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KETTERING NPS QUESTIONS WITH COMPLETE ANSWERS.
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KETTERING NPS QUESTIONS WITH COMPLETE ANSWERS.
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KETTERING NPS QUESTIONS WITHCOMPLETE ANSWERS
Which nnof nnthe nnfollowing nnshould nnthe nnneonatal/pediatric nnspecialist nnrecommend
nnfor nnan nn8 nnyear-old nnchild nnwith nncerebral nnatrophy nnand nnpoor nncognitive nnskills
nnin nnorder nnto nnpromote nnbronchial nnhygiene nnwhile nndelivering nna nnbronchodilator?
a. nnintermittent nnpositive nnpressure nnbreathing
b. nnintrapulmonary nnpercussive nnventilation
c. nnexternal nnchest nnwall nnpercussive nndevice
d. nnin-exsufflator nn- nnAnswerb. nnintrapulmonary nnpercussive nnventilation
A nn9 nnyear-old nnboy nnwas nndiagnosed nnwith nncongenital nnmuscular nndystrophy nnat
nnage nn3 nnafter nnhaving nnfrequent nnfalls, nndifficulty nngetting nnup nnfrom nna nnsitting
nnposition nnand nnwalking nnon nnhis nntoes. nnHe nnalso nnhas nnlearning nndisabilities nnand
nndifficulty nnwith nnpsychomotor nncoordination. nnAfter nnan nnepisode nnof nninfluenza, nnhe
nnhas nnan nnineffective nncough nnand nnis nnretaining nnsecretions. nnWhich nnof nnthe
nnfollowing nnshould nnthe nnneonatal/pediatric nnspecialist nnrecommend nnto nnassist nnwith
nnairway nnclearance?
a. nnCool nnaerosol
b. nnPEP nndevice
c. nnIn-exsufflator
d. nnIPPB nntherapy nn- nnAnswerc. nnin-exsufflator
A nn9-year-old nnchild nnaspirates nnwhile nneating nngummy nnbears nnwith nnher nntwin
nnsister. nnShe nnwas nnlaying nnon nnher nnleft nnside nnat nnthe nntime nnof nnaspiration. nnThe
nnchild nnis nnin nnno nnapparent nndistress. nnThe nnneonatal/pediatric nnspecialist nnquickly
nnsuctions nnthe nnchild. nnWhat nnshould nnthe nnspecialist nndo nnnext?
a. nnSit nnthe nnpatient nnup nnand nnperform nnthe nnHeimlich nnmaneuver
b. nnOrder nna nnchest nnx-ray
c. nnPerform nnback nnblows
d. nnRoll nnthe nnpatient nnto nnthe nnright nnside nnfor nnpostural nndrainage nn- nnAnswerd.
nnroll nnthe nnpatient nnto nnthe nnright nnside nnfor nnpostural nndrainage
A nn15-year-old nnpatient nnwith nnasthma nnpresents nnto nnthe nnED nnin nnmoderate
nndistress. nnAfter nnseveral nnhours nnof nntreatment, nnno nnclinical nnimprovement nnhas
nnoccurred. nnThe nnphysician nnhas nnordered nnheliox nntherapy. nnWhich nnof nnthe
nnfollowing nnshould nnthe nnneonatal/pediatric nnspecialist nnselect nnfor nndelivery nnof nnthis
nntherapy?
,a. nnNasal nncannula
b. nnHigh-flow nncannula
c. nnNon-rebreather nnmask
d. nnAir nnentrainment nnmask nn- nnAnswerc. nnnon-rebreather nnmask
A nnneonatal/pediatric nnspecialist nnis nncalled nnto nnthe nnED nnto nnadminister nna
nnbronchodilator nnto nna nn7-year-old nnchild nnwith nnasthma. nnThe nnchild nnis nnon
nnoxygen nnvia nnnasal nncannula nnat nn2L/min. nnPulse nnoximetry nnreveals nna
nnsaturation nnof nn84%. nnThe nnspecialst nnfinds nnthe nnend nnof nnthe nnoxygen nntubing
nnunder nnthe nnchair nnof nnthe nnmother nnat nnthe nnbedside. nnThe nnspecialist nnreattaches
nnthe nntubing nnand nnnotes nnthat nnthe nnSpO2 nnis nnnow nn93%. nnThe nnspecialist
nnshould
a. nnMaintain nnthe nncurrent nnoxygen nnflow
b. nnChange nnthe nndevice nnto nna nnnon-rebreather nnmask
c. nnIncrease nnthe nnoxygen nnflow
d. nnContact nnthe nnED nnphysician nn- nnAnswera. nnmaintain nnthe nncurrent nnoxygen
nnflow
Which nnof nnthe nnfollowing nncould nncause nna nnloss nnof nnpressure nnduring nndelivery
nnof nnnasal nnCPAP nnto nna nnneonate? nn1. nnBaby nnis nncrying nn2. nnInsufficient nnflow
nn3. nnObstruction nn4 nnmisplaced nnnasal nnprongs
a. nn1 nnand nn2 nnonly
b.3 nnand nn4 nnonly
c. nn1, nn2 nnand nn4 nnonly
d. nn1, nn2, nn3, nnand nn4 nn- nnAnswerc. nn1, nn2 nnand nn4 nnonly
A nn7 nnyear-old nnchild nnwas nnrescued nnfrom nna nnburning nnbuilding nnand nnbrought nnto
nnthe nnED nnfor nntreatment. nnUpon nnarrival, nnthe nnchild nnwas nnplaced nnon nnoxygen
nnvia nna nnnon-rebreather nnmask. nnThe nnneonatal/pediatric nnspecialist nnnotes nnthat
nnwhen nnthe nnchild nninhales, nnthe nnreservoir nnbag nnremains nncompletely nninflated.
nnThe nnspecialist nnshould
a. nnMonitor nnthe nnpatient nnwith nnpulse nnoximetry
b. nnAdjust nnthe nnseal nnon nnthe nnface nnmask
c. nnIncrease nnthe nnoxygen nnflow
d. nnChange nnthe nnpatient nnto nnan nnair-entrainment nnmask nn- nnAnswerb. nnadjust nnthe
nnseal nnon nnthe nnface nnmask
A nn14-year-old nnpatient nnis nnreceiving nnvolume-control nnventilation nnwith nna
nnhygroscopic nncondenser nnhumidifier nnfollowing nnmultiple nntrauma. nnTwelve nnhours
nnafter nninitiation nnof nnmechanical nnventilation, nnthe nnneonatal/pediatric nnspecialist
nnnotes nnan nnincrease nnin nnthe nnviscosity nnof nnthe nnpatient's nnsecretions. nnThe
nnspecialist nnshould
a. nnAdminister nna nnshort nnacting nnbronchodilator
b. nnSuction nnthe nnpatient nnfrequently
c. nnChange nnto nna nnheated nnwick nnhumidifier
d. nnAdminister nna nnmucolytic nn- nnAnswerc. nnchange nnto nna nnheated nnwick nnhumidifier
,A nn3-year-old nnchild nnarrives nnat nnthe nnED nnwith nna nncough nnand nnincreasing
nnshortness nnof nnbreath. nnThe nnneonatal/pediatric nnspecialist nnnotes nnbilateral
nnexpiratory nnwheezes nnand nnmoderate nnintercostal nnand nnsubcostal nnretractions.
nnWhich nnof nnthe nnfollowing nnshould nnthe nnspecialist nnutilize nnto nndeliver nna nnshort
nnacting nnbeta nnagonist nnto nnthe nnpatient?
a. nnSmall nnvolume nnnebulizer
b. nnUltrasonic nnnebulizer
c. nnSmall nnparticle nnaerosol nngenerator
d. nnMetered nndose nninhaler nn- nnAnswera. nnsmall nnvolume nnnebulizer
A nn3-year-old nnchild nnwith nna nnrespiratory nnrate nnof nn34/minute nnand nnoxygen
nnsaturation nnof nn87% nnis nnon nn50% nnoxygen nnvia nna nnsimple nnmask. nnWhich nnof
nnthe nnfollowing nnshould nnthe nnneonatal/pediatric nnspecialist nnrecommend?
a. nnMaintain nncurrent nntherapy
b. nn40% nnair nnentrainment nnmask
c. nnOxygen nnhood nnwith nn50% nnoxygen
d. nnHigh nnflow nnnasal nncannula nn- nnAnswerd. nnhigh nnflow nnnasal nncannula
A nnneonatal/pediatric nnspecialist nnis nnusing nna nngalvanic nnfuel nncell nnto nnanalyze
nnthe nnFiO2 nnfor nna nnneonate nnin nnan nnoxyhood. nnThe nnspecialist nnis nnunable nnto
nncalibrate nnthe nnoxygen nnanalyzer. nnThe nnmost nnappropriate nnaction nnwould nnbe nnto
a. nnReplace nnthe nnbattery
b. nnChange nnthe nnfuel nncell
c. nnCheck nnthe nnelectrolyte nnlevel
d. nnObtain nna nnmass nnspectrometer nn- nnAnswerb. nnchange nnthe nnfuel nncell
A nn10-year-old nnboy nnis nnto nnperform nnhyperinflation nnwith nnan nnincentive
nnspirometer nnfollowing nnabdominal nnsurgery. nnPreoperative nnspirometry
nndocumented nna nnvital nncapacity nnof nn2400 nnmL nnand nnan nninspiratory nncapacity nnof
nn1400mL. nnThe nnneonatal/pediatric nnspecialist nnshould nnset nnthe nninitial nnvolume
nngoal nnon nnthe nnincentive nnspirometer nnat
a. nn700 nnmL
b. nn1200 nnmL
c. nn1400 nnmL
d. nn2400 nnmL nn- nnAnswera. nn700 nnmL
A nn3-year-old nnwith nnasthma nnreceives nnalbuterol nnvia nnMDI nnwith nna nnspacer nnfor
nnepisodes nnof nnwheezing nnand nncoughing. nnHer nnmother nnreports nnthat nnthe
nnsymptoms nnseem nnto nnpersist nnfor nna nnwhile nnfollowing nnadministration nnof nnthe
nnmedication. nnTo nnimprove nnthe nnefficacy nnof nnthis nnmedication, nnthe
nnneonatal/pediatric nnspecialist nnshould nnrecommend
a. nnRemoving nnthe nnspacer
b. nnSwitching nnto nna nnsmall nnvolume nnnebulizer
c.Holding nnthe nnspacer nn1-2 nninches nnin nnfront nnof nnthe nnchild's nnlips
, d. nnIncorporating nna nnmask nnwith nnthe nnMDI nnand nnspacer nn- nnAnswerd.
nnincorporating nna nnmask nnwith nnthe nnMDI nnand nnspacer
The nnneonatal/pediatric nnspecialist nncollects nna nnsputum nnsample nnfor nnculture nnand
nnsensitivity nnfrom nna nn14-year-old nnchild nnwith nnpneumonia, nnlabels nnthe nnsample,
nnand nnsends nnit nnto nnthe nnlaboratory. nnSeveral nnhours nnlater, nnthe nnspecialist
nnchecks nnthe nnmedical nnrecord nnand nnnotes nnthat nnupon nnmicroscopic nnexamination,
nnthe nnmedical nntechnologist nnreports nnthat nnthere nnwere nn20 nnsquamous nncells
nnseen nnin nnthe nnsample nnin nnthe nnlow nnpower nnfield. nnThe nnspecialist nnshould
a. nnCollect nnan nnadditional nnsputum nnsample
b. nnWait nnfor nnfurther nnevaluation nnof nnthe nnsample
c. nnAsk nnthe nnmedical nntechnologist nnto nndiscard nnthe nnsample.
d. nnRecommend nnantimicrobial nntherapy nn- nnAnswerb. nnwait nnfor nnfurther nnevaluation
nnof nnthe nnsample
The nnneonatal/pediatric nnspecialist nnconfirms nnan nnorder nnfor nna nn12-year-old nnto
nnreceive nn50% nnoxygen nnwith nnheated nnaersol nnvia nnface nnmask. nnThe nnspecialist
nnobserves nnthat nna nnlarge nnvolume nnnebulizer nnwith nnheater nnis nnconnected nnto nnan
nnair-oxygen nnproportioner. nnThe nnair-oxygen nnproportioner nnFiO2 nnis nnset nnat nn0.50
nnat nna nnflow nnof nn15L/min. nnThe nnair nnentrainment nnport nnon nnthe nnnebulizer nnis
nnset nnto nndeliver nnan nnFiO2 nnof nn0.50. nnThe nnspecialist nnshould
a. nnIncrease nnthe nnflow nnto nnthe nnair-oxygen nnproportioner
b. nnSet nnthe nnFiO2 nnon nnthe nnair-oxygen nnproportioner nnto nn0.75
c. nnSet nnthe nnair nnentrainment nnport nnon nnthe nnnebulizer nnto nn1.00
d. nnAnalyze nnthe nngas nnmixture nnwith nnthe nngalvanic nnfuel nncell nn- nnAnswerc. nnset
nnthe nnair nnentrainment nnport nnon nnthe nnnebulizer nnto nn1.00
The nnneonatal/pediatric nnspecialist nnis nnassisting nnthe nnpediatric nnpulmonologist
nnduring nna nnflexible nnfiberoptic nnbronchoscopy nnon nna nn4-year-old nnfollowing nna
nnnear nndrowning. nnThe nnchild nnbegins nncoughing nnas nnthe nnphysician nnadvances
nnthe nnbronchoscope. nnWhich nnof nnthe nnfollowing nnshould nnthe nnspecialist
nnrecommend?
a. nnCetacaine
b. nnSuccinylcholine
c. nnRacemic nnepinephrine
d. nnketamine nn- nnAnswera. nncetacaine
A nnneonatologist nnhas nnordered nnsurfactant nnreplacement nntherapy nnfor nna nn26-week
nngestational-age nnneonate nnwho nnis nndemonstrating nnsigns nnand nnsymptoms nnof
nnIRDS. nnHow nnshould nnthe nnneonatal/pediatric nnspecialist nnprepare nnto nnadminister
nnthe nntherapy?
a. nnSmall nnvolume nnnebulizer
b. nnNasopharyngeal nninstillation
c. nnDry nnpowder nninhaler
d. nnEndotracheal nninstillation nn- nnAnswerd. nnendotracheal nninstillation
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