KETTERING NPS PRETEST QUESTIONS
WITH COMPLETE ANSWERS
Measurement ccof ccAlpha ccFetoprotein cclevels ccin ccamniotic ccfluid ccis cchelpful ccin ccthe
ccdiagnosis ccof:
A. ccDiGeorge's ccSyndrome
B. ccPotter ccSyndrome
C. cctracheoesophageal ccfistula
D. ccmyelomeningocele cc- ccAnswerD. ccmyelomeningocele cc(the ccmost ccserious ccform
ccof ccspina ccbifida)
A ccBoadi ccadaptor ccmay ccbe ccrequire ccfor ccwhich ccof ccthe ccfollowing ccprocedures?
A. ccflexible ccbronchoscopy
B. ccthoracentisis
C. ccextracorporeal ccCO2 ccremoval
D. ccbronchial cclavage cc- ccAnswerA. ccflexibile ccbronchoscopy
During ccan ccOxygen ccChallenge ccTest, ccthe ccneonate's ccPaO2 ccincreases cc4 cctorr
ccfollowing ccadministration ccof cc100% ccoxygen. ccThe ccneonatal-pediatric ccspecialist
ccshould ccconclude ccthat ccthe ccneonate cchas:
A. cchyaline ccmembrane ccdisease
B. ccpersistent ccpulmonary cchypertension
C. cccongenital ccdiaphragmatic cchernia
D. cctransient cctachypenea ccof ccthe ccnewborn cc- ccAnswerB. ccpersistent ccpulmonary
cchypertension
Which ccof ccthe ccfollowing ccwould ccbe ccmost cchelpful ccin ccconfirming ccthe ccdiagnosis
ccof ccsickle cccell ccdisease?
A. cccomplete ccblood cccount
B. ccserum ccelectrolytes
C. cchemoglobin ccelectrophoresis
D. ccsweat ccchloride cctest cc- ccAnswerC. cchemoglobin ccelectrophoresis
A ccmale ccnewborn ccdelivered ccafter cc36 ccweeks ccof ccgestation cchas ccbeen
ccdischarged ccfrom ccthe cchospital. cc9 ccdays cclater cche ccis ccbrought ccto ccthe
, ccemergency ccroom ccwith ccextreme ccperipheral cccyanosis. ccAn ccAP ccchest
ccradiograph ccreveals ccan cc"egg-shaped" ccheart. ccThis ccindicates:
A. cctransposition ccof ccthe ccgreat ccvessels
B. ccepiglottitis
C. ccpersistent ccpulmonary cchypertension
D. cccoarctation ccof ccthe ccaorta cc- ccAnswerA. ccTransposition ccof ccthe ccgreat ccvessels
At cc5 ccminutes ccof cclife, cca ccnewborn's ccchest ccand ccabdomen ccare ccpink ccwhile
ccfeet ccand cchands ccremain ccblue. ccHe cchas cca ccheart ccrate ccof cc80/min, ccirregular
ccrespirations, ccno ccrespons ccto ccnasal ccsuctioning, ccand ccsome ccflexion ccin cchis
ccextremities. ccWhat ccis cchis ccApgar?
A. cc2
B. cc4
C. cc6
D. cc8 cc- ccAnswerB. cc4
A ccnewborn cchas cca ccDubowitz ccscore ccof cc34. ccThis ccindicates:
A. cchigh ccprobability ccof ccpulmonary ccmaturity
B. cca ccpre-term ccinfant
C. cclow ccrisk ccof ccrespiratory ccdistress
D. ccintrauterine ccgrowth ccretardation cc- ccAnswerB. ccA ccpre-term ccinfant
Vibrating ccmesh ccnebs ccare ccuseful ccfor ccadministering ccaerosolized ccmedication ccto
ccpatient's ccrequiring ccmechanical ccventilation ccprimarily ccbecause ccthey:
A. ccproduce cclarge ccparticles
B. ccare ccelectrically ccpowered
C. ccDo ccnot ccdeliver ccadditional ccgas ccto ccthe ccventilator cccircuit
D. ccare ccable ccto ccnebulize ccmedications ccin ccsuspension cc- ccAnswerC. ccdo ccnot
ccdeliver ccadditional ccgas ccto ccthe ccvent cccircuit
After ccusing cchis ccVentolin ccMDI, cca cc10 ccyr ccold ccboy ccwith ccasthma cccoughs
ccslightly. ccThis ccwould ccindicate ccthat ccthe:
A. ccMedication cchas ccbeen ccdelivered ccto ccthe ccairway
B. ccDosage ccexceeds ccthe ccrecommended cclevel
C. ccChild ccinhaled cctoo ccquickly
D. ccMDI ccis ccempty ccand ccshould ccbe ccreplaced. cc- ccAnswerA. ccmedication cchas
ccbeen ccdelivered ccto ccthe ccairways
Calculate ccthe ccdeadspace-to-tidal ccvolume ccration ccbased ccon ccthe ccfollowing:
pH cc7.39, ccPaCO2 cc50 cctorr, ccPaO2 cc60 cctorr, ccSaO2 cc90%, ccPECO2 cc30 cctorr
WITH COMPLETE ANSWERS
Measurement ccof ccAlpha ccFetoprotein cclevels ccin ccamniotic ccfluid ccis cchelpful ccin ccthe
ccdiagnosis ccof:
A. ccDiGeorge's ccSyndrome
B. ccPotter ccSyndrome
C. cctracheoesophageal ccfistula
D. ccmyelomeningocele cc- ccAnswerD. ccmyelomeningocele cc(the ccmost ccserious ccform
ccof ccspina ccbifida)
A ccBoadi ccadaptor ccmay ccbe ccrequire ccfor ccwhich ccof ccthe ccfollowing ccprocedures?
A. ccflexible ccbronchoscopy
B. ccthoracentisis
C. ccextracorporeal ccCO2 ccremoval
D. ccbronchial cclavage cc- ccAnswerA. ccflexibile ccbronchoscopy
During ccan ccOxygen ccChallenge ccTest, ccthe ccneonate's ccPaO2 ccincreases cc4 cctorr
ccfollowing ccadministration ccof cc100% ccoxygen. ccThe ccneonatal-pediatric ccspecialist
ccshould ccconclude ccthat ccthe ccneonate cchas:
A. cchyaline ccmembrane ccdisease
B. ccpersistent ccpulmonary cchypertension
C. cccongenital ccdiaphragmatic cchernia
D. cctransient cctachypenea ccof ccthe ccnewborn cc- ccAnswerB. ccpersistent ccpulmonary
cchypertension
Which ccof ccthe ccfollowing ccwould ccbe ccmost cchelpful ccin ccconfirming ccthe ccdiagnosis
ccof ccsickle cccell ccdisease?
A. cccomplete ccblood cccount
B. ccserum ccelectrolytes
C. cchemoglobin ccelectrophoresis
D. ccsweat ccchloride cctest cc- ccAnswerC. cchemoglobin ccelectrophoresis
A ccmale ccnewborn ccdelivered ccafter cc36 ccweeks ccof ccgestation cchas ccbeen
ccdischarged ccfrom ccthe cchospital. cc9 ccdays cclater cche ccis ccbrought ccto ccthe
, ccemergency ccroom ccwith ccextreme ccperipheral cccyanosis. ccAn ccAP ccchest
ccradiograph ccreveals ccan cc"egg-shaped" ccheart. ccThis ccindicates:
A. cctransposition ccof ccthe ccgreat ccvessels
B. ccepiglottitis
C. ccpersistent ccpulmonary cchypertension
D. cccoarctation ccof ccthe ccaorta cc- ccAnswerA. ccTransposition ccof ccthe ccgreat ccvessels
At cc5 ccminutes ccof cclife, cca ccnewborn's ccchest ccand ccabdomen ccare ccpink ccwhile
ccfeet ccand cchands ccremain ccblue. ccHe cchas cca ccheart ccrate ccof cc80/min, ccirregular
ccrespirations, ccno ccrespons ccto ccnasal ccsuctioning, ccand ccsome ccflexion ccin cchis
ccextremities. ccWhat ccis cchis ccApgar?
A. cc2
B. cc4
C. cc6
D. cc8 cc- ccAnswerB. cc4
A ccnewborn cchas cca ccDubowitz ccscore ccof cc34. ccThis ccindicates:
A. cchigh ccprobability ccof ccpulmonary ccmaturity
B. cca ccpre-term ccinfant
C. cclow ccrisk ccof ccrespiratory ccdistress
D. ccintrauterine ccgrowth ccretardation cc- ccAnswerB. ccA ccpre-term ccinfant
Vibrating ccmesh ccnebs ccare ccuseful ccfor ccadministering ccaerosolized ccmedication ccto
ccpatient's ccrequiring ccmechanical ccventilation ccprimarily ccbecause ccthey:
A. ccproduce cclarge ccparticles
B. ccare ccelectrically ccpowered
C. ccDo ccnot ccdeliver ccadditional ccgas ccto ccthe ccventilator cccircuit
D. ccare ccable ccto ccnebulize ccmedications ccin ccsuspension cc- ccAnswerC. ccdo ccnot
ccdeliver ccadditional ccgas ccto ccthe ccvent cccircuit
After ccusing cchis ccVentolin ccMDI, cca cc10 ccyr ccold ccboy ccwith ccasthma cccoughs
ccslightly. ccThis ccwould ccindicate ccthat ccthe:
A. ccMedication cchas ccbeen ccdelivered ccto ccthe ccairway
B. ccDosage ccexceeds ccthe ccrecommended cclevel
C. ccChild ccinhaled cctoo ccquickly
D. ccMDI ccis ccempty ccand ccshould ccbe ccreplaced. cc- ccAnswerA. ccmedication cchas
ccbeen ccdelivered ccto ccthe ccairways
Calculate ccthe ccdeadspace-to-tidal ccvolume ccration ccbased ccon ccthe ccfollowing:
pH cc7.39, ccPaCO2 cc50 cctorr, ccPaO2 cc60 cctorr, ccSaO2 cc90%, ccPECO2 cc30 cctorr
