NPS NPS Emergency and Critical Care

Question 1

During neonatal resuscitation, chest compressions are indicated when the heart rate remains below what threshold after 30 seconds of effective positive pressure ventilation?

Accepted Answer

60 bpm

Answer

40 bpm

Answer

80 bpm

Answer

100 bpm

Question 2

The correct compression-to-ventilation ratio during neonatal CPR is:

Accepted Answer

3:1

Answer

15:2

Answer

30:2

Answer

5:1

Question 3

A 6-week-old infant presents with apnea, bradycardia, and poor perfusion. Heart rate is 40 bpm. After initiating CPR, which vascular access is the fastest to establish?

Accepted Answer

Intraosseous access (IO)

Answer

Peripheral IV in antecubital vein

Answer

Umbilical venous catheter

Answer

Central venous catheter

Question 4

What is the initial fluid bolus volume and type for a pediatric patient in septic shock?

Accepted Answer

20 mL/kg isotonic crystalloid

Answer

5 mL/kg normal saline

Answer

10 mL/kg albumin

Answer

40 mL/kg D5 0.45NS

Question 5

A 3-year-old child has an anaphylactic reaction at a peanut-free facility. What is the first-line treatment?

Accepted Answer

Epinephrine IM (0.01 mg/kg) into the anterolateral thigh

Answer

Diphenhydramine IV

Answer

Methylprednisolone IV

Answer

Albuterol nebulization

Question 6

Which is the most common cause of cardiac arrest in the pediatric population outside of the neonatal period?

Accepted Answer

Respiratory failure leading to hypoxic cardiac arrest

Answer

Primary ventricular fibrillation

Answer

Congenital heart defects

Answer

Electrolyte imbalances