1
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Kettering NPS Questions and Answers
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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?
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a. intermittent positive pressure breathing
b. intrapulmonary percussive ventilation
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c. external chest wall percussive device
d. in-exsufflator [ Ans: ] 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 [ Ans: ] 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?
, 2
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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 [ Ans: ]
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
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b. High-flow cannula
c. Non-rebreather mask
d. Air entrainment mask [ Ans: ] c. non-rebreather mask
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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 [ Ans: ] 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
, 3
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c. 1, 2 and 4 only
d. 1, 2, 3, and 4 [ Ans: ] 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
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d. Change the patient to an air-entrainment mask [ Ans: ] b.
adjust the seal on the face mask
A 14-year-old patient is receiving volume-control ventilation with a
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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 [ Ans: ] 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
, 4
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d. Metered dose inhaler [ Ans: ] 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 [ Ans: ] 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
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unable to calibrate the oxygen analyzer. The most appropriate
action would be to
a. Replace the battery
b. Change the fuel cell
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c. Check the electrolyte level
d. Obtain a mass spectrometer [ Ans: ] 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 [ Ans: ] 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
For Expert help and assignment solutions, +254707240657
Kettering NPS Questions and Answers
(100% Correct Answers) 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?
© 2025 Assignment Expert
a. intermittent positive pressure breathing
b. intrapulmonary percussive ventilation
Guru01 - Stuvia
c. external chest wall percussive device
d. in-exsufflator [ Ans: ] 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 [ Ans: ] 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?
, 2
For Expert help and assignment solutions, +254707240657
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 [ Ans: ]
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
© 2025 Assignment Expert
b. High-flow cannula
c. Non-rebreather mask
d. Air entrainment mask [ Ans: ] c. non-rebreather mask
Guru01 - Stuvia
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 [ Ans: ] 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
, 3
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c. 1, 2 and 4 only
d. 1, 2, 3, and 4 [ Ans: ] 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
© 2025 Assignment Expert
d. Change the patient to an air-entrainment mask [ Ans: ] b.
adjust the seal on the face mask
A 14-year-old patient is receiving volume-control ventilation with a
Guru01 - Stuvia
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 [ Ans: ] 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
, 4
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d. Metered dose inhaler [ Ans: ] 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 [ Ans: ] 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
© 2025 Assignment Expert
unable to calibrate the oxygen analyzer. The most appropriate
action would be to
a. Replace the battery
b. Change the fuel cell
Guru01 - Stuvia
c. Check the electrolyte level
d. Obtain a mass spectrometer [ Ans: ] 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 [ Ans: ] 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
