PEPP ACTUAL EXAM PAPER 2026
QUESTIONS AND SOLUTIONS GRADED A+
◉ A provider would expect a 4-month-old to demonstrate which of
the following traits?
Answer: Make eye contact
◉ The most effective way to begin a physical examination of a
toddler is to start at his or her
Answer: Toes
◉ On arrival you find a 7-year-old boy experiencing respiratory
distress, wheezing, stridor, facial edema, and hives. you suspect that
the patient has a(n):_____
Answer: Anaphylactic reaction
◉ Which of the following patients do you suspect to have croup?
Answer: 14-month-old with cold symptoms, stridor, and low-grade
fever
, ◉ For a child with croup and stridor, if an ALS ambulance does not
carry racemic epinephrine, you can use epinephrine 1:1,000
because:
Answer: It has the same effect
◉ What is the most common respiratory disorder in children?
Answer: Asthma
◉ A child has a history of asthma, as well as an allergy to peanuts.
This child if now wheezing, and it is unclear is the child was exposed
to nuts. Administration of albuterol via a nebulizer is appropriate.
Answer: True
◉ According to the Pediatric Assessment Triangle, what suggests
circulatory compromise?
Answer: Peripheral and central cyanosis
◉ A 14-year-old boy dives into a lake while boating and hits his head
on the boat when he ascends. He gets into the boat and complains of
a headache. At the dock 15 minutes later, he passes out. On your
arrival he is unresponsive, but breathing, and his heart rate is 48.
Which of the following additional vital signs would be consistent
with bradycardia due to a head injury?
Answer: BP 140/90, irregular respiratory rate of 6
QUESTIONS AND SOLUTIONS GRADED A+
◉ A provider would expect a 4-month-old to demonstrate which of
the following traits?
Answer: Make eye contact
◉ The most effective way to begin a physical examination of a
toddler is to start at his or her
Answer: Toes
◉ On arrival you find a 7-year-old boy experiencing respiratory
distress, wheezing, stridor, facial edema, and hives. you suspect that
the patient has a(n):_____
Answer: Anaphylactic reaction
◉ Which of the following patients do you suspect to have croup?
Answer: 14-month-old with cold symptoms, stridor, and low-grade
fever
, ◉ For a child with croup and stridor, if an ALS ambulance does not
carry racemic epinephrine, you can use epinephrine 1:1,000
because:
Answer: It has the same effect
◉ What is the most common respiratory disorder in children?
Answer: Asthma
◉ A child has a history of asthma, as well as an allergy to peanuts.
This child if now wheezing, and it is unclear is the child was exposed
to nuts. Administration of albuterol via a nebulizer is appropriate.
Answer: True
◉ According to the Pediatric Assessment Triangle, what suggests
circulatory compromise?
Answer: Peripheral and central cyanosis
◉ A 14-year-old boy dives into a lake while boating and hits his head
on the boat when he ascends. He gets into the boat and complains of
a headache. At the dock 15 minutes later, he passes out. On your
arrival he is unresponsive, but breathing, and his heart rate is 48.
Which of the following additional vital signs would be consistent
with bradycardia due to a head injury?
Answer: BP 140/90, irregular respiratory rate of 6
