PEPP FINAL CERTIFICATION SCRIPT
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Pain Assessment (QUESTT).
Answer: - Question child- Use reliable and valid pain scale- Evaluate child's
behavior and physiologic changes to establish a baseline and determine
effectiveness of intervention- Secure the parent's involvement- Take the
cause of pain into account when intervening- Take action
◍ Nonpharmacologic Pain Management.
Answer: - behavioral-cognitive strategies: relaxation, distraction, guided
imagery- biophysical strategies: nonnutritive sucking, heat/cold application,
massage
◍ What are things you should ask a patient to find out about their past health
history?.
Answer: MIST +2Medicationillnesssurgerytraumahow would you rate your
overall health?have you gained or lost weight in the last year?
◍ What are the components of asking a patient about their habits.
Answer: BREDBeveragesRestExerciseDiet
◍ What are the categories of questions you should ask your patient about after
completing the HPI.
Answer: occupational historysocial hxmarital hxfamily hx
◍ what are the 7 vital signs.
Answer: temp, respiration, pulse, blood pressure, pain, height, weight
◍ Pharmalogic Pain Management.
Answer: analgesics, patient controlled analgesia, local analgesia, epidural
, analgesia, conscious sedation
◍ when can you make the conclusion that something is NORMAL.
Answer: after all data has been gathered
◍ Wilms tumor.
Answer: a rare type of malignant tumor of the kidney that occurs in young
children- do not palpate abdomen to prevent metastasis
◍ TQ:what is the expected temperature range.
Answer: 97.1-99.9
◍ what are the different methods of taking a temperature.
Answer: oral, rectal, axillary, tympanic, forehead/infrared
◍ what is the oral temperature which indicates fever.
Answer: above 100.4
◍ brain tumors.
Answer: most common tumor in children, benign or malignant, increased
ICP, s/s: depends on location:• frontal lobe: personality, seizures, visual
disturbances, hemiparesis, aphasia• occipital lobe: visual hallucinations,
seizures• temporal lobe: seizures, ha• parietal lobe: seizures visual loss•
cerebellum: coordination or walking/mobility difficulties
◍ Neuroblastoma.
Answer: malignant tumor composed mainly of cells resembling neuroblasts
that occurs most commonly in infants and children- majority develop in
adrenal gland or retroperitoneal sympathetic chain- metastasis may already
occur before diagnosis
◍ Osteosarcoma.
Answer: peak incidence at age 10-25 years, and is 60% childhood bone
cancer- primary tumor sites are in metaphyses of long bones, more than 50%
occur in distal femur
◍ what is the rectal or ear temperature which indicates fever.
Answer: 101
, ◍ Ewing sarcoma.
Answer: second most common malignant bone tumor in children and
adolescents, rare in those older than 30 years- arises in marrow, most
commonly in femur, tibia, ulna, or humerus
◍ what category of fever describes the following:temp. elevates and falls to
normal every day.
Answer: intermittent
◍ what category of fever describes the following:temp elevates and falls every
day but does NOT return to normal.
Answer: remittent
◍ for intermittent and remittent fevers, what is the range of temperature
change.
Answer: >0.3 and <1.4
◍ rhabdomyosarcoma.
Answer: malignant tumor of striated muscle (soft tissue tumor)- very
aggressive and usually occurs in children under 5 year
◍ what category of fever describes the following:fever in which the peaks and
troughs is 1.4 degrees C or more.
Answer: hectic
◍ what category of fever describes the following:fever pattern with negligible
change in 24hour period ().3 degree change or less).
Answer: continuous (sustained)
◍ what category of fever describes the following:spiking fever separated by
days or weeks of intervening normal temps.
Answer: relapsing
◍ what is the name of the intermittent fever associated with a gallbladder duct
being blocked.
Answer: Charcot
◍ retinoblastoma.
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Pain Assessment (QUESTT).
Answer: - Question child- Use reliable and valid pain scale- Evaluate child's
behavior and physiologic changes to establish a baseline and determine
effectiveness of intervention- Secure the parent's involvement- Take the
cause of pain into account when intervening- Take action
◍ Nonpharmacologic Pain Management.
Answer: - behavioral-cognitive strategies: relaxation, distraction, guided
imagery- biophysical strategies: nonnutritive sucking, heat/cold application,
massage
◍ What are things you should ask a patient to find out about their past health
history?.
Answer: MIST +2Medicationillnesssurgerytraumahow would you rate your
overall health?have you gained or lost weight in the last year?
◍ What are the components of asking a patient about their habits.
Answer: BREDBeveragesRestExerciseDiet
◍ What are the categories of questions you should ask your patient about after
completing the HPI.
Answer: occupational historysocial hxmarital hxfamily hx
◍ what are the 7 vital signs.
Answer: temp, respiration, pulse, blood pressure, pain, height, weight
◍ Pharmalogic Pain Management.
Answer: analgesics, patient controlled analgesia, local analgesia, epidural
, analgesia, conscious sedation
◍ when can you make the conclusion that something is NORMAL.
Answer: after all data has been gathered
◍ Wilms tumor.
Answer: a rare type of malignant tumor of the kidney that occurs in young
children- do not palpate abdomen to prevent metastasis
◍ TQ:what is the expected temperature range.
Answer: 97.1-99.9
◍ what are the different methods of taking a temperature.
Answer: oral, rectal, axillary, tympanic, forehead/infrared
◍ what is the oral temperature which indicates fever.
Answer: above 100.4
◍ brain tumors.
Answer: most common tumor in children, benign or malignant, increased
ICP, s/s: depends on location:• frontal lobe: personality, seizures, visual
disturbances, hemiparesis, aphasia• occipital lobe: visual hallucinations,
seizures• temporal lobe: seizures, ha• parietal lobe: seizures visual loss•
cerebellum: coordination or walking/mobility difficulties
◍ Neuroblastoma.
Answer: malignant tumor composed mainly of cells resembling neuroblasts
that occurs most commonly in infants and children- majority develop in
adrenal gland or retroperitoneal sympathetic chain- metastasis may already
occur before diagnosis
◍ Osteosarcoma.
Answer: peak incidence at age 10-25 years, and is 60% childhood bone
cancer- primary tumor sites are in metaphyses of long bones, more than 50%
occur in distal femur
◍ what is the rectal or ear temperature which indicates fever.
Answer: 101
, ◍ Ewing sarcoma.
Answer: second most common malignant bone tumor in children and
adolescents, rare in those older than 30 years- arises in marrow, most
commonly in femur, tibia, ulna, or humerus
◍ what category of fever describes the following:temp. elevates and falls to
normal every day.
Answer: intermittent
◍ what category of fever describes the following:temp elevates and falls every
day but does NOT return to normal.
Answer: remittent
◍ for intermittent and remittent fevers, what is the range of temperature
change.
Answer: >0.3 and <1.4
◍ rhabdomyosarcoma.
Answer: malignant tumor of striated muscle (soft tissue tumor)- very
aggressive and usually occurs in children under 5 year
◍ what category of fever describes the following:fever in which the peaks and
troughs is 1.4 degrees C or more.
Answer: hectic
◍ what category of fever describes the following:fever pattern with negligible
change in 24hour period ().3 degree change or less).
Answer: continuous (sustained)
◍ what category of fever describes the following:spiking fever separated by
days or weeks of intervening normal temps.
Answer: relapsing
◍ what is the name of the intermittent fever associated with a gallbladder duct
being blocked.
Answer: Charcot
◍ retinoblastoma.
