PEPP Final Exam Questions And Correct Answers
(Verified Answers) Plus
Rationales 2026 Q&A | Instant Download Pdf
1. The primary goal of PEPP (Pediatric Education for Prehospital
Professionals) is to:
A. Train hospital staff only
B. Train adult care providers
C. Train prehospital providers to manage pediatric emergencies
D. Focus solely on neonatal care
Rationale: PEPP is specifically designed for prehospital providers to
recognize and manage pediatric emergencies effectively.
2. When assessing a pediatric patient’s airway, which statement is
correct?
A. The airway is the same as an adult’s
B. Suctioning is rarely needed
C. Children have proportionally larger tongues, increasing
obstruction risk
D. Head tilt-chin lift is never used
Rationale: Children have larger tongues relative to their mouth,
making airway obstruction more common.
,3. The correct compression-to-ventilation ratio for a single rescuer in
pediatric CPR is:
A. 15:2
B. 30:2
C. 100:2
D. 30:2
Rationale: For single rescuer pediatric CPR, the recommended
ratio is 30 compressions to 2 breaths.
4. For a two-rescuer pediatric CPR, the compression-to-ventilation
ratio is:
A. 30:2
B. 15:2
C. 15:2
D. 5:1
Rationale: Two-rescuer pediatric CPR allows for 15 compressions
to 2 breaths to improve circulation and oxygenation.
5. The first step in pediatric assessment is:
A. Start chest compressions
B. Ensure the scene is safe
C. Administer oxygen
D. Establish IV access
Rationale: Always ensure scene safety before approaching any
patient.
6. The most accurate method to assess a child’s pulse is:
A. Carotid in infants
B. Radial in newborns
C. Brachial in infants under 1 year
, D. Femoral in adolescents
Rationale: The brachial pulse is recommended for infants under 1
year for accuracy.
7. Signs of inadequate perfusion in a child include all EXCEPT:
A. Pale or mottled skin
B. Rapid capillary refill
C. Weak pulses
D. Bradycardia
Rationale: Bradycardia is a late sign of shock in children; early
signs include tachycardia, weak pulses, and pallor.
8. The preferred method for delivering oxygen to a child in
respiratory distress is:
A. Nasal cannula at 1-2 L/min
B. Blow-by oxygen at high flow
C. Intubation immediately
D. No oxygen unless SpO2 <90%
Rationale: Blow-by oxygen is less invasive and effective for children
in respiratory distress.
9. The primary cause of pediatric cardiac arrest is usually:
A. Trauma
B. Respiratory failure or shock
C. Myocardial infarction
D. Arrhythmia
Rationale: Unlike adults, most pediatric cardiac arrests are
secondary to hypoxia or shock.
10. When assessing breathing in an infant, which is true?
A. Count for 10 seconds
(Verified Answers) Plus
Rationales 2026 Q&A | Instant Download Pdf
1. The primary goal of PEPP (Pediatric Education for Prehospital
Professionals) is to:
A. Train hospital staff only
B. Train adult care providers
C. Train prehospital providers to manage pediatric emergencies
D. Focus solely on neonatal care
Rationale: PEPP is specifically designed for prehospital providers to
recognize and manage pediatric emergencies effectively.
2. When assessing a pediatric patient’s airway, which statement is
correct?
A. The airway is the same as an adult’s
B. Suctioning is rarely needed
C. Children have proportionally larger tongues, increasing
obstruction risk
D. Head tilt-chin lift is never used
Rationale: Children have larger tongues relative to their mouth,
making airway obstruction more common.
,3. The correct compression-to-ventilation ratio for a single rescuer in
pediatric CPR is:
A. 15:2
B. 30:2
C. 100:2
D. 30:2
Rationale: For single rescuer pediatric CPR, the recommended
ratio is 30 compressions to 2 breaths.
4. For a two-rescuer pediatric CPR, the compression-to-ventilation
ratio is:
A. 30:2
B. 15:2
C. 15:2
D. 5:1
Rationale: Two-rescuer pediatric CPR allows for 15 compressions
to 2 breaths to improve circulation and oxygenation.
5. The first step in pediatric assessment is:
A. Start chest compressions
B. Ensure the scene is safe
C. Administer oxygen
D. Establish IV access
Rationale: Always ensure scene safety before approaching any
patient.
6. The most accurate method to assess a child’s pulse is:
A. Carotid in infants
B. Radial in newborns
C. Brachial in infants under 1 year
, D. Femoral in adolescents
Rationale: The brachial pulse is recommended for infants under 1
year for accuracy.
7. Signs of inadequate perfusion in a child include all EXCEPT:
A. Pale or mottled skin
B. Rapid capillary refill
C. Weak pulses
D. Bradycardia
Rationale: Bradycardia is a late sign of shock in children; early
signs include tachycardia, weak pulses, and pallor.
8. The preferred method for delivering oxygen to a child in
respiratory distress is:
A. Nasal cannula at 1-2 L/min
B. Blow-by oxygen at high flow
C. Intubation immediately
D. No oxygen unless SpO2 <90%
Rationale: Blow-by oxygen is less invasive and effective for children
in respiratory distress.
9. The primary cause of pediatric cardiac arrest is usually:
A. Trauma
B. Respiratory failure or shock
C. Myocardial infarction
D. Arrhythmia
Rationale: Unlike adults, most pediatric cardiac arrests are
secondary to hypoxia or shock.
10. When assessing breathing in an infant, which is true?
A. Count for 10 seconds
