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KETTERING NPS 140 QUESTIONS AND ANSWERS
100% ALL VERIFIED SOLUTION 2026 LATEST
UPDATE ALREADY GRADED A
Which of the following should the neonatal/pediatric specialist recommend for an 8 year-old
child with cerebral atrophy and poor cognitive skills in order to promote bronchial hygiene
while delivering a bronchodilator?
a. intermittent positive pressure breathing
b. intrapulmonary percussive ventilation
c. external chest wall percussive device
d. in-exsufflator - CORRECT ANSWER>>b. intrapulmonary percussive ventilation
A 9 year-old boy was diagnosed with congenital muscular dystrophy at age 3 after having
frequent falls, difficulty getting up from a sitting position and walking on his toes. He al so has
learning disabilities and difficulty with psychomotor coordination. After an episode of influenza,
he has an ineffective cough and is retaining secretions. Which of the following should the
neonatal/pediatric specialist recommend to assist with airway clearance? a. Cool aerosol
b. PEP device
c. In-exsufflator
d. IPPB therapy - CORRECT ANSWER>>c. in-exsufflator
A 9-year-old child aspirates while eating gummy bears with her twin sister. She was laying on
her left side at the time of aspiration. The child is in no apparent distress. The
neonatal/pediatric specialist quickly suctions the child. What should the specialist do next?
a. Sit the patient up and perform the Heimlich maneuver
b. Order a chest x-ray
c. Perform back blows
d. Roll the patient to the right side for postural drainage - CORRECT ANSWER>>d. roll the
patient to the right side for postural drainage
A 15-year-old patient with asthma presents to the ED in moderate distress. After several hours
of treatment, no clinical improvement has occurred. The physician has ordered heliox therapy.
Which of the following should the neonatal/pediatric specialist select for delivery of this
therapy?
a. Nasal cannula
,2
b. High-flow cannula
c. Non-rebreather mask
d. Air entrainment mask - CORRECT ANSWER>>c. non-rebreather mask
A neonatal/pediatric specialist is called to the ED to administer a bronchodilator to a 7-year-old
child with asthma. The child is on oxygen via nasal cannula at 2L/min. Pulse oximetry reveals a
saturation of 84%. The specialst finds the end of the oxygen tubing under the chair of the
mother at the bedside. The specialist reattaches the tubing and notes that the SpO2 is now
93%. The specialist should
a. Maintain the current oxygen flow
b. Change the device to a non-rebreather mask
c. Increase the oxygen flow
d. Contact the ED physician - CORRECT ANSWER>>a. maintain the current oxygen flow
Which of the following could cause a loss of pressure during delivery of nasal CPAP to a
neonate? 1. Baby is crying 2. Insufficient flow 3. Obstruction 4 misplaced nasal prongs
a. 1 and 2 only
b.3 and 4 only
c. 1, 2 and 4 only
d. 1, 2, 3, and 4 - CORRECT ANSWER>>c. 1, 2 and 4 only
A 7 year-old child was rescued from a burning building and brought to the ED for treatment.
Upon arrival, the child was placed on oxygen via a non-rebreather mask. The neonatal/pediatric
specialist notes that when the child inhales, the reservoir bag remains completely inflated. The
specialist should
a. Monitor the patient with pulse oximetry
b. Adjust the seal on the face mask
c. Increase the oxygen flow
d. Change the patient to an air-entrainment mask - CORRECT ANSWER>>b. adjust the seal on
the face mask
A 14-year-old patient is receiving volume-control ventilation with a hygroscopic condenser
humidifier following multiple trauma. Twelve hours after initiation of mechanical ventilation,
the neonatal/pediatric specialist notes an increase in the viscosity of the patient's secretions.
The specialist should
a. Administer a short acting bronchodilator
b. Suction the patient frequently
c. Change to a heated wick humidifier
,3
d. Administer a mucolytic - CORRECT ANSWER>>c. change to a heated wick humidifier
A 3-year-old child arrives at the ED with a cough and increasing shortness of breath. The
neonatal/pediatric specialist notes bilateral expiratory wheezes and moderate intercostal
and subcostal retractions. Which of the following should the specialist utilize to deliver a
short acting beta agonist to the patient? a. Small volume nebulizer
b. Ultrasonic nebulizer
c. Small particle aerosol generator
d. Metered dose inhaler - CORRECT ANSWER>>a. small volume nebulizer
A 3-year-old child with a respiratory rate of 34/minute and oxygen saturation of 87% is on 50%
oxygen via a simple mask. Which of the following should the neonatal/pediatric specialist
recommend?
a. Maintain current therapy
b. 40% air entrainment mask
c. Oxygen hood with 50% oxygen
d. High flow nasal cannula - CORRECT ANSWER>>d. high flow nasal cannula
A neonatal/pediatric specialist is using a galvanic fuel cell to analyze the FiO2 for a neonate in
an oxyhood. The specialist is unable to calibrate the oxygen analyzer. The most appropriate
action would be to
a. Replace the battery
b. Change the fuel cell
c. Check the electrolyte level
d. Obtain a mass spectrometer - CORRECT ANSWER>>b. change the fuel cell
A 10-year-old boy is to perform hyperinflation with an incentive spirometer following
abdominal surgery. Preoperative spirometry documented a vital capacity of 2400 mL and an
inspiratory capacity of 1400mL. The neonatal/pediatric specialist should set the initial volume
goal on the incentive spirometer at a. 700 mL
b. 1200 mL
c. 1400 mL
d. 2400 mL - CORRECT ANSWER>>a. 700 mL
A 3-year-old with asthma receives albuterol via MDI with a spacer for episodes of wheezing and
coughing. Her mother reports that the symptoms seem to persist for a while following
administration of the medication. To improve the efficacy of this medication, the
neonatal/pediatric specialist should recommend a. Removing the spacer
, 4
b. Switching to a small volume nebulizer
c.Holding the spacer 1-2 inches in front of the child's lips
d. Incorporating a mask with the MDI and spacer - CORRECT ANSWER>>d. incorporating a mask
with the MDI and spacer
The neonatal/pediatric specialist collects a sputum sample for culture and sensitivity from a
14year-old child with pneumonia, labels the sample, and sends it to the laboratory. Several
hours later, the specialist checks the medical record and notes that upon microscopic
examination, the medical technologist reports that there were 20 squamous cells seen in the
sample in the low power field. The specialist should
a. Collect an additional sputum sample
b. Wait for further evaluation of the sample
c. Ask the medical technologist to discard the sample.
d. Recommend antimicrobial therapy - CORRECT ANSWER>>b. wait for further evaluation of
the sample
The neonatal/pediatric specialist confirms an order for a 12-year-old to receive 50% oxygen
with heated aersol via face mask. The specialist observes that a large volume nebulizer with
heater is connected to an air-oxygen proportioner. The air-oxygen proportioner FiO2 is set at
0.50 at a flow of 15L/min. The air entrainment port on the nebulizer is set to deliver an FiO2 of
0.50. The specialist should
a. Increase the flow to the air-oxygen proportioner
b. Set the FiO2 on the air-oxygen proportioner to 0.75
c. Set the air entrainment port on the nebulizer to 1.00
d. Analyze the gas mixture with the galvanic fuel cell - CORRECT ANSWER>>c. set the air
entrainment port on the nebulizer to 1.00
The neonatal/pediatric specialist is assisting the pediatric pulmonologist during a flexible
fiberoptic bronchoscopy on a 4-year-old following a near drowning. The child begins coughing
as the physician advances the bronchoscope. Which of the following should the specialist
recommend?
a. Cetacaine
b. Succinylcholine
c. Racemic epinephrine
d. ketamine - CORRECT ANSWER>>a. cetacaine
KETTERING NPS 140 QUESTIONS AND ANSWERS
100% ALL VERIFIED SOLUTION 2026 LATEST
UPDATE ALREADY GRADED A
Which of the following should the neonatal/pediatric specialist recommend for an 8 year-old
child with cerebral atrophy and poor cognitive skills in order to promote bronchial hygiene
while delivering a bronchodilator?
a. intermittent positive pressure breathing
b. intrapulmonary percussive ventilation
c. external chest wall percussive device
d. in-exsufflator - CORRECT ANSWER>>b. intrapulmonary percussive ventilation
A 9 year-old boy was diagnosed with congenital muscular dystrophy at age 3 after having
frequent falls, difficulty getting up from a sitting position and walking on his toes. He al so has
learning disabilities and difficulty with psychomotor coordination. After an episode of influenza,
he has an ineffective cough and is retaining secretions. Which of the following should the
neonatal/pediatric specialist recommend to assist with airway clearance? a. Cool aerosol
b. PEP device
c. In-exsufflator
d. IPPB therapy - CORRECT ANSWER>>c. in-exsufflator
A 9-year-old child aspirates while eating gummy bears with her twin sister. She was laying on
her left side at the time of aspiration. The child is in no apparent distress. The
neonatal/pediatric specialist quickly suctions the child. What should the specialist do next?
a. Sit the patient up and perform the Heimlich maneuver
b. Order a chest x-ray
c. Perform back blows
d. Roll the patient to the right side for postural drainage - CORRECT ANSWER>>d. roll the
patient to the right side for postural drainage
A 15-year-old patient with asthma presents to the ED in moderate distress. After several hours
of treatment, no clinical improvement has occurred. The physician has ordered heliox therapy.
Which of the following should the neonatal/pediatric specialist select for delivery of this
therapy?
a. Nasal cannula
,2
b. High-flow cannula
c. Non-rebreather mask
d. Air entrainment mask - CORRECT ANSWER>>c. non-rebreather mask
A neonatal/pediatric specialist is called to the ED to administer a bronchodilator to a 7-year-old
child with asthma. The child is on oxygen via nasal cannula at 2L/min. Pulse oximetry reveals a
saturation of 84%. The specialst finds the end of the oxygen tubing under the chair of the
mother at the bedside. The specialist reattaches the tubing and notes that the SpO2 is now
93%. The specialist should
a. Maintain the current oxygen flow
b. Change the device to a non-rebreather mask
c. Increase the oxygen flow
d. Contact the ED physician - CORRECT ANSWER>>a. maintain the current oxygen flow
Which of the following could cause a loss of pressure during delivery of nasal CPAP to a
neonate? 1. Baby is crying 2. Insufficient flow 3. Obstruction 4 misplaced nasal prongs
a. 1 and 2 only
b.3 and 4 only
c. 1, 2 and 4 only
d. 1, 2, 3, and 4 - CORRECT ANSWER>>c. 1, 2 and 4 only
A 7 year-old child was rescued from a burning building and brought to the ED for treatment.
Upon arrival, the child was placed on oxygen via a non-rebreather mask. The neonatal/pediatric
specialist notes that when the child inhales, the reservoir bag remains completely inflated. The
specialist should
a. Monitor the patient with pulse oximetry
b. Adjust the seal on the face mask
c. Increase the oxygen flow
d. Change the patient to an air-entrainment mask - CORRECT ANSWER>>b. adjust the seal on
the face mask
A 14-year-old patient is receiving volume-control ventilation with a hygroscopic condenser
humidifier following multiple trauma. Twelve hours after initiation of mechanical ventilation,
the neonatal/pediatric specialist notes an increase in the viscosity of the patient's secretions.
The specialist should
a. Administer a short acting bronchodilator
b. Suction the patient frequently
c. Change to a heated wick humidifier
,3
d. Administer a mucolytic - CORRECT ANSWER>>c. change to a heated wick humidifier
A 3-year-old child arrives at the ED with a cough and increasing shortness of breath. The
neonatal/pediatric specialist notes bilateral expiratory wheezes and moderate intercostal
and subcostal retractions. Which of the following should the specialist utilize to deliver a
short acting beta agonist to the patient? a. Small volume nebulizer
b. Ultrasonic nebulizer
c. Small particle aerosol generator
d. Metered dose inhaler - CORRECT ANSWER>>a. small volume nebulizer
A 3-year-old child with a respiratory rate of 34/minute and oxygen saturation of 87% is on 50%
oxygen via a simple mask. Which of the following should the neonatal/pediatric specialist
recommend?
a. Maintain current therapy
b. 40% air entrainment mask
c. Oxygen hood with 50% oxygen
d. High flow nasal cannula - CORRECT ANSWER>>d. high flow nasal cannula
A neonatal/pediatric specialist is using a galvanic fuel cell to analyze the FiO2 for a neonate in
an oxyhood. The specialist is unable to calibrate the oxygen analyzer. The most appropriate
action would be to
a. Replace the battery
b. Change the fuel cell
c. Check the electrolyte level
d. Obtain a mass spectrometer - CORRECT ANSWER>>b. change the fuel cell
A 10-year-old boy is to perform hyperinflation with an incentive spirometer following
abdominal surgery. Preoperative spirometry documented a vital capacity of 2400 mL and an
inspiratory capacity of 1400mL. The neonatal/pediatric specialist should set the initial volume
goal on the incentive spirometer at a. 700 mL
b. 1200 mL
c. 1400 mL
d. 2400 mL - CORRECT ANSWER>>a. 700 mL
A 3-year-old with asthma receives albuterol via MDI with a spacer for episodes of wheezing and
coughing. Her mother reports that the symptoms seem to persist for a while following
administration of the medication. To improve the efficacy of this medication, the
neonatal/pediatric specialist should recommend a. Removing the spacer
, 4
b. Switching to a small volume nebulizer
c.Holding the spacer 1-2 inches in front of the child's lips
d. Incorporating a mask with the MDI and spacer - CORRECT ANSWER>>d. incorporating a mask
with the MDI and spacer
The neonatal/pediatric specialist collects a sputum sample for culture and sensitivity from a
14year-old child with pneumonia, labels the sample, and sends it to the laboratory. Several
hours later, the specialist checks the medical record and notes that upon microscopic
examination, the medical technologist reports that there were 20 squamous cells seen in the
sample in the low power field. The specialist should
a. Collect an additional sputum sample
b. Wait for further evaluation of the sample
c. Ask the medical technologist to discard the sample.
d. Recommend antimicrobial therapy - CORRECT ANSWER>>b. wait for further evaluation of
the sample
The neonatal/pediatric specialist confirms an order for a 12-year-old to receive 50% oxygen
with heated aersol via face mask. The specialist observes that a large volume nebulizer with
heater is connected to an air-oxygen proportioner. The air-oxygen proportioner FiO2 is set at
0.50 at a flow of 15L/min. The air entrainment port on the nebulizer is set to deliver an FiO2 of
0.50. The specialist should
a. Increase the flow to the air-oxygen proportioner
b. Set the FiO2 on the air-oxygen proportioner to 0.75
c. Set the air entrainment port on the nebulizer to 1.00
d. Analyze the gas mixture with the galvanic fuel cell - CORRECT ANSWER>>c. set the air
entrainment port on the nebulizer to 1.00
The neonatal/pediatric specialist is assisting the pediatric pulmonologist during a flexible
fiberoptic bronchoscopy on a 4-year-old following a near drowning. The child begins coughing
as the physician advances the bronchoscope. Which of the following should the specialist
recommend?
a. Cetacaine
b. Succinylcholine
c. Racemic epinephrine
d. ketamine - CORRECT ANSWER>>a. cetacaine
