PEA is a non-shockable rhythm.
3. A 6-month-old presents with a fever of 39.5°C and lethargy. No signs of
focal infection are present. What is the most appropriate next step?
A. Prescribe oral antibiotics
B. Obtain blood, urine, and cerebrospinal fluid cultures
C. Administer acetaminophen and discharge home
D. Order a chest X-ray only
Rationale: Infants under 12 months with fever and no clear source are at high risk
for serious bacterial infection; full sepsis workup is indicated.
4. A child is brought in with a suspected ingestion of a toxic substance.
Activated charcoal is indicated within which timeframe?
A. 24 hours
B. 12 hours
C. 1 hour
D. 6 hours
,Rationale: Activated charcoal is most effective if given within 1 hour of ingestion
to prevent absorption of the toxin.
5. In pediatric airway assessment, which sign is most indicative of a partial
upper airway obstruction?
A. Absence of breath sounds
B. Cyanosis only
C. Stridor with suprasternal retractions
D. Bradycardia
Rationale: Stridor with retractions indicates a partial obstruction. Complete
obstruction presents with silence and severe distress.
6. Which of the following represents the correct pediatric dose of
epinephrine for anaphylaxis?
A. 0.1 mg/kg IM
B. 0.01 mg/kg IM
C. 0.1 mg/kg IV
D. 0.01 mg/kg IV
, Rationale: The recommended intramuscular dose for pediatric anaphylaxis is 0.01
mg/kg (max 0.3–0.5 mg). IV dosing is reserved for refractory cases under
controlled settings.
7. A 3-year-old presents with sudden onset wheezing after exposure to a known
allergen. Which is the first-line therapy?
A. Corticosteroid IV only
B. Short-acting beta-agonist via nebulizer
C. Epinephrine IV
D. Oral antihistamines only
Rationale: Acute wheezing due to allergic reaction is initially managed with
nebulized short-acting beta-agonists. Systemic steroids may follow but are not
first-line for immediate relief.
8. A 5-year-old is admitted after near-drowning. He is breathing spontaneously
but hypoxic. What is the most appropriate oxygen therapy?
A. Room air
B. Nasal cannula at 1 L/min
C. High-flow oxygen via non-rebreather mask
D. Immediate intubation
