NPS Exam Questions And Answers
What are the four critical life functions listed in order of priority? Correct Answer 1. Ventilation -
inhale O2, exhale CO2
2. Oxygenation - getting O2 into the blood
3. Circulation - heart beating to move blood around to get O2 to all parts of body
4. Perfusion - blood pressure; pressures to perfuse tissue to deliver oxygen to body cells
What is the first step in patient assessment? Correct Answer Check the chart
What would be the next steps in patient assessment? Correct Answer History and Physical Exam and
check radiographs
Which of the four critical life functions are the first priority? Correct Answer Ventilation
What is the definition of an emergency? Correct Answer When one or more of the life functions are
being threatened.
What assessments would measure how well a patient is ventilating? Correct Answer RR, breath
sounds, tidal volume, chest movement; vital signs
How would you know that a patient is having a problem with oxygenation? Correct Answer HEART
RATE! This is the first thing to change if you're not oxygenating. Color, sensorium
How will you know if a patient is circulating? Correct Answer what kind of pulse, capillary refill,
cardiac output
What is the main parameter to know if someone is perfusing? Correct Answer blood pressure
What other ways can perfusion be measured? Correct Answer temperature, sensorium, urine output
What is the most common life function problem? Correct Answer oxygenation
What is the first drug given to everybody? Correct Answer oxygen
, NPS Exam Questions And Answers
What items should be reviewed in a patient's chart before giving respiratory therapy treatments?
Correct Answer everything
What is the age of a fetus neonate, infant, child, adolescent? Correct Answer Fetus = Before birth
Neonate = 0-1 month
Infant = 1 month to 1 year
Child = 1 year to puberty
Adolescent = puberty to adult
What are the most important electrolytes and what is their function? Correct Answer sodium,
chloride, potassium
What is the normal neonatal electrolyte value for sodium, chloride, and potassium? Correct Answer
Sodium = 133-149 mEq/L
Chloride = 87-114 mEq/L
Potassium = 5.3-6.4 mEq/L
What is the normal urine output level for an infant? Correct Answer 2 mL/kg per hour
What values are included in the CBC and what are the normal values? Correct Answer RBC = 4.1-5.7
mm3 WBC = 6,800-14,300 mm3 (neonates may have a higher normal WBC)
Hematocrit = 37.4-56.1%
Hemoglobin = 12.7-18.6
g/dL
low on RBC = low on hemoglobin = oxygenation affected
RBC x 3 = hemoglobin
Hemoglobin x 3 = hematocrit (know this)
What is the normal type of hemoglobin? Correct Answer Hemoglobin A
, NPS Exam Questions And Answers
What is a Coomb's test? Correct Answer incomapatabilty; RH Factor; give Rogham
What does bilirubin help to evaluate? Correct Answer peaks during pregnancy, after delivery rises
after few days and then falls; if baby jaundice = bilirubin problem
What is the normal value for bilirubin for a full term infant at birth? Correct Answer 4-5 mg/dL at
birth
How is hyper bilirubin treated? Correct Answer phototherapy
What is the normal glucose level for a term infant? Correct Answer 55-115 mg/dL
What is the most common cause of hyperglycemia in the newborn? Correct Answer infection or
sepsis
What are 3 causes of hypoglycemia in the newborn? Correct Answer happens when mom is diabetic;
prematurity, hypothermia, shock, sepsis
What procedure is required to obtain fluid for L/S ratio measurement? Correct Answer
amniocentesis; very invasive
What is the significance of an L/S Ratio of 1:1? Correct Answer Anything less than
2:1 = not mature lungs = increased risk for RDS
How long does it take to get the results of the Shake Test? Correct Answer 15 minutes
What is the significance of the presence of bubbles in the Shake Test Fluid? Correct Answer presence
of mature surfactant
What information is obtained from evaluation of PG and PC levels? Correct Answer lung maturity
levels
PG is best and most reliable indicator of lung maturity
, NPS Exam Questions And Answers
What factors in the maternal history would indicate a high risk pregnancy? Correct Answer current
age - less than 16 or older than 40; prenatal care; smoking; caffeine; fetal alcohol syndrome;
nutrition; diabetes; how many previous live births
What size of babies will diabetic mothers deliver? Correct Answer Big babies; they look full term, but
they aren't
What is the significance of a Group B Strep Infection in the mother? Correct Answer Can pass right
on to baby during delivery. Baby will be in distress.
Define Para. Correct Answer Number of pregnancies resulting in live birth
Define Gravida. Correct Answer Number of pregnancies
What is the difference between pre-eclampsia and eclampsia and when does this occur? Correct
Answer Pre-eclampsia = high blood pressure; pregnancy induced hypertension; protein in urine
Full Eclampsia = high blood pressure resulting in seizures or coma
Occurs when mother has hypertension; mag sulfate is used to lower blood pressure, rest, diet, salt
restrictions
Why are C-sections done and why is the infant at greater risk with this type of delivery? Correct
Answer If mom is high risk, General Anesthesia can cause fetal depression
What drugs are used to induce labor and when we would induce labor? Correct Answer Pitocin or
oxytocin; used when mother has hypertension
What is the action of a tocolytic agent and what are the 2 most commonly used? Correct Answer
Inhibits contractions
mag sulfate = anti-convulsant
tributaline = beta sympathomimemtic - relaxes smooth muscle
What are the four critical life functions listed in order of priority? Correct Answer 1. Ventilation -
inhale O2, exhale CO2
2. Oxygenation - getting O2 into the blood
3. Circulation - heart beating to move blood around to get O2 to all parts of body
4. Perfusion - blood pressure; pressures to perfuse tissue to deliver oxygen to body cells
What is the first step in patient assessment? Correct Answer Check the chart
What would be the next steps in patient assessment? Correct Answer History and Physical Exam and
check radiographs
Which of the four critical life functions are the first priority? Correct Answer Ventilation
What is the definition of an emergency? Correct Answer When one or more of the life functions are
being threatened.
What assessments would measure how well a patient is ventilating? Correct Answer RR, breath
sounds, tidal volume, chest movement; vital signs
How would you know that a patient is having a problem with oxygenation? Correct Answer HEART
RATE! This is the first thing to change if you're not oxygenating. Color, sensorium
How will you know if a patient is circulating? Correct Answer what kind of pulse, capillary refill,
cardiac output
What is the main parameter to know if someone is perfusing? Correct Answer blood pressure
What other ways can perfusion be measured? Correct Answer temperature, sensorium, urine output
What is the most common life function problem? Correct Answer oxygenation
What is the first drug given to everybody? Correct Answer oxygen
, NPS Exam Questions And Answers
What items should be reviewed in a patient's chart before giving respiratory therapy treatments?
Correct Answer everything
What is the age of a fetus neonate, infant, child, adolescent? Correct Answer Fetus = Before birth
Neonate = 0-1 month
Infant = 1 month to 1 year
Child = 1 year to puberty
Adolescent = puberty to adult
What are the most important electrolytes and what is their function? Correct Answer sodium,
chloride, potassium
What is the normal neonatal electrolyte value for sodium, chloride, and potassium? Correct Answer
Sodium = 133-149 mEq/L
Chloride = 87-114 mEq/L
Potassium = 5.3-6.4 mEq/L
What is the normal urine output level for an infant? Correct Answer 2 mL/kg per hour
What values are included in the CBC and what are the normal values? Correct Answer RBC = 4.1-5.7
mm3 WBC = 6,800-14,300 mm3 (neonates may have a higher normal WBC)
Hematocrit = 37.4-56.1%
Hemoglobin = 12.7-18.6
g/dL
low on RBC = low on hemoglobin = oxygenation affected
RBC x 3 = hemoglobin
Hemoglobin x 3 = hematocrit (know this)
What is the normal type of hemoglobin? Correct Answer Hemoglobin A
, NPS Exam Questions And Answers
What is a Coomb's test? Correct Answer incomapatabilty; RH Factor; give Rogham
What does bilirubin help to evaluate? Correct Answer peaks during pregnancy, after delivery rises
after few days and then falls; if baby jaundice = bilirubin problem
What is the normal value for bilirubin for a full term infant at birth? Correct Answer 4-5 mg/dL at
birth
How is hyper bilirubin treated? Correct Answer phototherapy
What is the normal glucose level for a term infant? Correct Answer 55-115 mg/dL
What is the most common cause of hyperglycemia in the newborn? Correct Answer infection or
sepsis
What are 3 causes of hypoglycemia in the newborn? Correct Answer happens when mom is diabetic;
prematurity, hypothermia, shock, sepsis
What procedure is required to obtain fluid for L/S ratio measurement? Correct Answer
amniocentesis; very invasive
What is the significance of an L/S Ratio of 1:1? Correct Answer Anything less than
2:1 = not mature lungs = increased risk for RDS
How long does it take to get the results of the Shake Test? Correct Answer 15 minutes
What is the significance of the presence of bubbles in the Shake Test Fluid? Correct Answer presence
of mature surfactant
What information is obtained from evaluation of PG and PC levels? Correct Answer lung maturity
levels
PG is best and most reliable indicator of lung maturity
, NPS Exam Questions And Answers
What factors in the maternal history would indicate a high risk pregnancy? Correct Answer current
age - less than 16 or older than 40; prenatal care; smoking; caffeine; fetal alcohol syndrome;
nutrition; diabetes; how many previous live births
What size of babies will diabetic mothers deliver? Correct Answer Big babies; they look full term, but
they aren't
What is the significance of a Group B Strep Infection in the mother? Correct Answer Can pass right
on to baby during delivery. Baby will be in distress.
Define Para. Correct Answer Number of pregnancies resulting in live birth
Define Gravida. Correct Answer Number of pregnancies
What is the difference between pre-eclampsia and eclampsia and when does this occur? Correct
Answer Pre-eclampsia = high blood pressure; pregnancy induced hypertension; protein in urine
Full Eclampsia = high blood pressure resulting in seizures or coma
Occurs when mother has hypertension; mag sulfate is used to lower blood pressure, rest, diet, salt
restrictions
Why are C-sections done and why is the infant at greater risk with this type of delivery? Correct
Answer If mom is high risk, General Anesthesia can cause fetal depression
What drugs are used to induce labor and when we would induce labor? Correct Answer Pitocin or
oxytocin; used when mother has hypertension
What is the action of a tocolytic agent and what are the 2 most commonly used? Correct Answer
Inhibits contractions
mag sulfate = anti-convulsant
tributaline = beta sympathomimemtic - relaxes smooth muscle
