Kettering NPS Questions And Answers 100% All
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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 - 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 also 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 - 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
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d. Roll the patient to the right side for postural drainage - 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
b. High-flow cannula
c. Non-rebreather mask
d. Air entrainment mask - 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 - 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
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b.3 and 4 only
c. 1, 2 and 4 only
d. 1, 2, 3, and 4 - 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 - 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
d. Administer a mucolytic - 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
, Kettering NPS Questions And Answers 100% All
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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 - 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 - 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 - 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
Verified Solution 2024
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 - 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 also 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 - 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
, Kettering NPS Questions And Answers 100% All
Verified Solution 2024
d. Roll the patient to the right side for postural drainage - 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
b. High-flow cannula
c. Non-rebreather mask
d. Air entrainment mask - 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 - 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
, Kettering NPS Questions And Answers 100% All
Verified Solution 2024
b.3 and 4 only
c. 1, 2 and 4 only
d. 1, 2, 3, and 4 - 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 - 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
d. Administer a mucolytic - 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
, Kettering NPS Questions And Answers 100% All
Verified Solution 2024
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 - 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 - 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 - 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
