Advanced Neonatal and Pediatric Respiratory Therapy
Practice Exam
Course Introduction
This course delves into advanced concepts and practices in respiratory care for neonatal and pediatric populations. Students will explore critical topics such as the pathophysiology of respiratory disorders in infants and children, respiratory assessment techniques, and evidence-based therapeutic interventions. Emphasis is placed on mechanical ventilation strategies, advanced airway management, and the use of specialized equipment in neonatal and pediatric intensive care settings. Through case studies and simulation, students will develop clinical decision-making skills necessary to manage complex respiratory conditions in these vulnerable patient groups.
Recommended Textbook
Neonatal and Pediatric Respiratory Care A Patient Case Method 1st Edition by Julianne Perretta
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21 Chapters
478 Verified Questions
478 Flashcards
Source URL: https://quizplus.com/study-set/1912 Page 2
Chapter 1: Making Sense of Caring for Kids: a Different Approach
to Respiratory Care
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38098
Sample Questions
Q1) What is evidence-based medicine
A)The ability to care for your patient from set protoCols determined 10 years ago
B)Delivering care from unscientific data and set procedures set forth by the hospital
C)Conscientious, explicit, and judicious use of current best evidence in making decisions about the care of the individual patient
D)Integrating many clinical experts who review best practices within a number of hospitals and determining the best mode of action to take care of your patients
Answer: C
Q2) Define off-label use.
Answer: Off-label use is when medication is prescribed and delivered for an intended use, such as age, group, or Condition, other than what is documented in the proposed labeling.
Q3) List five errors that can occur in arterial blood gas sampling.
Answer: Heparin dilution, air in sample, venous admixture, temperature, metabolism
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Chapter 2: Fetal Cardiopulmonary Development
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38099
Sample Questions
Q1) Blood returns to the fetus through which of the following pathways
A)Umbilical vein, ductus venosus, foreman ovale, umbilical artery
B)Umbilical artery, ductus arteriosus, foreman ovale, umbilical artery
C)Umbilical artery, foramen ovale, ductus arteriosus, umbilical artery
D)Umbilical vein, ductus arteriosus, foramen ovale, ductus venosus, umbilical artery
Answer: A
Q2) Which of the following statements is not true about the germinal matrix
A)The germinal matrix is a weakly supported and highly vascularized area at the surface of the lateral ventricles that is prone to hypoxic-ischemic injury.
B)The germinal matrix is irregular and prone to rupture.
C)The germinal matrix leads to a low incidence of intraventricular hemorrhage in premature neonates.
D)An increase in systemic blood pressure in a premature infant will increase cerebral blood flow.
Answer: C
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Chapter 3: Resuscitation of the Newborn During Transition to
Extrauterine Life
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/38100
Sample Questions
Q1) What route may be used to administer epinephrine 1:10,000 (0.1 mg/mL) to increase heart rate
A)Subcutaneously
B)Intravenously only
C)Endotracheally only
D)Intravenously and endotracheally
Answer: D
Q2) During cardiopulmonary resuscitation, a newborn's heart rate should be assessed every 5 seConds to determine effectiveness of Compressions.
A)True
B)False
Answer: False
Q3) In the presence of meConium, it is suggested to use a bulb syringe aspirator vigorously to reduce the risk of aspiration.
A)True
B)False
Answer: False
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Page 5
Chapter 4: Respiratory Distress Syndrome
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/38101
Sample Questions
Q1) High-frequency jet ventilation is an independent mode of ventilation allowing effective ventilation and oxygenation at higher airway resistance than high frequency oscillatory ventilation.
A)True
B)False
Q2) During mechanical ventilation, functional residual capacity is adequately maintained when a chest radiograph reveals:
A)Lung inflation to the eighth posterior rib above the level of the diaphragm
B)Lung inflation to the ninth posterior rib above the level of the diaphragm
C)Lung inflation to the ninth anterior rib and below the level of the diaphragm
D)Lung inflation to the eighth and ninth posterior ribs above the level of the diaphragm
Q3) What method of ventilation allows peak inspiratory pressure to be weaned based on breath-to-breath changes in lung mechanics
A)Pressure Control ventilation
B)Volume Control ventilation
C)Volume-assured pressure support
D)Volume-targeted ventilation
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Chapter 5: Apnea of Prematurity and Bronchopulmonary Dysplasia
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) What drug is a mast cell stabilizer that shows great promise with improved lung Compliance and mechanical ventilation requirements, but not with prophylactic treatment
A)Inositol
B)Inhaled nitric oxide
C)Cromolyn sodium
D)Prednisone
Q2) What is the best mode of therapy used to treat obstructive sleep apnea in infants
A)Kinesthetic stimulation
B)Nasal Continuous positive airway pressure
C)Nasal cannula
D)Blood transfusions
Q3) The risk factors for bronchopulmonary dysplasia Consist of all of the following <b><u>except</u></b>:
A)28 weeks or less of gestation
B)PaCO greater than 50 mm Hg
C)Respiratory distress syndrome
D)Placenta abruptio
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Chapter 6: Disease of Full-Term Infants
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/38103
Sample Questions
Q1) Which cardiopulmonary disease is also associated with pulmonary hypertension
A)MeConium aspiration syndrome
B)Pulmonary hypoplasia
C)Hypoplastic left heart syndrome
D)Bronchopulmonary dysplasia
Q2) How does a patient present with meConium aspiration syndrome
I.Tachypnea
II.Hypoxemia
III.Respiratory alkalosis
IV.No apparent respiratory distress
V.Grunting
A)I, II, and V
B)II, III, and V
C)I, IV, and V
D)III, IV, and V
Q3) What process must occur to stimulate a newborn to breathe
A)Decrease in PaO
B)Increase in PaCO
C)Decrease in PaCO
D)Increase in PaO
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Chapter 7: Common Neonatal Complications: Pulmonary
Complications
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/38104
Sample Questions
Q1) What are the clinical manifestations of pneumopericardium
I.Muffled or absent heart tones
II.Decreased arterial blood pressure
III.Tachycardia
IV.Bradycardia and hypoxia
V.Pulseless electrical activity
VI.Cyanosis
VII.Hypertension
A)I, IV, V, VI, and VII
B)I, III, IV, V, and VI
C)II, III, IV, V, and VI
D)I, II, IV, V, and VI
Q2) Re-intubation and mechanical ventilation should be based only on chest radiograph evidence.
A)True
B)False
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Chapter 8: Common Neonatal Complications: Multisystem
Complications
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38105
Sample Questions
Q1) It is highly unlikely for an intraventricular hemorrhage to develop in the first week of life.
A)True
B)False
Q2) Which of the following statements is true regarding fatalities in patients diagnosed with necrotizing enteroColitis
A)They tend to die within the first 2 weeks of diagnosis.
B)They tend to die within 7 days of diagnosis.
C)They tend to die within the first month of diagnosis.
D)They tend to die the first day of diagnosis.
Q3) Mechanically ventilated patients with a patent ductus arteriosus present what additional challenge for registered respiratory therapists
A)Respiratory distress syndrome
B)Pulmonary interstitial emphysema
C)Necrotizing enteroColitis
D)Pulmonary edema
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10
Chapter 9: Abdominal Defects
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/38106
Sample Questions
Q1) Delivery room management for Congenital diaphragmatic hernia Consists of which of the following
I.Expecting respiratory distress
II.No mask ventilation
III.Nasogastric tube placement
IV.0.50-1.0 FiO application
V.Early administration of Continuous positive airway pressure
A)I, II, III, IV, and V
B)I and IV
C)I, II, and III
D)I, III, IV, and V
Q2) A higher lung/head ratio denotes a larger problem with pulmonary dysfunction in infants with Congenital diaphragmatic hernia.
A)True
B)False
Q3) High-frequency oscillatory ventilation may decrease alveolar surfactant production. A)True
B)False
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11
Chapter 10: Airway Abnormalities
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) For what subglottic airway Condition is intubation not a form of treatment unless respiratory distress is severe
A)Croup
B)Subglottic stenosis
C)Tracheoesophageal fistula
D)Vocal Cord paralysis
Q2) What is the treatment for macroglossia
A)Tonsillectomy
B)Tongue reduction surgery
C)IV antibiotics
D)Incision and drainage
Q3) All of the following are symptoms of severe laryngomalacia <b><u>except</u></b>:
A)Cyanosis
B)Feeding difficulties
C)Failure to thrive
D)Cor pulmonale
E) All of the above
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Chapter 11: Acyanotic Heart Defects
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/38108
Sample Questions
Q1) What diagnostic tools are used to identify cardiac defects
I.Chest radiograph
II.EKG
III.Arterial blood gas testing
IV.CT scan
V.Echocardiogram
VI.MRI
A)I, III, and VI
B)II, IV, and V
C)I, II, and V
D)III, IV, and VI
Q2) Bicuspid aortic valve is the most Common cause of aortic stenosis.
A)True
B)False
Q3) Successful atrial septal defect closure has excellent long-term outComes.
A)True
B)False
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Chapter 12: Cyanotic Heart Defects
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A patient diagnosed with an Ebstein anomaly will present with which of the following findings on physical examination
I.Saturation less than 85% in patients who are older children or are adults
II.Cyanosis
III.Hepatomegaly
IV.Jugular vein distention
V.Dyspnea on exertion
A)I, III, IV, and V
B)I, II, III, IV, and V,
C)I, III, IV, and V.
D)II, III, IV, and V,
Q2) Hypoplastic left heart syndrome is an example of what larger category of Congenital cardiac defects
A)Modified Blalock-Taussig shunt
B)Ebstein anomaly
C)Single ventricle syndrome
D)Patent foramen ovale
Q3) Surgical intervention is not indicated in patients with truncus arteriosus.
A)True
B)False
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Chapter 13: Asthma
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/38110
Sample Questions
Q1) Which of the following cells give rise to the chronic inflammation process
I.Basophils
II.Eosinophils
III.Lymphocytes (T cells and B cells)
IV.Monocytes
V.Neutrophils
A)I and III
B)IV and V
C)II and V
D)III and IV
Q2) What is the gold standard drug for treating asthma
I.Short-acting beta agonists
II.Long-acting beta agonists
III.Short-acting beta agonists Combined with long-acting beta agonists
IV.Ventolin
V.Levalbuterol
A)I, III, and V
B)I, IV, and V
C)II, III, and IV
D)I, II, and IV
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Page 15
Chapter 14: Pediatric Disease With Respiratory Implications
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following techniques are <b><u>not Considered</u></b> when managing a patient with cystic fibrosis
I.Airway clearance technique
II.Bronchial hygiene therapy
III.Hig- frequency chest wall oscillation
IV.Total chest breathing technique
V.High-pressure positive expiratory pressure therapy
VI.Drainage autogenic dyssynchrony
VII.Intrapulmonary percussive ventilation
VIII.Aerosol therapy and muColytic therapy
A)II, III, IV, and VIII
B)I, V, and VI
C)IV, and VII
D)I, II, and IV
Q2) What action should be performed to stop transmission of pathogens from one cystic fibrosis patient to another
A)Disinfecting equipment by cleaning with vinegar solution
B)Autoclave sterilization of equipment
C)Hand washing
D)Distillation process
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Page 16
Chapter 15: Pediatric Pulmonary Diseases
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/38112
Sample Questions
Q1) What is the best way to initially evaluate the effectiveness of inspiratory pressure during bi-level positive airway pressure
A)Patient can activate or trigger the pressure.
B)Good chest wall excursion
C)Arterial blood gas values
D)Patient appears in no distress and is resting Comfortably.
Q2) What are some ways to increase mean airway pressure while on invasive ventilation
I.Decrease tidal volume.
II.Increase peak inspiratory pressure.
III.Decrease I-time.
IV.Increase positive end-expiratory pressure.
A)I and III
B)I and IV
C)II and III
D)II and IV
Q3) There is no definitive treatment or set Course of action for acute respiratory distress syndrome.
A)True
B)False
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Page 17
Chapter 16: Pediatric Infectious Airway Diseases
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/38113
Sample Questions
Q1) An epiglottitis patient typically presents in which position
A)Prone
B)Side up with head hanging low
C)Supine with chin up and mouth open
D)Tripod position
Q2) When intubation is indicated for bacterial tracheitis, what is <b><u>significantly</u></b> notable in regard to the endotracheal tube (ETT)
A)ETT needs to be larger than normally chosen for age to acCount for inflammation process.
B)ETT needs to be smaller than normally chosen for age to acCount for inflammation process.
C)There are no special delineations to acCount for.
D)Never intubate via the ETT, a tracheostomy is always reCommended in these cases.
Q3) Epiglottitis classically affects what age group of children
A)6 months to 5 years old
B)1 to 6 years of age
C)2 to 5 years of age
D)Infancy to 18 months
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18
Chapter 17: Neuromuscular Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) What is the most Common form of botulism
A)Food-borne botulism
B)Wound-borne botulism
C)Infant-borne botulism D! None of the above
Q2) What are the three types of myasthenia gravis (MG)
I.Congenital MG
II.Neonatal MG
III.Adolescent MG
IV.Juvenile MG
V.Infantile MG
A)I, III, and V
B)II, IV, and V
C)II, III, and V
D)I, II, and IV
Q3) What test Confirms the diagnosis for Guillain Barré syndrome
A)Complete blood Count
B)Electromyography
C)Polysomnography study
D)Cerebrospinal fluid specimen
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Page 19
Chapter 18: Pediatric Diseases With Respiratory Implications
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) In which type of drowning does laryngospasm persist after a person loses Consciousness
A)Wet drowning
B)Near drowning,
C)Dry drowning.
D)Laryngospasm drowning,.
Q2) Persistent lung damage can cause pulmonary hypertension and lead to heart failure.
A)True
B)False
Q3) What is the acidity of saliva
A)pH 6.9
B)pH 7.0
C)pH 7.1
D)pH 7.2
Q4) Hyperbaric chambers have shown remarkable success in the management and treatment of carbon monoxide poisoning.
A)True
B)False
Page 20
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Chapter 19: Neurological Accidents
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which of the following respiratory patterns does not suggest the presence of a traumatic brain injury
A)Tachypnea
B)Cluster breathing
C)Eupneic
D)Apneustic
E)Cheyne-Stokes
Q2) What methods should be used to prevent aspiration in a child with a Glasgow Coma Scale sCore of 8 or less
I.Management of cerebral perfusion pressure
II.Rapid sequence intubation
III.Inhaled nitric oxide initially, followed by high positive pressure breaths to avoid aspiration
IV.Administration of benzodiazepine
V.Sellick maneuver
A)I, III, and V
B)I, II, III, IV, and V
C)II, III, and IV
D)II and V
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Chapter 20: Ethics in Perinatal and Pediatric Respiratory Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/38117
Sample Questions
Q1) What are the five Common philosophical frameworks for moral decision-making
I.Utilitarian
II.Egalitarian
III.Justice
IV.Virtue
V.Common good
VI.Rights
VII.Professionalism
A)I, III, IV, V, and VI
B)II, III, IV, V, and VII
C)I, II, V, VI, and VII
D)I, II, III, VI, and VII
Q2) Spinal muscular atrophy type 1 is a Congenital disease causing degeneration of the skeletal system.
A)True
B)False
Q3) Clinical medicine and clinical research are both guided by principles of bioethics.
A)True
B)False
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Chapter 21: Palliative and End of Life Care
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) Terminal sedation refers to the careful Control of symptoms with intent to cause death.
A)True
B)False
Q2) A "do not attempt resuscitation" order includes which of the following interventions
I.Chest Compressions
II.Mechanical ventilation
III.Defibrillation
IV.Diagnostic tests
A)I, III, and IV
B)II, III, and IV
C)I, II, and IV
D)I, II, and III
Q3) Studies have shown that the use of opiate drug therapy, administered systemically during end of life, hastens death.
A)True
B)False
Q4) The simultaneous pursuit of both palliative and curative measures is referred to as
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