RCP 170 EVALUATION EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔A newborn presents with sudden tachypnea, hypoxemia, or hypercarbia, & severe
hypotension. What condition might the therapist immediately suspect?
A) Atelectasis
B) Bronchopulmonary dyplasia
C) Pulmonary interstitial emphysema
D) Pneumothorax - ✔✔Pneumothorax
✔✔Immediately after delivery of a newborn, where should the therapist place the pulse
oximetry to obtain readings reflecting preductal oxygenation?
A) On the left wrist
B) On the right thigh
C) On the right wrist
D) On the left thigh - ✔✔On the right wrist
✔✔To score a newborn using APGAR, which of the following components should be
assessed? (select all that apply)
-Skin color
-Muscle tone
-Respiratory effort
-Heart rate
-Reflex/irritability - ✔✔all the above
✔✔Which of the following vessels return blood to the right ventricle?
I. Pulmonary vein
II. Inferior vena cava
III. Superior vena cava
IV. Coronary sinus
A) I and IV
B) II and III
C) I, II, and III
D) II, III, and IV - ✔✔II, III, and IV
✔✔Why must supplemental oxygen be judiciously administered to patients with an
atrioventricular canal defect?
A) To prevent the development of retinopathy of prematurity
B) To avoid oxygen-induced hypoventilation
C) To minimize pulmonary vascular dilation and pulmonary blood flow
,D) To reduce oxidative stress - ✔✔To minimize pulmonary vascular dilation and
pulmonary blood flow
✔✔The therapist is reviewing the chest radiograph of a preterm newborn and observes
diffuse, fine, reticulogranular densities, which provide a ground-glass appearance. On
the basis of these radiographic findings, which of the following conditions should the
therapist suspect is present?
A) Bronchopulmonary dysplasia
B) Pulmonary interstitial emphysema(PIE)
C) Persistent pulmonary hypertension of the newborn
D) Respiratory distress syndrome (RDS) - ✔✔Respiratory distress syndrome (RDS)
✔✔What is the typical type of airway obstruction that occurs with MAS?
A) Ball-Valve
B) No obstruction
C) Airway inflammation
D) Complete - ✔✔Ball-Valve
✔✔As the RT working in the NICU, what type of therapy(s) might you consider when
receiving a baby diagnoised with PPHN?
I: CMV
II: HFOV
III: Heliox
IV: iNO
A) I only
B) II only
C) I and III
D) II and IV - ✔✔II and IV
✔✔All of the following Congenital Heart Anomalies are ductal dependent EXCEPT:
A) Atrial Septal Defect
B) Transposition of the Great Arteries
C) Coarctation of the Aorta
D) Hypoplastic Left Heart Syndrome (HLHS) - ✔✔Atrial Septal Defect
✔✔What is the primary line of defense utilized to aide in the closure of a PDA?
A) Indomethacin
B) Digoxin
C) Pulmonary banding
D) Prostaglandin E - ✔✔Indomethacin
, ✔✔The most common cause of periglottic obstruction in the pediatric age group is
what?
A) Epiglottitis
B) Lower respiratory infection
C) Obstructive apnea
D) Croup - ✔✔Epiglottitis
✔✔Which of the following is associated with Croup? Choose the best answer.
A) Minimal cough
B) Subglottic narrowing
C) 2 -6 yrs of age
D) Bacterial - ✔✔Subglottic narrowing
✔✔Epiglottitis is represented by all the following signs EXCEPT?
A) Drooling
B) Sore throat
C) Viral
D) Bacterial - ✔✔viral
✔✔The most common cause of bronchiolitis in a majority of neonates is?
A) IVH
B) PNA
C) OSA
D) RSV - ✔✔RSV
✔✔Which one of the neonatal pulmonary diseases normally resolves itself within 48 to
72 hrs of birth?
A) Meconium Aspiration Syndrome
B) Persistent Pulmonary Hypertension of the Newborn
C) RDS
D)Transient Tachypnea of the Newborn - ✔✔Transient Tachypnea of the Newborn
✔✔What is true about NEC?
I: Related to premature neonates
II: A strong tie to the introduction of early external feeding
III: Ischemic tissue of the intestine
IV: Presents with abdominal distention
A) I & II
SOLUTIONS GRADED A+
✔✔A newborn presents with sudden tachypnea, hypoxemia, or hypercarbia, & severe
hypotension. What condition might the therapist immediately suspect?
A) Atelectasis
B) Bronchopulmonary dyplasia
C) Pulmonary interstitial emphysema
D) Pneumothorax - ✔✔Pneumothorax
✔✔Immediately after delivery of a newborn, where should the therapist place the pulse
oximetry to obtain readings reflecting preductal oxygenation?
A) On the left wrist
B) On the right thigh
C) On the right wrist
D) On the left thigh - ✔✔On the right wrist
✔✔To score a newborn using APGAR, which of the following components should be
assessed? (select all that apply)
-Skin color
-Muscle tone
-Respiratory effort
-Heart rate
-Reflex/irritability - ✔✔all the above
✔✔Which of the following vessels return blood to the right ventricle?
I. Pulmonary vein
II. Inferior vena cava
III. Superior vena cava
IV. Coronary sinus
A) I and IV
B) II and III
C) I, II, and III
D) II, III, and IV - ✔✔II, III, and IV
✔✔Why must supplemental oxygen be judiciously administered to patients with an
atrioventricular canal defect?
A) To prevent the development of retinopathy of prematurity
B) To avoid oxygen-induced hypoventilation
C) To minimize pulmonary vascular dilation and pulmonary blood flow
,D) To reduce oxidative stress - ✔✔To minimize pulmonary vascular dilation and
pulmonary blood flow
✔✔The therapist is reviewing the chest radiograph of a preterm newborn and observes
diffuse, fine, reticulogranular densities, which provide a ground-glass appearance. On
the basis of these radiographic findings, which of the following conditions should the
therapist suspect is present?
A) Bronchopulmonary dysplasia
B) Pulmonary interstitial emphysema(PIE)
C) Persistent pulmonary hypertension of the newborn
D) Respiratory distress syndrome (RDS) - ✔✔Respiratory distress syndrome (RDS)
✔✔What is the typical type of airway obstruction that occurs with MAS?
A) Ball-Valve
B) No obstruction
C) Airway inflammation
D) Complete - ✔✔Ball-Valve
✔✔As the RT working in the NICU, what type of therapy(s) might you consider when
receiving a baby diagnoised with PPHN?
I: CMV
II: HFOV
III: Heliox
IV: iNO
A) I only
B) II only
C) I and III
D) II and IV - ✔✔II and IV
✔✔All of the following Congenital Heart Anomalies are ductal dependent EXCEPT:
A) Atrial Septal Defect
B) Transposition of the Great Arteries
C) Coarctation of the Aorta
D) Hypoplastic Left Heart Syndrome (HLHS) - ✔✔Atrial Septal Defect
✔✔What is the primary line of defense utilized to aide in the closure of a PDA?
A) Indomethacin
B) Digoxin
C) Pulmonary banding
D) Prostaglandin E - ✔✔Indomethacin
, ✔✔The most common cause of periglottic obstruction in the pediatric age group is
what?
A) Epiglottitis
B) Lower respiratory infection
C) Obstructive apnea
D) Croup - ✔✔Epiglottitis
✔✔Which of the following is associated with Croup? Choose the best answer.
A) Minimal cough
B) Subglottic narrowing
C) 2 -6 yrs of age
D) Bacterial - ✔✔Subglottic narrowing
✔✔Epiglottitis is represented by all the following signs EXCEPT?
A) Drooling
B) Sore throat
C) Viral
D) Bacterial - ✔✔viral
✔✔The most common cause of bronchiolitis in a majority of neonates is?
A) IVH
B) PNA
C) OSA
D) RSV - ✔✔RSV
✔✔Which one of the neonatal pulmonary diseases normally resolves itself within 48 to
72 hrs of birth?
A) Meconium Aspiration Syndrome
B) Persistent Pulmonary Hypertension of the Newborn
C) RDS
D)Transient Tachypnea of the Newborn - ✔✔Transient Tachypnea of the Newborn
✔✔What is true about NEC?
I: Related to premature neonates
II: A strong tie to the introduction of early external feeding
III: Ischemic tissue of the intestine
IV: Presents with abdominal distention
A) I & II
