Page 1 of 81
KETTERING NPS EXAM BANK | {LATEST 2026/
2027 UPDATE} COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND NEW!
A 28 - year- old primigravida woman is in active labor at 39 weeks
of gestation. Fetal scalp monitoring has been initiated and the
neonatal/pediatric specialist notes that the scalp pH is 7.10. What
should the specialist recommend at this time?
a. Continue to monitor as labor progresses
b. Administer betamethasone to the mother
c. Administer a tocolytic agent to the mother
d. Prepare for immediate delivery
d. prepare for immediate delivery
The neonatal/pediatric specialist is assisting with resuscitation
of a premature neonate in the delivery room. The specialist notes
that the neonate's chest is not rising during positive pressure
ventilation with a flow - inflating resuscitator. Which of the
following would be appropriate actions for the specialist to take
at this time?
,Page 2 of 81
Adjust the mask for a better seal
Slightly extending the baby's head (sniffing position)
Suction the baby's mouth and nose
Move the jaw forward
a. 1 and 3 only
b. 2 and 4 only
c. 1, 2 and 3 only
d. 1, 2, 3 and 4
d. 1, 2, 3 and 4
A 32 - year- old woman (G3, P2) presents to the ED with vaginal
bleeding, pain, nausea, and uterine contractions at 36 weeks of
gestation. Her vital signs are: heart rate 172/min, respiratory rate
38/min, blood pressure 70/50 mm Hg and SpO2 82% on room air.
Which of the following should the neonatal/pediatric specialist
recommend?
a. Administer oxytocin to the mother
b. Re- evaluate the mother in 30 minutes
c. Place the mother in Trendelenburg position
d. Consider delivery of the neonate
d. consider delivery of the neonate
,Page 3 of 81
The neonatal/pediatric specialist is asked to attend a high risk
deliver. One minute after delivery, the baby's torso is pink but the
extremities are blue, heart rate is 50/min, respirations are
irregular, there is no response to nasal suctioning, and he i s
limp. Based on these findings, the specialist should initiate
a. Blow - by oxygen
b. Tactile stimulation
c. Positive pressure ventilation
d. Chest compressions
c. positive pressure ventilation
A 2- year- old boy presents to the ED with intercostal and
suprasternal retractions, and he is struggling to breathe.
Auscultation reveals a high - pitched, continuous expiratory sound
over the right lower lobe. His mother states she heard him
coughing "really hard" in the den where his older sister was
counting the money from her piggy bank. The mother is
concerned that the child swallowed a coin. Which of the following
, Page 4 of 81
should the neonatal/pediatric specialist recommend to determine
the cause of the respiratory distress?
a. Pulse oximetry
b. Arterial blood gas
c. Spirometry
d. Bronchoscopy
d. bronchoscopy
A 4 - year- old child presents to the ED with tachypnea, cough, and
accessory muscle use. The child's mother said he had been
complaining of a "tummy ache" this morning. His SpO2 on room
air is 88% and his chest x - ray reveals mild hyperinflation with
flattene d diaphragms. His breath sounds reveal diffuse
expiratory wheezing. Which of the following should the
neonatal/pediatric specialist initiate?
a. Oxygen therapy
b. Bronchodilator therapy
c. Inhaled corticosteroids
d. Mucolytic therapy
a. oxygen therapy
KETTERING NPS EXAM BANK | {LATEST 2026/
2027 UPDATE} COMPLETE ACTUAL AND
AUTHENTIC EXAM | BRAND NEW!
A 28 - year- old primigravida woman is in active labor at 39 weeks
of gestation. Fetal scalp monitoring has been initiated and the
neonatal/pediatric specialist notes that the scalp pH is 7.10. What
should the specialist recommend at this time?
a. Continue to monitor as labor progresses
b. Administer betamethasone to the mother
c. Administer a tocolytic agent to the mother
d. Prepare for immediate delivery
d. prepare for immediate delivery
The neonatal/pediatric specialist is assisting with resuscitation
of a premature neonate in the delivery room. The specialist notes
that the neonate's chest is not rising during positive pressure
ventilation with a flow - inflating resuscitator. Which of the
following would be appropriate actions for the specialist to take
at this time?
,Page 2 of 81
Adjust the mask for a better seal
Slightly extending the baby's head (sniffing position)
Suction the baby's mouth and nose
Move the jaw forward
a. 1 and 3 only
b. 2 and 4 only
c. 1, 2 and 3 only
d. 1, 2, 3 and 4
d. 1, 2, 3 and 4
A 32 - year- old woman (G3, P2) presents to the ED with vaginal
bleeding, pain, nausea, and uterine contractions at 36 weeks of
gestation. Her vital signs are: heart rate 172/min, respiratory rate
38/min, blood pressure 70/50 mm Hg and SpO2 82% on room air.
Which of the following should the neonatal/pediatric specialist
recommend?
a. Administer oxytocin to the mother
b. Re- evaluate the mother in 30 minutes
c. Place the mother in Trendelenburg position
d. Consider delivery of the neonate
d. consider delivery of the neonate
,Page 3 of 81
The neonatal/pediatric specialist is asked to attend a high risk
deliver. One minute after delivery, the baby's torso is pink but the
extremities are blue, heart rate is 50/min, respirations are
irregular, there is no response to nasal suctioning, and he i s
limp. Based on these findings, the specialist should initiate
a. Blow - by oxygen
b. Tactile stimulation
c. Positive pressure ventilation
d. Chest compressions
c. positive pressure ventilation
A 2- year- old boy presents to the ED with intercostal and
suprasternal retractions, and he is struggling to breathe.
Auscultation reveals a high - pitched, continuous expiratory sound
over the right lower lobe. His mother states she heard him
coughing "really hard" in the den where his older sister was
counting the money from her piggy bank. The mother is
concerned that the child swallowed a coin. Which of the following
, Page 4 of 81
should the neonatal/pediatric specialist recommend to determine
the cause of the respiratory distress?
a. Pulse oximetry
b. Arterial blood gas
c. Spirometry
d. Bronchoscopy
d. bronchoscopy
A 4 - year- old child presents to the ED with tachypnea, cough, and
accessory muscle use. The child's mother said he had been
complaining of a "tummy ache" this morning. His SpO2 on room
air is 88% and his chest x - ray reveals mild hyperinflation with
flattene d diaphragms. His breath sounds reveal diffuse
expiratory wheezing. Which of the following should the
neonatal/pediatric specialist initiate?
a. Oxygen therapy
b. Bronchodilator therapy
c. Inhaled corticosteroids
d. Mucolytic therapy
a. oxygen therapy
