PEPP FINAL UPDATED ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS
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
patient?
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. - CORRECT ANSWER ✔✔ - A.
Initiate cervical spine immobilization.
What is the most common cause of pediatric seizures?
A. Fever.
B. Head trauma.
C. Epilepsy.
D. Brain cancer. - CORRECT ANSWER ✔✔ - A. Fever.
When is it appropriate to use an AED in a witnessed pediatric cardiac arrest?
A. After 4 minutes of CPR.
B. As soon as possible.
C. Once the patient is in the ambulance.
Pg. 1
,D. When the ambulance is en route to the hospital. - CORRECT ANSWER ✔✔ - B.
As soon as possible.
A 7-year-old boy was having difficulty breathing during his physical education
class. He
appears tired and has audible wheezing. His vital signs are BP 98/66, HR 124
beats/min, and RR 32 breaths/min. What should the treatment of this patient
include?
A. Preparing equipment for orotracheal intubation.
B. Initiating bag-mask ventilation at 12 breaths per minute.
C. Administering a nebulized beta-agonist medication.
D. Administering IV epinephrine 1:10,000. - CORRECT ANSWER ✔✔ - C.
Administering a nebulized beta-agonist medication.
What is the first step in caring for a patient with a tracheostomy tube who is
having difficulty breathing?
A. Suction the tracheostomy tube.
B. Remove the tracheostomy tube.
C. Administer a nebulizer treatment with a beta-agonist medication.
D. Place a mask over the mouth and initiate bag-mask ventilation. - CORRECT
ANSWER ✔✔ - A. Suction the tracheostomy tube.
A 3-month-old infant is found unresponsive in his crib and has cool, mottled skin.
His vital signs are HR 50 and RR 6. What is the initial treatment for this patient?
Pg. 2
, A. Establish IV access and administer an IV fluid bolus of 20 mL/kg.
B. Establish IV access and administer 0.01 mg/kg IV epinephrine 1:10,000.
C. Perform chest compressions and ventilate with a bag-mask device.
D. Initiate bag-mask ventilation and then reassess his skin color and heart rate. -
CORRECT ANSWER ✔✔ - C. Perform chest compressions and ventilate with a bag-
mask device.
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. - CORRECT 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. - CORRECT ANSWER ✔✔ - D. Hypovolemic shock.
What is the priority treatment for a child who is seizing?
Pg. 3
CORRECT ANSWERS
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
patient?
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. - CORRECT ANSWER ✔✔ - A.
Initiate cervical spine immobilization.
What is the most common cause of pediatric seizures?
A. Fever.
B. Head trauma.
C. Epilepsy.
D. Brain cancer. - CORRECT ANSWER ✔✔ - A. Fever.
When is it appropriate to use an AED in a witnessed pediatric cardiac arrest?
A. After 4 minutes of CPR.
B. As soon as possible.
C. Once the patient is in the ambulance.
Pg. 1
,D. When the ambulance is en route to the hospital. - CORRECT ANSWER ✔✔ - B.
As soon as possible.
A 7-year-old boy was having difficulty breathing during his physical education
class. He
appears tired and has audible wheezing. His vital signs are BP 98/66, HR 124
beats/min, and RR 32 breaths/min. What should the treatment of this patient
include?
A. Preparing equipment for orotracheal intubation.
B. Initiating bag-mask ventilation at 12 breaths per minute.
C. Administering a nebulized beta-agonist medication.
D. Administering IV epinephrine 1:10,000. - CORRECT ANSWER ✔✔ - C.
Administering a nebulized beta-agonist medication.
What is the first step in caring for a patient with a tracheostomy tube who is
having difficulty breathing?
A. Suction the tracheostomy tube.
B. Remove the tracheostomy tube.
C. Administer a nebulizer treatment with a beta-agonist medication.
D. Place a mask over the mouth and initiate bag-mask ventilation. - CORRECT
ANSWER ✔✔ - A. Suction the tracheostomy tube.
A 3-month-old infant is found unresponsive in his crib and has cool, mottled skin.
His vital signs are HR 50 and RR 6. What is the initial treatment for this patient?
Pg. 2
, A. Establish IV access and administer an IV fluid bolus of 20 mL/kg.
B. Establish IV access and administer 0.01 mg/kg IV epinephrine 1:10,000.
C. Perform chest compressions and ventilate with a bag-mask device.
D. Initiate bag-mask ventilation and then reassess his skin color and heart rate. -
CORRECT ANSWER ✔✔ - C. Perform chest compressions and ventilate with a bag-
mask device.
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. - CORRECT 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. - CORRECT ANSWER ✔✔ - D. Hypovolemic shock.
What is the priority treatment for a child who is seizing?
Pg. 3
