NPS TEST PHLEBOTOMY | QUESTIONS AND ANSWERS | VERIFIED
ANSWERS GRADED A+ | LATEST EXAM
The neonatal/pediatric specialist attends a high-risk delivery in which the
newborn's buttocks and lower extremities present first. This fetal presentation is
best referred to as - CORRECT ANSWER - Complete Breech (correct)
Frank Breech only the buttocks
Incomplete Breech only lower legs
Transverse lie shoulder presents first
Protruding intestines contained within a translucent membrane or sac best
describes which of the following conditions? - CORRECT ANSWER -
Omphalocele (correct)
Gastroschisis Lateral to the umbilical stump and the intestines are not in a sac
Myelomeningocele spina bifida: defect of the the central nervous system where
a herniated sac contains portions of the spinal column
DiGeorge Syndrome congenital defect on chromosome 22
Following a motor vehicle accident, an 11-year-old girl presents with a Glasgow
Coma Scale of ten (10). This would indicate - CORRECT ANSWER -
Moderate Head injury (correct) 9-12
,no head injury
mild head injury 13-15
severe head injury 3-8
Which of the following should the neonatal/pediatric specialist suspect in a 1-
year-old child with a gradual onset of symptoms? - CORRECT ANSWER -
Respiratory Syncytial Virus RSV (correct)
Foreign body aspiration
Asthma
Epiglottitis
Which of the following treatment options should the neonatal/pediatric
specialist recommend for a newborn with hyperbilirubinemia? - CORRECT
ANSWER - Phototherapy, Vitamine E, Exchange transfusion
Which of the following procedures would be helpful to differentiate between
Persistent Pulmonary Hypertension of the Newborn (PPHN) and right-to-left
shunting resulting from a congenital heart defect? - CORRECT ANSWER -
Hyperoxia-Hyperventilation Test (correct); infant placed on 100% O2 and
manually ventilate for 5 to 10 minutes watching for an improvement in PaO2. If
the PaO2 rises above 100 torr then the baby has PPHN. If the PaO2 does not
improve the infant has a heart defect
Oxygen Challenge test; neonate placed on 100% oxygen, change in PaO2 is
evaluated. In lung disease the PaO2 will rise, little or no change shows shunting
but we cant tell the difference between PPHN or cardiac defects
,Silverman-Anderson score; used to assess the severity of respiratory destress in
neonates
Fiberoptic Transillumination; only for pneumothorax
During assessment of an infant's nutritional status, the neonatal/pediatric
specialist notes that the infant has a protruding belly with edematous face and
limbs. This condition is best described as - CORRECT ANSWER -
Kwashiorkor (correct) sudden lack of proteins
Potter Syndrome atypical appearance caused by pologo hydrannis
Scaphoid Syndrome diaphragmatic hernia
Marasmus extreme lack of calories and protein match stick arms and lack of
muscle and fat
A feeding tube is inserted through the nose of a full-term newborn. When
evaluating the post-procedure x-ray, the neonatal/pediatric specialist notes that
the tube is coiled in the newborn's mediastinum. This would indicate a/an -
CORRECT ANSWER - Esophageal atresia (correct) when the top and the
bottom of the esophagus have not grown together
Diaphragmatic hernia; the feeding tube would go past the mediastinum and go
back up
tracheo-esophageal fistula; we would see it in the lungs
choanal atresia congenital blockage of the nasopharynx the feeding tube would
not be able to pass through.
, Upon examination of the chest x-ray of a premature newborn receiving positive
pressure ventilation, the neonatal/pediatric specialist notes the presence of
nodular, irregular bubbles radiating outward from the hilum accompanied by
linear lucencies and streaks. These findings are consistent with - CORRECT
ANSWER - Pulmonary interstitial emphysema (correct) air leaking into the
tissue layers of the airways
Hyaline Membrane Disease; reticulogranular reticulologal ground glass or
honeycomb pattern with air bronchograms
Pneumopericardium; presence of air in the pericardial sac surrounding the heart
Pulmonary Edema; presence of fluid in the alveolar level butterfly batwing
bilateral diffused infiltrates
Which of the following statements are TRUE regarding urine output for a full-
term infant weighing 3 kg? - CORRECT ANSWER - Urine output is related to
circulation, perfusion and Normal is 1ml/kg/hr
An infant born to a mother who smoked cigarettes during pregnancy is at a
greater risk of - CORRECT ANSWER - intrauterine growth retardation
(correct)
Central nervous system dysfunction fetal alcohol syndrome
Teratogenic effects developmental malformations from alcohol
Lower intellectual levels maternal malnutrition or diabetes
ANSWERS GRADED A+ | LATEST EXAM
The neonatal/pediatric specialist attends a high-risk delivery in which the
newborn's buttocks and lower extremities present first. This fetal presentation is
best referred to as - CORRECT ANSWER - Complete Breech (correct)
Frank Breech only the buttocks
Incomplete Breech only lower legs
Transverse lie shoulder presents first
Protruding intestines contained within a translucent membrane or sac best
describes which of the following conditions? - CORRECT ANSWER -
Omphalocele (correct)
Gastroschisis Lateral to the umbilical stump and the intestines are not in a sac
Myelomeningocele spina bifida: defect of the the central nervous system where
a herniated sac contains portions of the spinal column
DiGeorge Syndrome congenital defect on chromosome 22
Following a motor vehicle accident, an 11-year-old girl presents with a Glasgow
Coma Scale of ten (10). This would indicate - CORRECT ANSWER -
Moderate Head injury (correct) 9-12
,no head injury
mild head injury 13-15
severe head injury 3-8
Which of the following should the neonatal/pediatric specialist suspect in a 1-
year-old child with a gradual onset of symptoms? - CORRECT ANSWER -
Respiratory Syncytial Virus RSV (correct)
Foreign body aspiration
Asthma
Epiglottitis
Which of the following treatment options should the neonatal/pediatric
specialist recommend for a newborn with hyperbilirubinemia? - CORRECT
ANSWER - Phototherapy, Vitamine E, Exchange transfusion
Which of the following procedures would be helpful to differentiate between
Persistent Pulmonary Hypertension of the Newborn (PPHN) and right-to-left
shunting resulting from a congenital heart defect? - CORRECT ANSWER -
Hyperoxia-Hyperventilation Test (correct); infant placed on 100% O2 and
manually ventilate for 5 to 10 minutes watching for an improvement in PaO2. If
the PaO2 rises above 100 torr then the baby has PPHN. If the PaO2 does not
improve the infant has a heart defect
Oxygen Challenge test; neonate placed on 100% oxygen, change in PaO2 is
evaluated. In lung disease the PaO2 will rise, little or no change shows shunting
but we cant tell the difference between PPHN or cardiac defects
,Silverman-Anderson score; used to assess the severity of respiratory destress in
neonates
Fiberoptic Transillumination; only for pneumothorax
During assessment of an infant's nutritional status, the neonatal/pediatric
specialist notes that the infant has a protruding belly with edematous face and
limbs. This condition is best described as - CORRECT ANSWER -
Kwashiorkor (correct) sudden lack of proteins
Potter Syndrome atypical appearance caused by pologo hydrannis
Scaphoid Syndrome diaphragmatic hernia
Marasmus extreme lack of calories and protein match stick arms and lack of
muscle and fat
A feeding tube is inserted through the nose of a full-term newborn. When
evaluating the post-procedure x-ray, the neonatal/pediatric specialist notes that
the tube is coiled in the newborn's mediastinum. This would indicate a/an -
CORRECT ANSWER - Esophageal atresia (correct) when the top and the
bottom of the esophagus have not grown together
Diaphragmatic hernia; the feeding tube would go past the mediastinum and go
back up
tracheo-esophageal fistula; we would see it in the lungs
choanal atresia congenital blockage of the nasopharynx the feeding tube would
not be able to pass through.
, Upon examination of the chest x-ray of a premature newborn receiving positive
pressure ventilation, the neonatal/pediatric specialist notes the presence of
nodular, irregular bubbles radiating outward from the hilum accompanied by
linear lucencies and streaks. These findings are consistent with - CORRECT
ANSWER - Pulmonary interstitial emphysema (correct) air leaking into the
tissue layers of the airways
Hyaline Membrane Disease; reticulogranular reticulologal ground glass or
honeycomb pattern with air bronchograms
Pneumopericardium; presence of air in the pericardial sac surrounding the heart
Pulmonary Edema; presence of fluid in the alveolar level butterfly batwing
bilateral diffused infiltrates
Which of the following statements are TRUE regarding urine output for a full-
term infant weighing 3 kg? - CORRECT ANSWER - Urine output is related to
circulation, perfusion and Normal is 1ml/kg/hr
An infant born to a mother who smoked cigarettes during pregnancy is at a
greater risk of - CORRECT ANSWER - intrauterine growth retardation
(correct)
Central nervous system dysfunction fetal alcohol syndrome
Teratogenic effects developmental malformations from alcohol
Lower intellectual levels maternal malnutrition or diabetes
