PEPP, FOURTH EDITION WITH COMPLETE
QUESTIONS WITH CORRECT
ANSWERS//VERIFIED//GRADED A+//
Which of the following is an indication for use of a long spine board for a
pediatric patient?
The child is unconscious after a fall from a second-story window.
A 10-year-old boy is at a church picnic where he has eaten a variety of
foods from a buffet table. He suddenly developed difficulty breathing and
dramatic swelling of his face and neck. His vital signs include BP 78/32,
HR 144, RR 38, oxygen saturation 92%. Which type of shock is he in?
Distributive
A 14-month-old girl has a history of 3 days vomiting and diarrhea. She is
listless with a glassy stare. Her vital signs are T 39ºC, HR 174, and RR 38.
Which of the following treatment options should be your first priority?
Check glucose
A 4-year-old boy was scalded when he pulled a hot cup of noodle soup
from the microwave. He has blistering burns to the right cheek, shoulder,
chest, arm, and hand. His vital signs are HR 152, RR 30 (screaming), and
BP 118/76. Which of the following is the most appropriate treatment
prior to transport?
Intranasal fentanyl 1 mcg/kg, divided evenly between both nares
Which of the following medications is not well absorbed by the intranasal
route?
Epinephrine
A newborn has been delivered at home to a mother with no prenatal
care. Assessment reveals cyanosis of the hands, feet, trunk, and face.
, Vital signs include HR 70 and the infant is not breathing. What is the
initial management for this patient?
Initiate bag-mask ventilations at 40-60 breaths/min.
Which of the following is an important component to consider when using
the Pediatric Assessment Triangle?
Skin color
The normal values for vital signs vary with age. Which of the following
vital signs normally gets higher as a child grows?
Blood pressure
An alert 2-month-old girl is lying on her mother's lap; she has had a fever
for the past day, has had a runny nose, and is using her abdominal
muscles to breathe. Abdominal breathing in this patient should be viewed
as a:
normal finding for an infant.
A 12-year-old boy fell off an all-terrain vehicle he was riding. He is
unresponsive and has pale, cool skin. He has abrasions to the right arm
and back and a swollen, deformed right thigh. Vital signs are BP 72/42,
HR 135, RR 28, SpO2 98%. What do these findings tell you about the
patient's condition?
His blood pressure is low because he is hypovolemic.
A 2-month-old infant who is being cared for by a babysitter is
unresponsive and has warm, pink skin and respirations without increased
work of breathing. The babysitter appears anxious and frustrated and
explains that the infant rolled off a bed onto a carpeted floor earlier in
the day. The babysitter states that she does not think that the infant has
been sick recently. The infant's altered level of consciousness is most
likely due to:
abusive head trauma.
QUESTIONS WITH CORRECT
ANSWERS//VERIFIED//GRADED A+//
Which of the following is an indication for use of a long spine board for a
pediatric patient?
The child is unconscious after a fall from a second-story window.
A 10-year-old boy is at a church picnic where he has eaten a variety of
foods from a buffet table. He suddenly developed difficulty breathing and
dramatic swelling of his face and neck. His vital signs include BP 78/32,
HR 144, RR 38, oxygen saturation 92%. Which type of shock is he in?
Distributive
A 14-month-old girl has a history of 3 days vomiting and diarrhea. She is
listless with a glassy stare. Her vital signs are T 39ºC, HR 174, and RR 38.
Which of the following treatment options should be your first priority?
Check glucose
A 4-year-old boy was scalded when he pulled a hot cup of noodle soup
from the microwave. He has blistering burns to the right cheek, shoulder,
chest, arm, and hand. His vital signs are HR 152, RR 30 (screaming), and
BP 118/76. Which of the following is the most appropriate treatment
prior to transport?
Intranasal fentanyl 1 mcg/kg, divided evenly between both nares
Which of the following medications is not well absorbed by the intranasal
route?
Epinephrine
A newborn has been delivered at home to a mother with no prenatal
care. Assessment reveals cyanosis of the hands, feet, trunk, and face.
, Vital signs include HR 70 and the infant is not breathing. What is the
initial management for this patient?
Initiate bag-mask ventilations at 40-60 breaths/min.
Which of the following is an important component to consider when using
the Pediatric Assessment Triangle?
Skin color
The normal values for vital signs vary with age. Which of the following
vital signs normally gets higher as a child grows?
Blood pressure
An alert 2-month-old girl is lying on her mother's lap; she has had a fever
for the past day, has had a runny nose, and is using her abdominal
muscles to breathe. Abdominal breathing in this patient should be viewed
as a:
normal finding for an infant.
A 12-year-old boy fell off an all-terrain vehicle he was riding. He is
unresponsive and has pale, cool skin. He has abrasions to the right arm
and back and a swollen, deformed right thigh. Vital signs are BP 72/42,
HR 135, RR 28, SpO2 98%. What do these findings tell you about the
patient's condition?
His blood pressure is low because he is hypovolemic.
A 2-month-old infant who is being cared for by a babysitter is
unresponsive and has warm, pink skin and respirations without increased
work of breathing. The babysitter appears anxious and frustrated and
explains that the infant rolled off a bed onto a carpeted floor earlier in
the day. The babysitter states that she does not think that the infant has
been sick recently. The infant's altered level of consciousness is most
likely due to:
abusive head trauma.
