Question 1

A 3-year-old near-drowning child who is intubated and mechanically ventilated exhibits increased peak inspiratory pressures and decreased O# saturation. Stat chest x-ray reveals diffuse pulmonary infiltrates. No improvement is exhibited after an increase in FiO#. The nurse should suspect:

Options :

A : Respiratory distress syndrome (RDS)

B : ET tube displacement

C : Aspiration pneumonitis

D : Pneumothorax

Answer: A

Question 2

An infant is admitted with tonic-clonic movement of the lower extremities. The most likely etiology of the seizure is:

Options :

A : Lead poisoning

B : A febrile illness

C : A brain tumor

D : An arteriovenous malformation

Answer: B

Question 3

Which of the following is contraindicated when caring for a child with asthma who is intubated and receiving mechanical ventilation?

Options :

A : Turning and repositioning

B : Endotracheal suctioning

C : Chest physiotherapy

D : Inhaled steroids

Answer: C

Question 4

Which therapy is expected in the management of persistent pulmonary hypertension of the newborn (PPHN)?

Options :

A : PAOP monitoring and dobutamine

B : O# therapy and RBC transfusion

C : PAOP monitoring and sodium nitroprusside

D : O# therapy and alkalinization

Answer: D

Question 5

High-frequency ventilation improves pulmonary air leaks by:

Options :

A : Decreasing the pressure differential between the airway and the intrapleural space

B : Decreasing minute ventilation

C : Increasing the mean airway pressure

D : Increasing the pressure differential between the airway and the intrapleural space

Answer: A

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