PEPP Review Questions with Verified Correct
Answers
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?
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?
Hypovolemic shock.
What is the priority treatment for a child who is seizing?
Open the airway.
What should be included in the treatment of thermal burns to the chest, abdomen, and
legs?
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?
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?
, Begin suctioning the airway.
Which of the following patients may have injuries that suggest maltreatment?
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 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?
Dry her and then wrap her in a blanket.
In what position should the child in mild respiratory distress be placed?
Position of comfort.
An 8-year-old boy has been sick for 3 days. He has been experiencing nausea and
diarrhea that has become progressively worse. He is semi-responsive with pale and
diaphoretic skin. It is difficult to obtain a BP. Other vital signs are HR 54 and RR 10.
What type of shock is this patient experiencing?
Hypovolemic.
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?
Initiate cervical spine immobilization.
What is the most common cause of pediatric seizures?
Answers
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?
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?
Hypovolemic shock.
What is the priority treatment for a child who is seizing?
Open the airway.
What should be included in the treatment of thermal burns to the chest, abdomen, and
legs?
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?
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?
, Begin suctioning the airway.
Which of the following patients may have injuries that suggest maltreatment?
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 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?
Dry her and then wrap her in a blanket.
In what position should the child in mild respiratory distress be placed?
Position of comfort.
An 8-year-old boy has been sick for 3 days. He has been experiencing nausea and
diarrhea that has become progressively worse. He is semi-responsive with pale and
diaphoretic skin. It is difficult to obtain a BP. Other vital signs are HR 54 and RR 10.
What type of shock is this patient experiencing?
Hypovolemic.
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?
Initiate cervical spine immobilization.
What is the most common cause of pediatric seizures?
