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Pepp Practice Test 2023 (pretest, multiple
choice)
- A 1 - month old infant is pale and has not been feeding C. Provide oxygen and well today when his parents call 911. On EMS assess- ment, the infant is fussy and has HR 248, R 34, pulse oximetry 96% on room air. The child has capillary refill of 2 seconds and palpable brachial and femoral pulses. The monitor displays a narrow ORS complex with no visible P waves. Which of the following is the most appropriate first step?
A. Perform synchonized cardioversion B. Administer adenosine via intraosseous needle. C. Provide oxygen and transport to a nearby pedi- atric-capable ED D. Begin chest compressions.
transport to a nearby pe- diatric-capable ED
- An 8 - month-old boy is in severe respiratory distress. A B. Administer epinephrine BLS crew responded first and the child had a witnessed by intraosseous route. cardiorespiratory arrest under their care. High-quali- ty CPR was initiated immediately and no shock was advised by the AED. What is the first priority on ALS arrival?
A. Replace the AED with a monitor/defibrillator. B. Administer epinephrine by intraosseous route. C. Take over chest compressions from the BLS crew. D. Insert an endotracheal tube.
- Which of the following substances can be infused via an intraosseous needle?
A. All of these are correct B. Naloxone
A. All of these are correct
Pepp Practice Test 2023 (pretest, multiple
choice)
C. Epinephrine D. D
- What is the gold standard method for prehospital con- D. Capnography (end-tidal firmation of endotracheal tube placement?
A. Visualize bilateral chest rise B. Vocal cord visualization on direct laryngoscopy C. Auscultation of breath sounds D. Capnography (end-tidal CO2).
- A2-year-old boy who is ventilator dependent and has a tracheostomy has increased secretions and his ven-
CO2).
B. Remove the patient from ventilator and per- tilator is alarming. What is the first step caring for this form manual ventilations. patient?
A. Apply supplemental oxygen via mask over the tra- cheostomy opening B. Remove the patient from ventilator and perform manual ventilations. C. Apply supplemental oxygen by nonrebreathing facemask D. Remove and replace the tracheostomy tube
- A newborn has been delivered at home to a mother with no prenatal care. Assessment reveals cyanosis of
C. Initiate bag-mask ventilations at 40- 60 the hands, feet, trunk, and face. Vital signs include HR breaths/min 70 and the infant is not breathing. What is the initial management for this patient?
A. Perform chest compressions and ventilations at 3: ratio B. Administer naloxone IV/IO/IM/IN
- A 10-year-old boy is at a church picnic where he has eaten a variety of foods from a buffet table. He sudden- ly developed difficulty breathing and dramatic swelling of his face and neck. His vital signs include BP 78/32, HR 144, R 38, oxygen saturation 92%. Which type of shock is he in?
A. Cardiogenic B. Neurogenic C. Distributive D. Hypovolemic
C. Distributive
- Which of the following is an indication for use of a long A. The child is unconscious spine board for a pediatric patient?
A. The child is unconscious after a fall from a sec- ond-story window. B. The child is complaining of leg pain when he ambu- lates. C. The child was in a low-speed motor vehicle crash. D. The child has a fever and is postictal after a seizure.
- A 10-year-old baseball pitcher was struck in the chest by a baseball. He collapsed on the field and was un- responsive. Coaches immediately began CPR, which is still in progress on arrival of EMS. Which of the follow- ing is the first priority after EMS arrival?
A. Apply oxygen by face mask at 15 L/min. B. Apply the AED and analyze the rhythm. C. Obtain a complete set of vital signs. D. Check the patient's pulse.
after a fall from a sec- ond-story window.
B. Apply the AED and ana- lyze the rhythm.
- Which of the following statements is most correct re- garding pediatric medical conditions encountered by EMS?
A. Older children have more medical encounters than infants. B. Respiratory conditions and seizures are the most common conditions encountered. C. Children with diabetes and vomiting most likely have low blood glucose. D. Medical cases tend to be less severe than trauma cases.
- A 2-year-old girl has sudden difficulty breathing while eating a hot dog that has been cut into circular pieces. When her mother called 911, she was coughing and appeared to be choking. On EMS arrival to the scene, she is sitting upright and struggling to breathe with deep retractions and high-pitched inspiratory noises. Which of the following is the most appropriate first step in patient care?
A. Apply oxygen by face mask at 15 L/min. B. Bag-mask ventilation. C. Abdominal thrusts D. Back blows
- Which of the following is true about children with ADHD?
A. They respond well to calming techniques. B. They are frequently intellectually disabled.
B. Respiratory conditions and seizures are the most common conditions en- countered.
C. Abdominal thrusts
A. They respond well to calming techniques.
A. Toxic ingestion B. Epilepsy C. Hypoglycemia D. Fever
- EMS responds to a home where a 4-month-old child has been found in cardiac arrest. The family states they checked on the baby this morning and found him wedged into a space between a mattress and a wall. The infant was not breathing and not responsive. EMS evaluation finds the child to be cool and rigid, with rigor mortis and dependent lividity, so resuscitation is not attempted and EMS communicates to the family that the child is dead. Which of the following is the best example of how EMS should communicate with the family mem- bers?
A. I know how you feel. B. You can have other children. C. Your child is gone. D. Your child has died.
D. Your child has died.
- A pregnant woman has called 911 for contractions that B. Dry and warm the new- are 2 minutes apart. During transport, she states that she feels the baby coming and the infant is delivered on the stretcher in the back of the ambulance. Which of the following is the first procedure that should be performed by the EMS provider after clamping and cutting the cord?
A. Provide 100% oxygen
born.
B. Dry and warm the newborn. C. Copiously suction the mouth and nose. D. Calculate the Apgar score.
- A 2-month-old infant who is being cared for by a babysitter is unresponsive and has warm, pink skin and respirations without increased work of breathing. The babysitter appears anxious and frustrated and ex- plains that the infant rolled off a bed onto a carpeted floor earlier in the day. The babysitter states that she does not think that the infant has been sick recently. The infant's altered level of consciousness is most like- ly due to:
A. status epilepticus. B. respiratory failure. C. Secondary toxic exposure. D. abusive head trauma.
- A 12-year-old boy fell off an all-terrain vehicle he was riding. He is unresponsive and has pale, cool skin. He
D. abusive head trauma.
C. His blood pressure is low because he is hypov- has abrasions to the right arm and back and a swollen, olemic. deformed right thigh. Vital signs are BP 72/42, HR 135, R 28, SpO2 98%. What do these findings tell you about the patient's condition?
A. He is unresponsive because of hypoxia from the event. B. His respirations are within normal limits for his age. C. His blood pressure is low because he is hypov- olemic. D. His heart rate is within normal limits for his age.
