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Question 1
What is the pediatric dose for dextrose when treating hypoglycemia?
Correct Answer:
5-10 mL/kg
Explanation:
In pediatric hypoglycemia you treat with a fixed amount of glucose scaled to the child’s weight: 0.5 g of dextrose per kilogram of body weight. When using a 10% dextrose solution, that translates to about 5 mL per kilogram (since 10% dextrose is 0.1 g per mL, and 0.5 g/kg ÷ 0.1 g/mL = 5 mL/kg). In practice, many EMS and PEPP-style guidelines present a range of 5–10 mL/kg to account for slight concentration differences and the need to reassess after the bolus. So the listed volume range aligns with delivering the target 0.5 g/kg dose using commonly available concentrations. If you know the exact concentration, you can adjust precisely: 2 mL/kg of 25% dextrose also delivers 0.5 g/kg, or 1 mL/kg of 50% dextrose delivers 0.5 g/kg.
Question 2
What is the most common cause of seizures in children?
Correct Answer:
Fever
Explanation:
Fever is the most common trigger for seizures in children, especially during viral illnesses in the age range roughly 6 months to 5 years. These febrile seizures occur when a fever is present and the immature nervous system is more prone to convulsing; they’re typically brief and generalized and do not imply epilepsy. That makes fever the leading cause among pediatric seizures. Other causes like head injury, electrolyte disturbances, or infections can provoke seizures, but they are far less common overall compared with febrile seizures in this population. In practice, a child with a fever who has a seizure is most often experiencing a febrile seizure, and management centers on protecting the airway and circulation, controlling the fever, and evaluating for serious conditions only if red flags appear.
Question 3
For a seizure in a child, which route is used for midazolam administration in prehospital care?
Correct Answer:
Intranasal
Explanation:
In prehospital pediatric seizures, delivering a benzodiazepine in a noninvasive, rapid-acting way is essential. Intranasal midazolam fits that need because the nasal mucosa allows quick absorption, producing a rapid onset without the need to secure IV access. This is particularly important when a child is actively seizing and is difficult to cannulate, reducing the time to seizure control and avoiding the pain and distress of injections. Oral administration is unreliable during a seizure due to risk of aspiration and unpredictable absorption. Intravenous access, while effective, can be hard to obtain in the field during an active seizure. Intramuscular administration can work but involves a painful injection and can have slower onset or variable absorption compared with intranasal delivery. Therefore intranasal midazolam is favored for the prehospital management of seizures in children.
Question 4
The Pediatric Assessment Triangle (PAT) is used to quickly determine a child's overall status.
Correct Answer:
It is used to quickly determine a child's overall status
Explanation:
PAT is a rapid triage tool to determine a child's overall status by quickly assessing three domains: appearance, work of breathing, and circulation to the skin. This trio provides a fast snapshot of how ill a child is and helps you prioritize interventions and transport decisions right away. It isn’t meant to replace full diagnostic testing at the scene; instead, it guides immediate priorities based on the child’s initial condition. Because it includes appearance and perfusion, it covers more than just respiratory status. And it’s designed for use in prehospital and emergency settings, not only in hospitals, to quickly identify children who are deteriorating versus those who are relatively stable.
Question 5
If a 12 kg child in asystole/PEA receives epinephrine, what is the total dose?
Correct Answer:
0.12 mg
Explanation:
In pediatric CPR, epinephrine is given at 0.01 mg per kilogram per dose IV/IO, repeated every 3–5 minutes. For a 12 kg child, that dose is 0.01 mg/kg × 12 kg = 0.12 mg per dose. So the total dose is 0.12 mg. If you’re thinking in terms of dilution, the common IV/IO preparation is 1:10,000 epinephrine (0.1 mg/mL). That means 0.12 mg corresponds to about 1.2 mL of that solution, but the mass dose you’re reporting here is 0.12 mg. The other numbers represent doses that are tenfold or hundredfold off from the correct 0.12 mg.
Question 1
Exam overview

About this Exam

The PEPP Practice Exam is your essential tool to prepare for the official Pediatric Education for Prehospital Professionals (PEPP) certification. PEPP, developed by the American Academy of Pediatrics (AAP), is a comprehensive course that teaches prehospital providers how to better assess and manage ill or injured children, focusing on the unique demands of emergency pediatric care from infancy through adolescence. This vital training is designed for all levels of prehospital professionals—including Emergency Medical Responders (EMRs), Emergency Medical Technicians (EMTs), Advanced EMTs (AEMTs), and Paramedics—as well as other healthcare providers responsible for the emergency care of children. By utilizing a PEPP Practice Exam, you are not just preparing for a test; you are solidifying the critical-thinking skills and knowledge base necessary to save young lives.

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Additional Information

What the Course Entails and Exam Details

The full PEPP certification involves a robust educational program offered in two levels: Basic Life Support (BLS), geared towards EMRs and EMTs, and Advanced Life Support (ALS), designed for AEMTs and Paramedics. The course can be completed in an entirely Onsite format or a Hybrid format that combines self-directed online modules with an intensive onsite session.

Both formats require completion of precourse work, including reading the Pediatric Education for Prehospital Professionals, Fourth Edition textbook and taking a pretest. The core curriculum covers a wide array of critical topics, including, but not limited to:

  • Applying the Pediatric Assessment Triangle (PAT), the foundational tool for rapid pediatric assessment.

  • Recognizing and managing Respiratory Emergencies, from upper airway obstruction to lower airway disease.

  • Identifying and treating Shock and Cardiovascular Emergencies, including cardiac arrest and vascular access.

  • Assessing and managing Trauma, including head and spinal injuries.

  • Handling diverse Medical Emergencies, such as seizures, behavioral issues, and altered mental status.

  • Specialized modules on Emergency Delivery and Newborn Stabilization, Toxic Exposures, Child Maltreatment, Sudden Infant Death Syndrome (SIDS), and caring for Children with Special Health Care Needs.


What to Expect in the Final Exam

It is crucial to understand that a PEPP Practice Exam is a learning tool, and success on it does not grant official certification. To earn your official PEPP Course Completion Certificate (valid for 2 years and eligible for CAPCE credits), you must enroll in and successfully complete an authorized PEPP course, which culminates in an official final examination.

The official PEPP final exam includes two key components, designed to test both your cognitive knowledge and your practical application skills:

  1. A Written Knowledge Exam: This is a multiple-choice exam that rigorously tests your understanding of the core concepts, assessment tools (like the PAT), and management strategies. Students must achieve a passing score, typically 80% or higher, to pass. The number of questions and time limit are specific to the BLS or ALS level but are designed to be efficient.

  2. A Practical Skills Assessment: This component of the final exam is hands-on and requires you to demonstrate competency in critical pediatric skills in scenario-based stations. This can include skills like pediatric airway management, bag-mask ventilation, spinal motion restriction, vascular access (ALS), and newborn resuscitation.


How to Study and Exam Centers

Preparation for the official PEPP final exam must be dual-focused: building your knowledge and honing your practical skills. The most essential step in your study plan is to deeply read and study the current Pediatric Education for Prehospital Professionals (PEPP), Fourth Edition textbook. Combine this with the complete precourse work (online modules or a pretest, depending on your format), which provides a strong baseline.

To bridge the gap between reading and the test, use PEPP Practice Exams from reputable sources. These simulate the official written exam's format and question types, helping you to identify weak areas, understand the logic behind correct answers, and practice time management. For your practical stations, form study groups with colleagues to run scenarios and receive peer feedback.

To take the official final exam and obtain certification, you cannot book a slot at a standard testing center like Pearson VUE. Instead, you must register for an official PEPP course. You can find authorized PEPP courses and Course Coordinators through the official PEPP website (peppsite.com), local EMS agencies, hospitals, or specialized training schools. The knowledge and practical exams are always proctored by an authorized instructor and conducted at the course's location.


Job Opportunities from the Course

A PEPP certification provides specialized skills that make you invaluable in any role that handles pediatric emergencies, directly contributing to job security and advancement. This certification strongly boosts job applications and is often a preferred or mandatory qualification for specialized prehospital roles. Job opportunities include, but are not limited to:

  • Paramedic

  • Emergency Medical Technician (EMT - Basic or Advanced)

  • Emergency Medical Responder (EMR)

  • Flight Paramedic

  • Critical Care Transport Paramedic / Nurse

  • Pediatric Emergency Room Nurse

  • Pediatric Transport Specialist

  • Tactical Paramedic (with appropriate additional training)

  • Offshore/Remote Medic

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