KETTERING NPS (ACTUAL 2025/2026) QUE g g g g
STIONS AND VERIFIED ANSWERS g g g
Which of the following suction catheters would be most appro
g g g g g g g g g
priate to use for a pediatric patient with a size 6 mm ID endotra
g g g g g g g g g g g g g
cheal tube? g
a. 6 Fr g
b. 8 Fr g
c. 10 Fr g
d. 12 Fr - <<<Answers>>>b. 8 Fr
g g g g g
The neonatal/pediatric specialist is called to assist in the delive
g g g g g g g g g
ry of a post-term neonate with meconium-
g g g g g g
stained amniotic fluid. Variable decelerations occurred during
g g g g g g g
labor. At birth, the newborn's heart rate is 58/minute with weak
g g g g g g g g g g
grespiratory efforts and poor muscle tone. What action should t
g g g g g g g g g
he specialist take at this time?
g g g g g
a. Suction the mouth and nose with a bulb syringe
g g g g g g g g
b. Clear the mouth and nose with a large/suction catheter
g g g g g g g g
c. Initiate positive pressure ventilation with a face mask
g g g g g g g
d. insert endotracheal tube, attach meconium aspirator, apply
g g g g g g g
suction and withdraw tube - g g g g
<<<Answers>>>c. initiate positive pressure ventilation with
g g g g g g g
a face mask
g g
,During mechanical ventilation in pressure control, the preset in
g g g g g g g g
spiratory pressure will not be reached in which of the followin
g g g g g g g g g g
g conditions?
g
a. Inspiratory time is too long g g g g
b. Respiratory rate is too low g g g g
c. PEEP level is excessive g g g
d. Flow is not adequate - g g g g
<<<Answers>>>d. flow is not adequate
g g g g g
A six-week-
g
old neonate is being ventilated with pressure control ventilatio
g g g g g g g g
n. The neonatal/pediatric specialist should not allow the mean
g g g g g g g g g
airway pressure value to go above
g g g g g
a. 5 cmH2O g
b. 10 cmH2O g
c. 15 cmH2O g
d. 20 cmH2O - <<<Answers>>>c. 15 cmH2O
g g g g g
The neonatal/pediatric specialist is managing a 4-year-
g g g g g g
old child with ARDS on mechanical ventilation in the Assist/C
g g g g g g g g g
ontrol, Volume Control mode. In order to increase minute venti
g g g g g g g g g
lation, the specialist should increase the
g g g g g
a. Mandatory rate g
b. FiO2
c. PEEP
d. I:E ratio - <<<Answers>>>a. mandatory rate
g g g g g
,During mechanical ventilation of neonatal patients, a peak insp
g g g g g g g g
iratory pressure of 35 cmH2O increases the risk of
g g g g g g g g
1.barotrauma, 2. Retinopathy of prematurity, 3. Pulmonary air l
g g g g g g g g
eaks
a. 2 only
g
b. 1 and 3 only
g g g
c. 2 and 3 only
g g g
d. 1, 2 and 3 - <<<Answers>>>b. 1 and 3 only
g g g g g g g g g
A premature neonate is receiving mechanical ventilation with a
g g g g g g g g
respiratory rate of 30/minute and an inspiratory time of 0.5 sec
g g g g g g g g g g g
onds? These settings would result in an I:E ratio of
g g g g g g g g g
a. 1:1
b. 1:2
c. 1:3
d. 1:4 - <<<Answers>>>c. 1:3
g g g
The neonatal/ pediatric specialist is asked to calculate the inspi
g g g g g g g g g
ratory time for a ventilator set at 25 breaths/minute with an I:E
g g g g g g g g g g g g
ratio of 1:3. The specialist should report the inspiratory time as
g g g g g g g g g g
a. 0.4 sec g
b. 0.5 sec g
c. 0.6 sec g
, d. 0.8 sec - <<<Answers>>>c. 0.6 sec
g g g g g
Calculate the I:E ratio for a ventilator set at a rate of 20 breaths/
g g g g g g g g g g g g g
minute with an inspiratory time of 0.6 seconds.
g g g g g g g
a. 1:1
b. 1:2
c. 1:3
d. 1:4 - <<<Answers>>>d. 1:4
g g g
A four-week-old, 28-week-
g g
gestation infant with RDS remains on mechanical ventilation.
g g g g g g g g
Current ventilator parameters are: PIP 22 cmH2O, rate 10 brea
g g g g g g g g g
ths/min, FiO2 0.30, PEEP 4 cmH2O. Arterial blood gas analys
g g g g g g g g g
is reveals adequate oxygenation and ventilation. The infant is b
g g g g g g g g g
reathing spontaneously above the set rate with minimal work o
g g g g g g g g g
f breathing. The neonate/pediatric specialist should
g g g g g
a. Decrease the respiratory rate to 8 breaths/min
g g g g g g
b. Decrease the PIP to 18 cmH2O g g g g g
c. Decrease the FiO2 to 0.28 g g g g
d. Initiate a CPAP trial - g g g g
<<<Answers>>>d. initiate a CPAP trial
g g g g g
A neonate with RDS is receiving mechanical ventilation at the f
g g g g g g g g g g
ollowing settings: PC/SIMV FiO2 0.30, rate 20/min, PIP 22 cm
g g g g g g g g g
H2O, PEEP 4 cmH2O. One hour after the respiratory rate is ch
g g g g g g g g g g g
anged to 12/min, the ABG results are: pH 7.40, PaCO2
g g g g g g g g g
STIONS AND VERIFIED ANSWERS g g g
Which of the following suction catheters would be most appro
g g g g g g g g g
priate to use for a pediatric patient with a size 6 mm ID endotra
g g g g g g g g g g g g g
cheal tube? g
a. 6 Fr g
b. 8 Fr g
c. 10 Fr g
d. 12 Fr - <<<Answers>>>b. 8 Fr
g g g g g
The neonatal/pediatric specialist is called to assist in the delive
g g g g g g g g g
ry of a post-term neonate with meconium-
g g g g g g
stained amniotic fluid. Variable decelerations occurred during
g g g g g g g
labor. At birth, the newborn's heart rate is 58/minute with weak
g g g g g g g g g g
grespiratory efforts and poor muscle tone. What action should t
g g g g g g g g g
he specialist take at this time?
g g g g g
a. Suction the mouth and nose with a bulb syringe
g g g g g g g g
b. Clear the mouth and nose with a large/suction catheter
g g g g g g g g
c. Initiate positive pressure ventilation with a face mask
g g g g g g g
d. insert endotracheal tube, attach meconium aspirator, apply
g g g g g g g
suction and withdraw tube - g g g g
<<<Answers>>>c. initiate positive pressure ventilation with
g g g g g g g
a face mask
g g
,During mechanical ventilation in pressure control, the preset in
g g g g g g g g
spiratory pressure will not be reached in which of the followin
g g g g g g g g g g
g conditions?
g
a. Inspiratory time is too long g g g g
b. Respiratory rate is too low g g g g
c. PEEP level is excessive g g g
d. Flow is not adequate - g g g g
<<<Answers>>>d. flow is not adequate
g g g g g
A six-week-
g
old neonate is being ventilated with pressure control ventilatio
g g g g g g g g
n. The neonatal/pediatric specialist should not allow the mean
g g g g g g g g g
airway pressure value to go above
g g g g g
a. 5 cmH2O g
b. 10 cmH2O g
c. 15 cmH2O g
d. 20 cmH2O - <<<Answers>>>c. 15 cmH2O
g g g g g
The neonatal/pediatric specialist is managing a 4-year-
g g g g g g
old child with ARDS on mechanical ventilation in the Assist/C
g g g g g g g g g
ontrol, Volume Control mode. In order to increase minute venti
g g g g g g g g g
lation, the specialist should increase the
g g g g g
a. Mandatory rate g
b. FiO2
c. PEEP
d. I:E ratio - <<<Answers>>>a. mandatory rate
g g g g g
,During mechanical ventilation of neonatal patients, a peak insp
g g g g g g g g
iratory pressure of 35 cmH2O increases the risk of
g g g g g g g g
1.barotrauma, 2. Retinopathy of prematurity, 3. Pulmonary air l
g g g g g g g g
eaks
a. 2 only
g
b. 1 and 3 only
g g g
c. 2 and 3 only
g g g
d. 1, 2 and 3 - <<<Answers>>>b. 1 and 3 only
g g g g g g g g g
A premature neonate is receiving mechanical ventilation with a
g g g g g g g g
respiratory rate of 30/minute and an inspiratory time of 0.5 sec
g g g g g g g g g g g
onds? These settings would result in an I:E ratio of
g g g g g g g g g
a. 1:1
b. 1:2
c. 1:3
d. 1:4 - <<<Answers>>>c. 1:3
g g g
The neonatal/ pediatric specialist is asked to calculate the inspi
g g g g g g g g g
ratory time for a ventilator set at 25 breaths/minute with an I:E
g g g g g g g g g g g g
ratio of 1:3. The specialist should report the inspiratory time as
g g g g g g g g g g
a. 0.4 sec g
b. 0.5 sec g
c. 0.6 sec g
, d. 0.8 sec - <<<Answers>>>c. 0.6 sec
g g g g g
Calculate the I:E ratio for a ventilator set at a rate of 20 breaths/
g g g g g g g g g g g g g
minute with an inspiratory time of 0.6 seconds.
g g g g g g g
a. 1:1
b. 1:2
c. 1:3
d. 1:4 - <<<Answers>>>d. 1:4
g g g
A four-week-old, 28-week-
g g
gestation infant with RDS remains on mechanical ventilation.
g g g g g g g g
Current ventilator parameters are: PIP 22 cmH2O, rate 10 brea
g g g g g g g g g
ths/min, FiO2 0.30, PEEP 4 cmH2O. Arterial blood gas analys
g g g g g g g g g
is reveals adequate oxygenation and ventilation. The infant is b
g g g g g g g g g
reathing spontaneously above the set rate with minimal work o
g g g g g g g g g
f breathing. The neonate/pediatric specialist should
g g g g g
a. Decrease the respiratory rate to 8 breaths/min
g g g g g g
b. Decrease the PIP to 18 cmH2O g g g g g
c. Decrease the FiO2 to 0.28 g g g g
d. Initiate a CPAP trial - g g g g
<<<Answers>>>d. initiate a CPAP trial
g g g g g
A neonate with RDS is receiving mechanical ventilation at the f
g g g g g g g g g g
ollowing settings: PC/SIMV FiO2 0.30, rate 20/min, PIP 22 cm
g g g g g g g g g
H2O, PEEP 4 cmH2O. One hour after the respiratory rate is ch
g g g g g g g g g g g
anged to 12/min, the ABG results are: pH 7.40, PaCO2
g g g g g g g g g
