NBRC NPS Study Pre-Test

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  1. Which of the following is an appropriate alternative to conventional chest physiotherapy for a 17 year old patient with cystic fibrosis who is preparing to leave home for college?

    A: Aerosolized antibiotics
    B: Nebulized beta-agonist
    C: Incentive spirometry
    D: Vibratory PEP
    D: Vibratory PEP
  2. A neonate who is receiving invasive, positive pressure ventilation suddenly becomes cyanotic and bradycardic. Transillumination reveals hyperlucency of the chest, which is the most likely caused by

    A: mainstem intubation
    B: diaphragmatic hernia
    C: pleural effusion
    D: Tension pneumothorax
    D: Tension Pneumothorax
  3. A 6 y/o child who has cystic fibrosis has been admitted to the hospital for the third time in a year. The pt is febrile. The pt's home routine includes albuterol and cpt 4 times a day. Which of the following meds should the NPS specialist recommend to be added to the respiratory care plan?

    1. Tobramycin (TOBI) once daily
    2. dornase alfa (Pulmozyme) twice daily
    3. Pentamidine (NebuPent) 4 times a day
    4. Ipratropium bromide (Atrovent) 4 times a day

    A: 1 & 2 only
    B: 1 & 4 only
    C: 2 & 3 only
    D: 3 & 4 only
    A: 1 & 2 (Tobi & Pumozyme)
  4. A 2 y/o child is in th eED with monophonic wheezing and moderate sternal retractions. VS are: 

    T: 37 C, HR 108, RR 22, BP 80/50

    A cxr shows an infiltrate in the rul. Which of the following should be prepared?

    A: fiberoptic broncoscope
    B: rigid bronchoscope
    C: laryngeal mask airway
    D: endobronchial tube
    B: rigid bronchoscope
  5. A 9 y/o child with CF is receiving 3 L/M o2 by NC. After returning from radiology, the child becomes dyspneic, and spo2 drops from 91% to 85%, with HR increase form 102 to 135/min. A NPS evaluates the child and find the o2 tubing has been obstructed. After relieving the obstruction, the spo2 is 89%. Which of the following should the specialist do next?

    A: continue o2 at 3L/min by NC
    B: Call the M.D for further instructions
    C: Manually ventilate at 100% o2
    D: Administer bronchodilation therapy as needed.
    A: Continue at 3L/min NC
  6. A term infant is receiving and fio2 of 1.0 by oxyhood. The RR is 99, nasal flaring is present, and spo2 from the right hand is 94%. The following umbilical artery blood gas results obtained: 7.28/62/45/26/-2

    The NPS should recommend

    A: repeating the bg
    B: beginning ECMO support
    C: instituting nasal CPAP
    D: initiating mechanical ventilation
    D: initiating CMV
  7. A 3 month old infant with chronic lung dz is receiving cmv. Attempts to wean the infant have been unsuccessful. Which of the following could be administered to enhance lung function?

    A: indomethacin (Indocin)
    B: tolazoline (Priscoline)
    C: glycopyrrolate (Robinul)
    D: dexamethasone (Decadron)
    D: Decadron (Dexamethasone)
  8. Which of the following should an NPS INITIALLY select to clear secretions from a neonate's upper airway?

    A: bulb syringe
    B: DeLee suction trap
    C: Mec aspirator
    D: tonsil suction tip
    A: Bulb syringe
  9. A NPS has completed delivery of an albuterol tx by mdi with a spacer to a 6 y/o child with asthma. Which of the following effects should the specialist anticipate?

    A: increase in heart rate
    B: decrease in sputum production
    C: development of oral candidiasis
    D: onset of drowsiness
    A: increased heart rate
  10. A 6 y/o, 25 kg (55lb) child is admitted for asthma exacerbation. The child has been receiving albuterol 12 mg/hr by continuous neb for 24 hours. Chest auscultation reveals faint expiratory wheezes with decreased aeration of all lung fields. Additional data include: HR 110, RR 30, spo2 92% on RA, PEFR 120 L/min.

    Which of the following should the NPS recommend?

    A: admin. 2.5mg albuterols q1h
    B: contintue alb as prescribed
    C: change the albuterol dose to 5 mg/hr
    D: Add 0.5mg atrovent q2h
    B: continue as prescribed
  11. A neonate is receiving hfov and the vent is operating normally at Paw of 35 cm H20. The set mas Paw is 40 cm H20. During a vent check, the nps notices the digital Paw indicator shows 28 cm H20. Which of the following should the specialist do next?

    A: check the circuit connections
    B: Plug the circuit and restart the vent
    C: increase the amp setting
    D: empty the water trap
    A: check connections
  12. A 2 y/o child has been dx with pneumonia. The child is receiving 60% of o2 by aerosol mask. The child's RR is 38/min and spo2 is 87%. Which of the following should the NPS recommend?

    A: 40% air-entrainment mask
    B: In-Exsufflator 3 X's daily
    C: 6 L/min HFNC
    D: vibratory PEP
    C: 6 L/min HFNC
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NBRC NPS Study Pre-Test
NBRC study questions for NPS licensing
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