PEPP Version A
fn fn
1. afn7fnyearfnoldfnboyfnhasfndifficultyfnbreathingfnandfnisfnwheezing.fnvitalfnsignsfnare:
BPfn94/62
HRfn128
RRfn32fn
whatfninitialfnmanagementfnshouldfnbefnperformed?fn-fncorrectfnanswer✔ ✔
applyfnoxygenfnbyfnnonrebreatherfnmask
afn4-month-
oldfninfantfnwhofnhasfnhadfnvomitingfnandfndiarrheafnforfnthefnpastfn36fnhoursfnisfnlethargicf
nhasfnafnweakfncryfnandfnhasfnmottledfnskinfncolor.fnvitalfnsignsfnare:fn
BPfn62/46
HRfn172
RRfn48fn
whatfndofnthefnsignsfnandfnsymptomsfnsuggest?fn-fncorrectfnanswer✔ ✔
hypovolemicfnshock
whatfnisfnthefnpriorityfntreatmentfnforfnafnchildfnwhofnisfnseizing?fn-fncorrectfnanswer✔ ✔
openfnthefnairway
whatfnshouldfnbefnincludedfninfnthefntreatmentfnoffnthermalfnburnsfntofnthefnchest,fnabdom
enfnandfnlegs?fn-fncorrectfnanswer✔ ✔ administerfn100%fnO2
afn2-year-
oldfnboy,fnwhofnisfnalertfnandfncrying,fnhasfnmultiplefnlacerationsfnandfnafndeformedfnlower
fn legfnafterfnbeingfnhitfnbyfnafncar.fnadditionalfnassessmentfnrevealsfnthatfnhefnhasfnwarm,fn
dry,fnpinkfnskinfnandfnbruisingfnonfnthefnlateralfnrightfnlowerfnchest.fnwhatfnisfnthefnsignifica
ncefnoffnthefnbruisingfntofnthefnrightfnsidefnoffnhisfnchest?fn-fncorrectfnanswer✔ ✔
, thefnribsfnarefnpliable,fnwhichfnmakesfnorgansfnmorefnsusceptiblefntofnunderlyingfndam
age.
afn9-year-
oldfnpatientfnfellfndownfnafnsteepfninclinefnafterfnhefnrolledfnoverfnthefnhandlebarsfnoffnhisfn
bicycle.fnhefnwasfnnotfnwearingfnafnhelmetfnandfnhasfnbegunfnvomiting.fnhowfnshouldfnyou
managefnthisfnpatient?fn-fncorrectfnanswer✔ ✔ beginfnsuctioningfnthefnairway
fn
whichfnoffnthefnfollowingfnpatientsfnmayfnhavefninjuriesfnthatfnsuggestfnmaltreatment?fn-
correctfnanswer✔ ✔ afn6-year-oldfnwithfnbruisesfnthroughoutfnthefnback
fn
thefnhistoryfnprovidedfnbyfnthefncaregiverfnoffnwhichfnoffnthefnfollowingfnisfninconsistentfnw
ithfnthefninjury?fn-fncorrectfnanswer✔ ✔
afn2fnyearfnoldfnboyfnwithfnseveralfnsmall,fnhealingfncircularfnburnsfnfromfnrunningfnintofn
afnlitfncigarette.
afnnewbornfnwhofnwasfnjustfndeliveredfnatfnhomefnhasfncyanosisfnoffnthefnhandsfnandfnfee
t,fnhasfnafnstrongfncry,fnandfnisfnmovingfnherfnextremitiesfnvigorously.fnvitalfnsignsfnare:
HRfn164
RRfn52
whatfnisfnthefnfirstfnstepfninfnmanagingfnthisfnpatient?fn-fncorrectfnanswer✔ ✔
dryfnherfnandfnthenfnwrapfnherfninfnafnblanket
whatfnisfnthefnbestfnwayfntofnobtainfninformationfnaboutfnthefnmedicalfnhistoryfnoffnafn6fnye
arfnoldfngirlfnwhofnisfnonfnafnventilatorfnandfnhasfnafntracheostomy?fn-fncorrectfnanswer✔
✔ askfnthefncaregivers
infnwhatfnpositionfnshouldfnthefnchildfninfnmildfnrespiratoryfndistressfnbefnplaced?fn-
correctfnanswer✔ ✔ positionfnoffncomfort
fn
fn fn
1. afn7fnyearfnoldfnboyfnhasfndifficultyfnbreathingfnandfnisfnwheezing.fnvitalfnsignsfnare:
BPfn94/62
HRfn128
RRfn32fn
whatfninitialfnmanagementfnshouldfnbefnperformed?fn-fncorrectfnanswer✔ ✔
applyfnoxygenfnbyfnnonrebreatherfnmask
afn4-month-
oldfninfantfnwhofnhasfnhadfnvomitingfnandfndiarrheafnforfnthefnpastfn36fnhoursfnisfnlethargicf
nhasfnafnweakfncryfnandfnhasfnmottledfnskinfncolor.fnvitalfnsignsfnare:fn
BPfn62/46
HRfn172
RRfn48fn
whatfndofnthefnsignsfnandfnsymptomsfnsuggest?fn-fncorrectfnanswer✔ ✔
hypovolemicfnshock
whatfnisfnthefnpriorityfntreatmentfnforfnafnchildfnwhofnisfnseizing?fn-fncorrectfnanswer✔ ✔
openfnthefnairway
whatfnshouldfnbefnincludedfninfnthefntreatmentfnoffnthermalfnburnsfntofnthefnchest,fnabdom
enfnandfnlegs?fn-fncorrectfnanswer✔ ✔ administerfn100%fnO2
afn2-year-
oldfnboy,fnwhofnisfnalertfnandfncrying,fnhasfnmultiplefnlacerationsfnandfnafndeformedfnlower
fn legfnafterfnbeingfnhitfnbyfnafncar.fnadditionalfnassessmentfnrevealsfnthatfnhefnhasfnwarm,fn
dry,fnpinkfnskinfnandfnbruisingfnonfnthefnlateralfnrightfnlowerfnchest.fnwhatfnisfnthefnsignifica
ncefnoffnthefnbruisingfntofnthefnrightfnsidefnoffnhisfnchest?fn-fncorrectfnanswer✔ ✔
, thefnribsfnarefnpliable,fnwhichfnmakesfnorgansfnmorefnsusceptiblefntofnunderlyingfndam
age.
afn9-year-
oldfnpatientfnfellfndownfnafnsteepfninclinefnafterfnhefnrolledfnoverfnthefnhandlebarsfnoffnhisfn
bicycle.fnhefnwasfnnotfnwearingfnafnhelmetfnandfnhasfnbegunfnvomiting.fnhowfnshouldfnyou
managefnthisfnpatient?fn-fncorrectfnanswer✔ ✔ beginfnsuctioningfnthefnairway
fn
whichfnoffnthefnfollowingfnpatientsfnmayfnhavefninjuriesfnthatfnsuggestfnmaltreatment?fn-
correctfnanswer✔ ✔ afn6-year-oldfnwithfnbruisesfnthroughoutfnthefnback
fn
thefnhistoryfnprovidedfnbyfnthefncaregiverfnoffnwhichfnoffnthefnfollowingfnisfninconsistentfnw
ithfnthefninjury?fn-fncorrectfnanswer✔ ✔
afn2fnyearfnoldfnboyfnwithfnseveralfnsmall,fnhealingfncircularfnburnsfnfromfnrunningfnintofn
afnlitfncigarette.
afnnewbornfnwhofnwasfnjustfndeliveredfnatfnhomefnhasfncyanosisfnoffnthefnhandsfnandfnfee
t,fnhasfnafnstrongfncry,fnandfnisfnmovingfnherfnextremitiesfnvigorously.fnvitalfnsignsfnare:
HRfn164
RRfn52
whatfnisfnthefnfirstfnstepfninfnmanagingfnthisfnpatient?fn-fncorrectfnanswer✔ ✔
dryfnherfnandfnthenfnwrapfnherfninfnafnblanket
whatfnisfnthefnbestfnwayfntofnobtainfninformationfnaboutfnthefnmedicalfnhistoryfnoffnafn6fnye
arfnoldfngirlfnwhofnisfnonfnafnventilatorfnandfnhasfnafntracheostomy?fn-fncorrectfnanswer✔
✔ askfnthefncaregivers
infnwhatfnpositionfnshouldfnthefnchildfninfnmildfnrespiratoryfndistressfnbefnplaced?fn-
correctfnanswer✔ ✔ positionfnoffncomfort
fn
