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PEPP FINAL EXAM| COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS
2026
What is the priority treatment for a child with altered mental status?
A. Open the airway.
B. Obtain a history.
C. Protect the cervical spine.
D. Obtain a blood glucose. - correct-answer - A. Open the airway.
A 4-year-old boy is screaming and crying after he fell into a campfire. He has
partial- and full-thickness burns on both arms. Vital signs are HR 140, BP 100/70,
and RR 40. What should be done first in the treatment of thermal burns?
A. Apply burn cream to burned areas.
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B. Remove any clothing that is still smoldering.
C. Apply moist dressings to all of the burned areas.
D. Place the patient in the shock position. - correct-answer - B. Remove any
clothing that is still smoldering.
A 2-year-old boy, who is alert and crying, has multiple lacerations and a deformed
forearm after he was ejected from a vehicle. Additional assessment reveals that
he has cool, moist, pale 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.
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D. The intercostal muscles may be damaged because they are not well developed.
- correct-answer - A. The ribs are pliable, which makes organs more susceptible to
underlying damage.
A 7-year-old semi-conscious patient rolled off of a 4-foot embankment when he
fell off of his father's all-terrain vehicle. 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 a nasopharyngeal airway.
D. Perform a finger sweep maneuver. - correct-answer - B. Begin suctioning the
airway.
Which of the following patients may have injuries that suggest maltreatment?
A. A 12-year-old with bilateral bruises to the shins.
PEPP FINAL EXAM| COMPREHENSIVE
Q&A FOR CERTIFICATION SUCCESS
2026
What is the priority treatment for a child with altered mental status?
A. Open the airway.
B. Obtain a history.
C. Protect the cervical spine.
D. Obtain a blood glucose. - correct-answer - A. Open the airway.
A 4-year-old boy is screaming and crying after he fell into a campfire. He has
partial- and full-thickness burns on both arms. Vital signs are HR 140, BP 100/70,
and RR 40. What should be done first in the treatment of thermal burns?
A. Apply burn cream to burned areas.
,2|Page
B. Remove any clothing that is still smoldering.
C. Apply moist dressings to all of the burned areas.
D. Place the patient in the shock position. - correct-answer - B. Remove any
clothing that is still smoldering.
A 2-year-old boy, who is alert and crying, has multiple lacerations and a deformed
forearm after he was ejected from a vehicle. Additional assessment reveals that
he has cool, moist, pale 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.
, 3|Page
D. The intercostal muscles may be damaged because they are not well developed.
- correct-answer - A. The ribs are pliable, which makes organs more susceptible to
underlying damage.
A 7-year-old semi-conscious patient rolled off of a 4-foot embankment when he
fell off of his father's all-terrain vehicle. 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 a nasopharyngeal airway.
D. Perform a finger sweep maneuver. - correct-answer - B. Begin suctioning the
airway.
Which of the following patients may have injuries that suggest maltreatment?
A. A 12-year-old with bilateral bruises to the shins.