PEPP CORE MAIN ANSWERS AND QUESTIONS SET
A+
✔✔Which of the following patients may have injuries that suggest maltreatment?
A. A 12-year-old with bilateral bruises to the shins.
B. A 3-year-old with multiple bruises behind the ears.
C. An 8-year-old with a laceration on the face.
D. A 4-year-old with several abrasions on the hands and forearms. - ✔✔B. A 3-year-old
with multiple bruises behind the ears.
✔✔The history provided by the caregiver of which of the following patients is
inconsistent with the injury?
A. An 11-month-old infant with a bump on the head from falling out of a highchair at a
restaurant reaching for the waiter.
B. A 2-year-old boy with circumferential burns to his feet and lower legs, from taking a
hot bath.
C. A 3-year-old girl with a facial laceration from pulling a toaster off a counter.
D. A 4-year-old boy with a wrist deformity from falling off a swing set at the park. - ✔✔B.
A 2-year-old boy with circumferential burns to his feet and lower legs, from taking a hot
bath.
✔✔A newborn who was just delivered at home has cyanosis of the hands and feet, a
weak cry, and vigorous movement of the extremities. Vital signs are HR 86 and RR 52.
What is
the most important step in managing this patient?
A. Dry her and then wrap her in a blanket.
B. Ventilate her with a bag-mask device.
C. Give high-flow oxygen by a blow-by device.
D. Maintain her airway using the jaw-thrust maneuver. - ✔✔B. Ventilate her with a bag-
mask device.
, ✔✔What is the best way to obtain information about the medical history of a 6-year-old
girl who is on a ventilator and has a tracheostomy?
A. Ask the patient's parents.
B. Ask the home health nurse.
C. Contact the nearest hospital.
D. Contact her pulmonologist. - ✔✔A. Ask the patient's parents.
✔✔In what position should the child in mild respiratory distress be placed?
A. Prone position.
B. Position of comfort.
C. Supine with feet up.
D. On his or her right side. - ✔✔B. Position of comfort.
✔✔A 2-year-old girl has been having respiratory distress for about an hour. She has
crackles noted in her lower lobes and her lips are cyanotic. She is semi-responsive with
pale and
diaphoretic skin. It is difficult to obtain a BP. Other vital signs are HR 270 and RR 60.
What type of shock is this patient experiencing?
A. Cardiogenic.
B. Hypovolemic.
C. Septic.
D. Neurogenic. - ✔✔A. Cardiogenic.
✔✔An 8-year-old girl fell from a tree house that is approximately 10 feet from the
ground. She is screaming and crying due to a deformity of her right lower leg. What is
the
appropriate initial management of this patient?
A. Initiate cervical spine immobilization.
B. Initiate immobilization of the extremity.
C. Consider preparing the AED and applying pads.
D. Cover her with a blanket and apply heat packs. - ✔✔A. Initiate cervical spine
immobilization.
✔✔After a seizure, patients are in a lethargic and confused state. What is this state
known as?
A. Postictal.
B. Hyperglycemic.
C. Epileptic.
D. Grand mal. - ✔✔A. Postictal.
A+
✔✔Which of the following patients may have injuries that suggest maltreatment?
A. A 12-year-old with bilateral bruises to the shins.
B. A 3-year-old with multiple bruises behind the ears.
C. An 8-year-old with a laceration on the face.
D. A 4-year-old with several abrasions on the hands and forearms. - ✔✔B. A 3-year-old
with multiple bruises behind the ears.
✔✔The history provided by the caregiver of which of the following patients is
inconsistent with the injury?
A. An 11-month-old infant with a bump on the head from falling out of a highchair at a
restaurant reaching for the waiter.
B. A 2-year-old boy with circumferential burns to his feet and lower legs, from taking a
hot bath.
C. A 3-year-old girl with a facial laceration from pulling a toaster off a counter.
D. A 4-year-old boy with a wrist deformity from falling off a swing set at the park. - ✔✔B.
A 2-year-old boy with circumferential burns to his feet and lower legs, from taking a hot
bath.
✔✔A newborn who was just delivered at home has cyanosis of the hands and feet, a
weak cry, and vigorous movement of the extremities. Vital signs are HR 86 and RR 52.
What is
the most important step in managing this patient?
A. Dry her and then wrap her in a blanket.
B. Ventilate her with a bag-mask device.
C. Give high-flow oxygen by a blow-by device.
D. Maintain her airway using the jaw-thrust maneuver. - ✔✔B. Ventilate her with a bag-
mask device.
, ✔✔What is the best way to obtain information about the medical history of a 6-year-old
girl who is on a ventilator and has a tracheostomy?
A. Ask the patient's parents.
B. Ask the home health nurse.
C. Contact the nearest hospital.
D. Contact her pulmonologist. - ✔✔A. Ask the patient's parents.
✔✔In what position should the child in mild respiratory distress be placed?
A. Prone position.
B. Position of comfort.
C. Supine with feet up.
D. On his or her right side. - ✔✔B. Position of comfort.
✔✔A 2-year-old girl has been having respiratory distress for about an hour. She has
crackles noted in her lower lobes and her lips are cyanotic. She is semi-responsive with
pale and
diaphoretic skin. It is difficult to obtain a BP. Other vital signs are HR 270 and RR 60.
What type of shock is this patient experiencing?
A. Cardiogenic.
B. Hypovolemic.
C. Septic.
D. Neurogenic. - ✔✔A. Cardiogenic.
✔✔An 8-year-old girl fell from a tree house that is approximately 10 feet from the
ground. She is screaming and crying due to a deformity of her right lower leg. What is
the
appropriate initial management of this patient?
A. Initiate cervical spine immobilization.
B. Initiate immobilization of the extremity.
C. Consider preparing the AED and applying pads.
D. Cover her with a blanket and apply heat packs. - ✔✔A. Initiate cervical spine
immobilization.
✔✔After a seizure, patients are in a lethargic and confused state. What is this state
known as?
A. Postictal.
B. Hyperglycemic.
C. Epileptic.
D. Grand mal. - ✔✔A. Postictal.
