Free NPS Clinical Problem-Solving Questions and Answers

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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?

Maintain the current oxygen flow

Change the device to a non-rebreather mask

Increase the oxygen flow

Contact the ED physician

Correct! Wrong!

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?

Monitor the patient with pulse oximetry

Adjust the seal on the face mask

Increase the oxygen flow

Change the patient to an air-entrainment mask

Correct! Wrong!

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?

Nasal cannula

High-flow cannula

Non-rebreather mask

Air entrainment mask

Correct! Wrong!

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?

intermittent positive pressure breathing

intrapulmonary percussive ventilation

external chest wall percussive device

in-insufflator

Correct! Wrong!

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?

Sit the patient up and perform the Heimlich maneuver

Order a chest x-ray

Perform back blows

Roll the patient to the right side for postural drainage

Correct! Wrong!