PEPP Study Guide Questions with Verified
Correct Answers
A 4-year-old semi-responsive boy has had difficulty breathing and a fever for 3 days.
Vital signs are BP 60/40, HR 128, and RR 10. What initial management should be
performed?
A. Open the airway and maintain cervical spine immobilization.
B. Open the airway and ventilate with a bag-mask device. C. Place the patient in the
Trendelenburg position.
D. Apply oxygen by nonrebreather mask at 15 L/min.
B. Open the airway and ventilate with a bag-mask device.
A 12-year-old boy was shot in the abdomen during a hunting accident. He has altered
mental status and his skin is cool and clammy. Vital signs are BP 64/46, weak HR 142,
and RR 38. What do the signs and symptoms suggest?
A. Tension pneumothorax.
B. Neurogenic shock.
C. Cardiac tamponade.
D. Hypovolemic shock.
D. Hypovolemic shock.
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.
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.
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.
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.
D. The intercostal muscles may be damaged because they are not well developed.
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.
Correct Answers
A 4-year-old semi-responsive boy has had difficulty breathing and a fever for 3 days.
Vital signs are BP 60/40, HR 128, and RR 10. What initial management should be
performed?
A. Open the airway and maintain cervical spine immobilization.
B. Open the airway and ventilate with a bag-mask device. C. Place the patient in the
Trendelenburg position.
D. Apply oxygen by nonrebreather mask at 15 L/min.
B. Open the airway and ventilate with a bag-mask device.
A 12-year-old boy was shot in the abdomen during a hunting accident. He has altered
mental status and his skin is cool and clammy. Vital signs are BP 64/46, weak HR 142,
and RR 38. What do the signs and symptoms suggest?
A. Tension pneumothorax.
B. Neurogenic shock.
C. Cardiac tamponade.
D. Hypovolemic shock.
D. Hypovolemic shock.
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.
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.
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.
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.
D. The intercostal muscles may be damaged because they are not well developed.
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.
