NPS Exam Newest Exam 2026 | All Questions
and Correct Answers | Verified Answers | Just
Released | Brand New Version
An 8-year-old patient with cystic fibrosis has been receiving positive expiratory
pressure therapy. After several days of therapy, the patient has been diagnosed
with a middle ear infection. Which of the following should the neonatal/pediatric
specialist recommend?
a. continue therapy at a reduced resistance
b. change to an external percussive device
c. administer IPPB with Pulmozyme
d. Instruct the patient in huff coughing ---------CORRECT ANSWER-----------------b.
change to an external percussive device
During rounds, the neonatal/pediatric specialist evaluates a child who has been
receiving chest physiotherapy QID for eight days. The child's medical record
indicates that her breath sounds reveal increased aeration to all lung fields,
moderate non-productive cough, respiratory rate 17/min and the child is
ambulating. The specialist should recommend
a. discontinuing therapy
b. decreasing the frequency to BID
c. vibratory PEP therapy
d. autogenic drainage ---------CORRECT ANSWER-----------------a. discontinuing
therapy
,A newborn has been placed in a 30% oxygen hood at 4L/min. ABG results show:
pH 7.29, PaCO2 52 torr, PaO2 58 torr.
Based upon the arterial blood gas results, the neonatal/pediatric specialist should
a. increase the FiO2
b. initiate mechanical ventilation
c. initiate nasal CPAP
d. increase the flow ---------CORRECT ANSWER-----------------d. increase the flow
The neonatal/pediatric specialist performs oxygen rounds in the pediatric unit.
The specialist evaluates a 6-year-old boy who is receiving 40% oxygen via aerosol
mask. The specialist notes that the child keeps removing the mask. The boy's
parents inform the specialist that the child does not like to keep the mask on his
face because he "feels like it is suffocating him". To maintain the same FiO2 and
humidity level for this patient, the specialist should recommend changing to a/an
a. oxygen hood
b. face tent
c. nasal cannula
d. membrane cartridge system ---------CORRECT ANSWER-----------------d.
membrane cartridge system
A stable 6-day-old infant requires a temperature-controlled environment. Which
of the following methods would be most appropriate for this patient?
a. Oxyhood
b. radiant warmer
,c. Isolette
d. Oxygen tent ---------CORRECT ANSWER-----------------c. Isolette
Mean airway pressure rises with increases in all of the following EXCEPT
a. total cycle time
b. peak inspiratory pressure
c. positive end expiratory pressure
d. respiratory rate ---------CORRECT ANSWER-----------------a. total cycle time
Sedation/paralyzing agents would be indicated for all of the following conditions
EXCEPT
a. intracranial hemorrhage
b. muscular dystrophy
c. status asthmaticus
d. sustained seizures ---------CORRECT ANSWER-----------------b. muscular dystrophy
The high-pressure alarm is activated for a patient on volume control ventilation. It
is determined that there is a decrease in the patient's static lung compliance. The
neonatal/pediatric specialist should
a. increase the pressure limit
b. sedate the patient
c. decrease the tidal volume
, d. decrease the flowrate ---------CORRECT ANSWER-----------------a. increase the
pressure limit
A pediatric patient developing respiratory distress sydnrome is on a tidal volume
of 500 mL, rate of 12/min, PEEP of 6 cmH2O and 90% oxygen in the assist/control
mode. The physician wants the PaO2 increased, but the blood pressure
deteriorates with further increases in PEEP. Which of the following should the
neonatal/pediatric specialist recommend?
a. change to the SIMV mode
b. administer steroids
c. increase the tidal volume and decrease the rate
d. administer a fluid challenge ---------CORRECT ANSWER-----------------d. administer
a fluid challenge
A preterm infant has been receiving pressure control ventilation for 12 days when
he develops a bronchopleural fistula. The neonatal/pedatric specialist should
recommend
a. exogenous surfactant therapy
b. volume control ventilation
c. high frequency ventilation
d. nitric oxide therapy ---------CORRECT ANSWER-----------------c. high frequency
ventilation
and Correct Answers | Verified Answers | Just
Released | Brand New Version
An 8-year-old patient with cystic fibrosis has been receiving positive expiratory
pressure therapy. After several days of therapy, the patient has been diagnosed
with a middle ear infection. Which of the following should the neonatal/pediatric
specialist recommend?
a. continue therapy at a reduced resistance
b. change to an external percussive device
c. administer IPPB with Pulmozyme
d. Instruct the patient in huff coughing ---------CORRECT ANSWER-----------------b.
change to an external percussive device
During rounds, the neonatal/pediatric specialist evaluates a child who has been
receiving chest physiotherapy QID for eight days. The child's medical record
indicates that her breath sounds reveal increased aeration to all lung fields,
moderate non-productive cough, respiratory rate 17/min and the child is
ambulating. The specialist should recommend
a. discontinuing therapy
b. decreasing the frequency to BID
c. vibratory PEP therapy
d. autogenic drainage ---------CORRECT ANSWER-----------------a. discontinuing
therapy
,A newborn has been placed in a 30% oxygen hood at 4L/min. ABG results show:
pH 7.29, PaCO2 52 torr, PaO2 58 torr.
Based upon the arterial blood gas results, the neonatal/pediatric specialist should
a. increase the FiO2
b. initiate mechanical ventilation
c. initiate nasal CPAP
d. increase the flow ---------CORRECT ANSWER-----------------d. increase the flow
The neonatal/pediatric specialist performs oxygen rounds in the pediatric unit.
The specialist evaluates a 6-year-old boy who is receiving 40% oxygen via aerosol
mask. The specialist notes that the child keeps removing the mask. The boy's
parents inform the specialist that the child does not like to keep the mask on his
face because he "feels like it is suffocating him". To maintain the same FiO2 and
humidity level for this patient, the specialist should recommend changing to a/an
a. oxygen hood
b. face tent
c. nasal cannula
d. membrane cartridge system ---------CORRECT ANSWER-----------------d.
membrane cartridge system
A stable 6-day-old infant requires a temperature-controlled environment. Which
of the following methods would be most appropriate for this patient?
a. Oxyhood
b. radiant warmer
,c. Isolette
d. Oxygen tent ---------CORRECT ANSWER-----------------c. Isolette
Mean airway pressure rises with increases in all of the following EXCEPT
a. total cycle time
b. peak inspiratory pressure
c. positive end expiratory pressure
d. respiratory rate ---------CORRECT ANSWER-----------------a. total cycle time
Sedation/paralyzing agents would be indicated for all of the following conditions
EXCEPT
a. intracranial hemorrhage
b. muscular dystrophy
c. status asthmaticus
d. sustained seizures ---------CORRECT ANSWER-----------------b. muscular dystrophy
The high-pressure alarm is activated for a patient on volume control ventilation. It
is determined that there is a decrease in the patient's static lung compliance. The
neonatal/pediatric specialist should
a. increase the pressure limit
b. sedate the patient
c. decrease the tidal volume
, d. decrease the flowrate ---------CORRECT ANSWER-----------------a. increase the
pressure limit
A pediatric patient developing respiratory distress sydnrome is on a tidal volume
of 500 mL, rate of 12/min, PEEP of 6 cmH2O and 90% oxygen in the assist/control
mode. The physician wants the PaO2 increased, but the blood pressure
deteriorates with further increases in PEEP. Which of the following should the
neonatal/pediatric specialist recommend?
a. change to the SIMV mode
b. administer steroids
c. increase the tidal volume and decrease the rate
d. administer a fluid challenge ---------CORRECT ANSWER-----------------d. administer
a fluid challenge
A preterm infant has been receiving pressure control ventilation for 12 days when
he develops a bronchopleural fistula. The neonatal/pedatric specialist should
recommend
a. exogenous surfactant therapy
b. volume control ventilation
c. high frequency ventilation
d. nitric oxide therapy ---------CORRECT ANSWER-----------------c. high frequency
ventilation
