KETTERING NPS STUDY QUESTIONS WITH ANSWERS GUARANTEED PASS | RATED A+

KETTERING NPS STUDY QUESTIONS WITH ANSWERS GUARANTEED PASS | RATED A+
A 39-week gestational-age newborn in the NICU has problems with thermal instability and
exhibits signs and symptoms of shock. A chest x-ray reveals bilateral infiltrates. During
assessment, the neonatal/pediatric specialist finds an infant in distress with periods of apnea,
pallor and cyanosis. The infant's mother developed a high fever following an uneventful labor
and delivery. The specialist should suspect that the newborn has
A.Pierre-Robin Syndrome.
B.Strep B infection.
C.Necrotizing Enterocolitis.
D.Pulmonary Interstitial Emphysema. - Answer>>> B.Strep B infection.
Following airway suctioning in patients with ARDS, which of the following maneuvers would reexpand collapsed lung units?
A.inspiratory pause
B.sigh maneuver
C.decreased inspiratory flow
D.expiratory retard maneuver - Answer>>> B.sigh maneuver
A two-year-old near-drowning victim is receiving mechanical ventilation via high frequency
oscillator. Arterial blood gas analysis reveals hypercapnia. The neonatal/pediatric specialist is
asked to make ventilator adjustments to address this condition. The specialist should
A.increase the frequency.
B.decrease the frequency.
C.increase the FIO2.
D.increase the PEEP. - Answer>>> B.decrease the frequency.
Which of the following should the neonatal/pediatric specialist recommend for a newborn with
hyperbilirubinemia?
1. phototherapy
2. vitamin E
3. Nasal CPAP
4. Exchange transfusion
A. 1 and 2 only
B. 3 and 4 only
C. 1,2, and 3 only
D. 1,2, and 4 only - Answer>>> D. 1,2, and 4 only
A seven-year-old patient involved in an automobile accident is being mechanically ventilated and
has a chest tube in place. The neonatal/pediatric specialist notes continuous bubbling in the
water-seal bottle. The specialist should:
A.make a notation in the patient's medical record.
B.report this finding immediately.
C.decrease the wall suction pressure.
D.submerge the chest tube in a glass of water. - Answer>>> B.report this finding immediately.
indicates an air leak in tube system or pleural/pulmonary space. requires immediate attention.
A preterm neonate in the NICU is being evaluated by the neonatal/pediatric specialist at the
beginning of the shift. Hypothermia, abdominal distension and decreased bowel sounds are
noted and the baby is lethargic. The nurse's notes from the night before report blood in the
neonate's stool. Which of the following treatments would be appropriate for this neonate?
1. Avoid oral feedings
2. Intravenous hydration and hyperalimentation
3. Broad spectrum antibiotics
4. Abdominal decompression by NG tube
A.3 and 4 only
B.1, 2 and 3 only
C.1, 2, and 4 only
D.1, 2, 3, and 4 - Answer>>> D.1, 2, 3, and 4
necrotizing enterocolitis. NEC
Chest x-ray findings on a 1-month-old 26-week gestation-age infant reveal irregular bubbles in
the hilar area radiating outward with linear lucencies or streaks. Physical assessment reveals
tachypnea and cyanosis while on mechanical ventilation at the following settings:
PIP:30 cm H2ORate:30/minFIO2:0.80I Time:0.4 Sec
Which of the following should the neonatal/pediatric specialist recommend?
A.Subambient oxygen therapy
B.High frequency ventilation
C.100% oxygen for 6-12 hours
D.Chest tube insertion - Answer>>> B.High frequency ventilation
PIE, tx is HFOV
A full-term infant did well at birth but is now coughing and choking during feedings. The nurse
was unable to insert a nasogastric tube. An X-ray reveals a coiled tube in the mediastinum.
Which of the following should the neonatal/pediatric specialist recommend for this infant?
A.Place infant in prone position
B.Insert a Replogle tube
C.Administer broad-spectrum antibiotics
D.Use a meconium aspirator to clear secretions - Answer>>> B.Insert a Replogle tube

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