PEPP CERTIFICATION EVALUATION EXAMS
2026 FULL SOLUTION VIEW AHEAD
◉ What is a contraindication to straightening the head and neck of a
trauma patient during spinal immobilization?
A. Resistance to movement.
B. Multiple facial injuries.
C. Dilated pupils.
D. Severe headache.
Answer: A. Resistance to movement.
◉ 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.
Answer: 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.
Answer: 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.
Answer: 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?
2026 FULL SOLUTION VIEW AHEAD
◉ What is a contraindication to straightening the head and neck of a
trauma patient during spinal immobilization?
A. Resistance to movement.
B. Multiple facial injuries.
C. Dilated pupils.
D. Severe headache.
Answer: A. Resistance to movement.
◉ 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.
Answer: 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.
Answer: 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.
Answer: 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?
