Free NPS Clinical Problem-Solving Questions and Answers

Question 1

Which of the following should the neonatal/pediatric specialist recommend for an 8 year-old child with cerebral atrophy and poor cognitive skills in order to promote bronchial hygiene while delivering a bronchodilator?

Accepted Answer

intrapulmonary percussive ventilation

Answer

intermittent positive pressure breathing

Answer

external chest wall percussive device

Answer

in-insufflator

Question 2

A 9-year-old child aspirates while eating gummy bears with her twin sister. She was laying on her left side at the time of aspiration. The child is in no apparent distress. The neonatal/pediatric specialist quickly suctions the child. What should the specialist do next?

Accepted Answer

Roll the patient to the right side for postural drainage

Answer

Sit the patient up and perform the Heimlich maneuver

Answer

Order a chest x-ray

Answer

Perform back blows

Question 3

A 15-year-old patient with asthma presents to the ED in moderate distress. After several hours of treatment, no clinical improvement has occurred. The physician has ordered heliox therapy. Which of the following should the neonatal/pediatric specialist select for delivery of this therapy?

Accepted Answer

Non-rebreather mask

Answer

Nasal cannula

Answer

High-flow cannula

Answer

Air entrainment mask

Question 4

A neonatal/pediatric specialist is called to the ED to administer a bronchodilator to a 7-year-old child with asthma.
The child is on oxygen via nasal cannula at 2L/min.
Pulse oximetry reveals a saturation of 84%.
The specialist finds the end of the oxygen tubing under the chair of the mother at the bedside.
The specialist reattaches the tubing and notes that the SpO2 is now 93%.
The specialist should?

Accepted Answer

Maintain the current oxygen flow

Answer

Change the device to a non-rebreather mask

Answer

Increase the oxygen flow

Answer

Contact the ED physician

Question 5

A 7 year-old child was rescued from a burning building and brought to the ED for treatment. Upon arrival, the child was placed on oxygen via a non-rebreather mask.
The neonatal/pediatric specialist notes that when the child inhales, the reservoir bag remains completely inflated.
The specialist should?

Accepted Answer

Adjust the seal on the face mask

Answer

Monitor the patient with pulse oximetry

Answer

Increase the oxygen flow

Answer

Change the patient to an air-entrainment mask