PEPP- (2025-2026) Questions And 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? -
CORRECT - ANSWERS Open 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? - CORRECT - ANSWERS Hypovolemic Shock
What is the priority treatment for a child with altered mental status? - CORRECT - ANSWERS
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? - CORRECT - ANSWERS 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? - CORRECT - ANSWERS 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. How should
you manage this patient? - CORRECT - ANSWERS Begin suctioning the airway.
Which of the following patients may have injuries that suggest maltreatment? - CORRECT -
ANSWERS 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? - CORRECT - ANSWERS 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? - CORRECT - ANSWERS 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? - CORRECT - ANSWERS Ask the patient's
parents.
In what position should the child in mild respiratory distress be placed? - CORRECT -
ANSWERS 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? - CORRECT - ANSWERS 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? - CORRECT - ANSWERS Initiate cervical spine
immobilization.
After a seizure, patients are in a lethargic and confused state. What is this state known as? -
CORRECT - ANSWERS Postictal.
What is the appropriate compression depth in a 6-month-old child in cardiac arrest? -
CORRECT - ANSWERS 1.5 inches.
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? -
CORRECT - ANSWERS Open 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? - CORRECT - ANSWERS Hypovolemic Shock
What is the priority treatment for a child with altered mental status? - CORRECT - ANSWERS
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? - CORRECT - ANSWERS 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? - CORRECT - ANSWERS 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. How should
you manage this patient? - CORRECT - ANSWERS Begin suctioning the airway.
Which of the following patients may have injuries that suggest maltreatment? - CORRECT -
ANSWERS 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? - CORRECT - ANSWERS 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? - CORRECT - ANSWERS 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? - CORRECT - ANSWERS Ask the patient's
parents.
In what position should the child in mild respiratory distress be placed? - CORRECT -
ANSWERS 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? - CORRECT - ANSWERS 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? - CORRECT - ANSWERS Initiate cervical spine
immobilization.
After a seizure, patients are in a lethargic and confused state. What is this state known as? -
CORRECT - ANSWERS Postictal.
What is the appropriate compression depth in a 6-month-old child in cardiac arrest? -
CORRECT - ANSWERS 1.5 inches.
