KETTERING NPS ACTUAL

KETTERING NPS (ACTUAL 2025/2026)

QUESTIONS AND VERIFIED ANSWERS

Which of the following suction catheters would be most appropriate to use for a pediatric patient with a size 6 mm ID endotracheal tube?

• 6 Fr
• 8 Fr
• 10 Fr
• 12 Fr - <<>>b. 8 Fr

The neonatal/pediatric specialist is called to assist in the delivery of a post-term neonate with meconium-stained amniotic fluid. Variable decelerations occurred during labor.At birth, the newborn's heart rate is 58/minute with weak respiratory efforts and poor muscle tone. What action should the specialist take at this time?

• Suction the mouth and nose with a bulb syringe
• Clear the mouth and nose with a large/suction catheter
• Initiate positive pressure ventilation with a face mask
• insert endotracheal tube, attach meconium aspirator, apply

suction and withdraw tube - <<>>c. initiate positive pressure ventilation with a face mask

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During mechanical ventilation in pressure control, the preset inspiratory pressure will not be reached in which of the following conditions?

• Inspiratory time is too long
• Respiratory rate is too low
• PEEP level is excessive
• Flow is not adequate - <<>>d. flow is not

adequate

A six-week-old neonate is being ventilated with pressure control ventilation. The neonatal/pediatric specialist should not allow the mean airway pressure value to go above

• 5 cmH2O
• 10 cmH2O
• 15 cmH2O
• 20 cmH2O - <<>>c. 15 cmH2O

The neonatal/pediatric specialist is managing a 4-year-old child with ARDS on mechanical ventilation in the Assist/Control, Volume Control mode. In order to increase minute ventilation, the specialist should increase the

• Mandatory rate
• FiO2
• PEEP
• I:E ratio - <<>>a. mandatory rate 2 / 4

During mechanical ventilation of neonatal patients, a peak inspiratory pressure of 35 cmH2O increases the risk of 1.barotrauma, 2. Retinopathy of prematurity, 3. Pulmonary air leaks

• 2 only
• 1 and 3 only
• 2 and 3 only
• 1, 2 and 3 - <<>>b. 1 and 3 only

A premature neonate is receiving mechanical ventilation with a respiratory rate of 30/minute and an inspiratory time of 0.5

seconds? These settings would result in an I:E ratio of

a. 1:1

b. 1:2

c. 1:3

• 1:4 - <<>>c. 1:3

The neonatal/ pediatric specialist is asked to calculate the inspiratory time for a ventilator set at 25 breaths/minute with an I:E ratio of 1:3. The specialist should report the inspiratory time as

• 0.4 sec
• 0.5 sec
• 0.6 sec 3 / 4

• 0.8 sec - <<>>c. 0.6 sec

Calculate the I:E ratio for a ventilator set at a rate of 20

breaths/minute with an inspiratory time of 0.6 seconds.

a. 1:1

b. 1:2

c. 1:3

• 1:4 - <<>>d. 1:4

A four-week-old, 28-week-gestation infant with RDS remains

on mechanical ventilation. Current ventilator parameters are:

PIP 22 cmH2O, rate 10 breaths/min, FiO2 0.30, PEEP 4 cmH2O. Arterial blood gas analysis reveals adequate oxygenation and ventilation. The infant is breathing spontaneously above the set rate with minimal work of breathing. The neonate/pediatric specialist should

• Decrease the respiratory rate to 8 breaths/min
• Decrease the PIP to 18 cmH2O
• Decrease the FiO2 to 0.28
• Initiate a CPAP trial - <<>>d. initiate a CPAP

trial

A neonate with RDS is receiving mechanical ventilation at the

following settings: PC/SIMV FiO2 0.30, rate 20/min, PIP 22

cmH2O, PEEP 4 cmH2O. One hour after the respiratory rate is changed to 12/min, the ABG results are: pH 7.40, PaCO2

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