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NPS EXAM COMPREHENSIVE NEONATAL & PEDIATRIC
RESPIRATORY CARE EXAM LATEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A 10-year-old boy with a cuffed tracheostomy tube is receiving
volume ventilation. At the beginning of the shift, a minimal leak
was established at a peak inspiratory pressure of 34 cmH2O.
Four hours later, the neonatal/pediatric specialist notes that the
peak inspiratory pressure is now 19 cmH2O. The most
appropriate action at this time would be to
a. increase the set minute ventilation
b. repeat the minimal leak procedure
c. suction the patient
d. change to an uncuffed tracheostomy tube - ANSWER-b. repeat
the minimal leak procedure
A physician performing endotracheal intubation on a 7-year-old
child is unable to visualize the laryngeal structures. The
neonatal/pediatric specialist should
a. suggest the physician place the tip of the laryngoscope below
the vallecula
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b. administer cricoid pressure
c. suction the upper airway
d. administer a topical anesthetic - ANSWER-b. administer cricoid
pressure
Which of the following suggestions would reduce the risk of
ventilator associated pneumonia for a child with ARDS?
a. use of a closed suction catheter
b. prone positioning
c. recruitment maneuvers
d. use of small volume nebulizer - ANSWER-a. use of a closed
suction catheter
Which of the following conditions would increase the difficulty of
performing endotracheal intubation?
a. Tetralogy of Fallot
b. Congenital diaphragmatic hernia
c. DiGeorge's syndrome
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d. Treacher Collins Syndrome - ANSWER-D. Treacher Collins
syndrome
Which of the following should the neonatal/pediatric specialist
recommend prior to endotracheal intubation of a 12-year-old
child?
a. edrophonium
b. Flumazenil
c. naloxone
d. succinylcholine - ANSWER-d. succinylcholine
What size endotracheal tube should the neonatal/pediatric
specialist choose for intubating a 12-year-old child?
a. 3.0 mmID
b. 5.5 mmID
c. 7.0 mmID
d. 8.5 mmID - ANSWER-c. 7.0 mmID
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After attaching a tracheal speaking device to the tracheostomy
tube of a 13-year-old child, the neonatal/pediatric specialist notes
that the child is in moderate respiratory distress with
supraclavicular retractions. SpO2 has changed from 93% to 81%.
The specialist's first action should be to
a. verify that the cuff is deflated
b. auscultate breath sounds over the trachea
c. administer racemic epinephrine
d. request a lateral neck x-ray - ANSWER-A. verify that the cuff is
deflated
The neonatal/pediatric specialist has made two unsuccessful
attempts at endotracheal intubation for a 9-year-old child who
survived a near-drowning. After providing ventilation with a
manual resuscitation bag and mask the specialist should
a. request the assistance of a physician
b. attempt endotracheal intubation
c. perform a cricothyrotomy
d. prepare for emergency tracheostomy - ANSWER-B. attempt
endotracheal intubation
NPS EXAM COMPREHENSIVE NEONATAL & PEDIATRIC
RESPIRATORY CARE EXAM LATEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A 10-year-old boy with a cuffed tracheostomy tube is receiving
volume ventilation. At the beginning of the shift, a minimal leak
was established at a peak inspiratory pressure of 34 cmH2O.
Four hours later, the neonatal/pediatric specialist notes that the
peak inspiratory pressure is now 19 cmH2O. The most
appropriate action at this time would be to
a. increase the set minute ventilation
b. repeat the minimal leak procedure
c. suction the patient
d. change to an uncuffed tracheostomy tube - ANSWER-b. repeat
the minimal leak procedure
A physician performing endotracheal intubation on a 7-year-old
child is unable to visualize the laryngeal structures. The
neonatal/pediatric specialist should
a. suggest the physician place the tip of the laryngoscope below
the vallecula
,2|Page
b. administer cricoid pressure
c. suction the upper airway
d. administer a topical anesthetic - ANSWER-b. administer cricoid
pressure
Which of the following suggestions would reduce the risk of
ventilator associated pneumonia for a child with ARDS?
a. use of a closed suction catheter
b. prone positioning
c. recruitment maneuvers
d. use of small volume nebulizer - ANSWER-a. use of a closed
suction catheter
Which of the following conditions would increase the difficulty of
performing endotracheal intubation?
a. Tetralogy of Fallot
b. Congenital diaphragmatic hernia
c. DiGeorge's syndrome
,3|Page
d. Treacher Collins Syndrome - ANSWER-D. Treacher Collins
syndrome
Which of the following should the neonatal/pediatric specialist
recommend prior to endotracheal intubation of a 12-year-old
child?
a. edrophonium
b. Flumazenil
c. naloxone
d. succinylcholine - ANSWER-d. succinylcholine
What size endotracheal tube should the neonatal/pediatric
specialist choose for intubating a 12-year-old child?
a. 3.0 mmID
b. 5.5 mmID
c. 7.0 mmID
d. 8.5 mmID - ANSWER-c. 7.0 mmID
, 4|Page
After attaching a tracheal speaking device to the tracheostomy
tube of a 13-year-old child, the neonatal/pediatric specialist notes
that the child is in moderate respiratory distress with
supraclavicular retractions. SpO2 has changed from 93% to 81%.
The specialist's first action should be to
a. verify that the cuff is deflated
b. auscultate breath sounds over the trachea
c. administer racemic epinephrine
d. request a lateral neck x-ray - ANSWER-A. verify that the cuff is
deflated
The neonatal/pediatric specialist has made two unsuccessful
attempts at endotracheal intubation for a 9-year-old child who
survived a near-drowning. After providing ventilation with a
manual resuscitation bag and mask the specialist should
a. request the assistance of a physician
b. attempt endotracheal intubation
c. perform a cricothyrotomy
d. prepare for emergency tracheostomy - ANSWER-B. attempt
endotracheal intubation
