NPS practice exam Neonatal pediatric specialist pretest
Questions With Complete Solutions
A 9-year-old girl requires mechanical ventilation with PEEP due
to ARDS. Which of the following strategies would be most
helpful to improve matching of pulmonary perfusion and
ventilation?
A. Neurally adjusted ventilators assist
B. Airway pressure release ventilation
C. Permissive hypocapnic ventilation
D. Prone positioning Correct Answers Answer: D
A Bodai adaptor may be required for which of the following
procedures?
A. Flexible bronchoscope
B. Thoracentesis
C. Extracorporeal CO2 removal
D. Bronchial lavage Correct Answers Answer : A
A male newborn delivered after 36 weeks of gestation has been
discharged from the hospital. Nine days later, he is brought to
the emergency room with extreme peripheral cyanosis. An AP
chest radiograph reveals an "egg-shaped" heart. This would
indicate
A. Transposition of the great vessels
B. Epiglottitis
C. Persistent pulmonary hypertension
D. Coarctation of the aorta Correct Answers Answer: A
A newborn infant has a Dubowitz score of 34. This would
indicate
, A. High probability of pulmonary maturity
B. A pre-term infant
C. Low risk of respiratory distress
D. Intrauterine growth retardation Correct Answers Answer: B
After being born at 24 weeks of gestation, a 675g neonate is
lethargic and develops abdominal distant ion, decreased bowel
sounds, and bloody stools. These findings are most consistent
with
A. Esophageal atresia
B. Necrotizing enterocolitis
C. Potter syndrome
D. Gastroschisis Correct Answers Answer: B
After using his Ventolin MDI, a 10-year old boy with asthma
coughs slightly. This would indicate that the
A. Medication has been delivered to the airway
B. Dosage exceeds the recommended level
C. Child inhaled too quickly
D. MDI is empty and should be replaced Correct Answers
Answer: A
An 8-year-old boy involved in a swimming pool accident is in
cardiac arrest. He has been intubated with a size 6.0 mm oral
endotracheal tube and is receiving mechanical ventilation. Eight
hours later, a pulmonary artery catheter is inserted and the
neonatal-pediatric specialist observes a decrease in the patient's
measured SvO2. This would indicate that
A. Cardiac output has decreased
B. Systemic vascular resistance has increased
C. The endotracheal tube is too large
Questions With Complete Solutions
A 9-year-old girl requires mechanical ventilation with PEEP due
to ARDS. Which of the following strategies would be most
helpful to improve matching of pulmonary perfusion and
ventilation?
A. Neurally adjusted ventilators assist
B. Airway pressure release ventilation
C. Permissive hypocapnic ventilation
D. Prone positioning Correct Answers Answer: D
A Bodai adaptor may be required for which of the following
procedures?
A. Flexible bronchoscope
B. Thoracentesis
C. Extracorporeal CO2 removal
D. Bronchial lavage Correct Answers Answer : A
A male newborn delivered after 36 weeks of gestation has been
discharged from the hospital. Nine days later, he is brought to
the emergency room with extreme peripheral cyanosis. An AP
chest radiograph reveals an "egg-shaped" heart. This would
indicate
A. Transposition of the great vessels
B. Epiglottitis
C. Persistent pulmonary hypertension
D. Coarctation of the aorta Correct Answers Answer: A
A newborn infant has a Dubowitz score of 34. This would
indicate
, A. High probability of pulmonary maturity
B. A pre-term infant
C. Low risk of respiratory distress
D. Intrauterine growth retardation Correct Answers Answer: B
After being born at 24 weeks of gestation, a 675g neonate is
lethargic and develops abdominal distant ion, decreased bowel
sounds, and bloody stools. These findings are most consistent
with
A. Esophageal atresia
B. Necrotizing enterocolitis
C. Potter syndrome
D. Gastroschisis Correct Answers Answer: B
After using his Ventolin MDI, a 10-year old boy with asthma
coughs slightly. This would indicate that the
A. Medication has been delivered to the airway
B. Dosage exceeds the recommended level
C. Child inhaled too quickly
D. MDI is empty and should be replaced Correct Answers
Answer: A
An 8-year-old boy involved in a swimming pool accident is in
cardiac arrest. He has been intubated with a size 6.0 mm oral
endotracheal tube and is receiving mechanical ventilation. Eight
hours later, a pulmonary artery catheter is inserted and the
neonatal-pediatric specialist observes a decrease in the patient's
measured SvO2. This would indicate that
A. Cardiac output has decreased
B. Systemic vascular resistance has increased
C. The endotracheal tube is too large
