KETTERING NPS ACTUAL FINAL EXAM 2025 WITH REAL QUESTIONS AND WELLVERIFIED CORRECT ANSWERS ALREADY GRADED A+ |GUARANTEED SUCCESS!!
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Course
KETTERING NPS
Institution
KETTERING NPS
KETTERING NPS ACTUAL FINAL EXAM
2025 WITH REAL QUESTIONS AND WELLVERIFIED CORRECT ANSWERS ALREADY
GRADED A+ |GUARANTEED SUCCESS!!
The pediatric pulmonologist is preparing to intubate a child with laryngotracheal
stenosis. Which of the following devices would be most appropriate for this
p...
KETTERING NPS ACTUAL FINAL EXAM
2025 WITH REAL QUESTIONS AND WELL-
VERIFIED CORRECT ANSWERS ALREADY
GRADED A+ |GUARANTEED SUCCESS!!
The pediatric pulmonologist is preparing to intubate a child with laryngotracheal
stenosis. Which of the following devices would be most appropriate for this
potentially difficult intubation?
A. Laryngeal mask airway
B. Laryngoscope with miller blade
C. Laryngoscope with Macintosh blade
D. Flexible fiberoptic bronchoscope - ANSWER-D. flexible fiberoptic
bronchoscope
An 11- year old patient on mechanical ventilation has a size 6 mm ID cuffed ETT
in place. The neonatal/pediatric specialist uses a cofactor to measure the cuff
pressure and notes that the cuff pressure is 24 cm H2O. The specialist should
A. Maintain the current cuff pressure
B. reinflate the cuff with minimal leak technique
C. Change to a larger tube
D. Change to a smaller tube - ANSWER-C. Change to a larger tube. (cuff pressure
should not exceed 20 cm H2O, if it is higher then the tube needs to be changed to a
larger tube size)
,A 5-year old patient with epiglottitis was intubated for airway management.
Following extubating, the neonatal/ pediatric specialist notes the presence of
marked inspiratory stridor. The specialist should
A. provide cool mist aerosol
B. Reintubate the patient
C. administer heliox therapy
D. administer racemic epinephrine - ANSWER-B. reintubate the patient (airway
emergency!)
A 2-year old patient with a severe case of laryngotracheobronchitis was extubated
earlier in the morning. The patient received aerosolized racemic epinephrine Q6HR
throughout the day. During her initial assessment, the night shift neonatal/ pediatric
specialist notes that the patient has mild to moderated inspiratory stridor. Vital
signs: BP 80/40 mmHg, HR 100/min, RR 28/min, temp 37 degrees C, and SpO2 is
93% on 30% oxygen by cool aerosol. Which of the following should the specialist
recommend?
A. levalbuterol (Xopenex)
B. prostacyclin (flolan)
C. Helium- Oxygen gas mixture
D. Reintubate the patient - ANSWER-C. Helium- Oxygen gas mixture
A 3-year old patient is on mechanical ventilation after nearly drowning in his
grandmother's backyard pool. He developed a kidney infection and has been on
antibiotics for four days. The neonatal/pediatric specialist is also concerned about
the development of ventilator- associated pneumonia. Which of the following
should the specialist recommend to reduce the risk?
1. keep head of bed elevated 30-45 degrees
2. closed suction catheters
3. change ventilator circuits every 72 hours
4. use SVN for bronchodilators instead of MDI
,A. 1 and 2 only
B. 3 and 4 only
C. 1,2, and 4 only
D. 1.3. and 4 only – ANSWER- A. 1 and 2 only (also routine oral care, avoid
routine circuit changes, MDI instead of SVN, and a hi-lo tube)
A 10-year old girl was involved in a personal watercraft accident and suffered a C-
3 fracture requiring mechanical ventilation. Nine days following intubation, the
pediatric intensivist asks the neonatal/ pediatric specialist for a recommendation
regarding an artificial airway for this patient. the specialist should recommend a/an
A. uncuffed ETT
B. Tracheostomy tube
C. LMA
D. Carlen's tube - ANSWER-B. Tracheostomy tube
An infant born to a mother who smoked cigarettes during pregnancy is at a greater
risk of
A. central nervous system dysfunction
B. intrauterine growth retardation
C. teratogenic effects
D. lower intellectual level - ANSWER-B. intrauterine growth retardation (also low
birth weight and preterm birth)
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
A. potter syndrome
, B. scaphoid abdomen
C. kwashiorkor
D. marasmus - ANSWER-C. Kwashiorkor (caused by sudden lack of protein and
calories with a protruding belly and edema to the face and limbs)
Potter syndrome: atypical appearance caused by oligohydramnios
Scaphoid abdomen: diaphragmatic hernia resulting from bowel being present in the
chest
Marasmus: caused by an extreme lack of calories and protein over a lengthy
amount of time resulting in matchstick arms.
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
A. diaphragmatic hernia
B. Esophageal atresia
C. trachea-esophageal fistula
D. choanal atresia - ANSWER-B. esophageal atresia (top and bottom of the
esophagus have not grown together)
Diaphragmatic hernia: abnormal opening in the diaphragm.
Trachea-esophageal fistula: opening between trachea and esophagus
Choanal atresia: congenital blockage of the nasopharynx.
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:
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