Below are 5 free sample exam questions for the Neonatal Pediatric Transport exam.
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Sample Questions
- Which of the following best represents implied consent?
- a. Newborn with severe respiratory distress requiring transfer to higher level of care with mother unconscious in the ICU
- b. 12 year-old expressing agreement for cleaning and debridement of burn wounds
- c. 18 year-old trauma victim with a Glasgow Coma score of 14 agreeing to CT scan after counseled on the risks and benefits
- A 10-year-old develops cardiac tamponade at a facility. What should the transport team personnel do next?
- a. Insert the needle below the xiphoid process and aim towards the left shoulder
- b. Insert the needle in the left midclavicular line at the second intercostal space
- c. Transport to the next hospital; this is never in a transport team’s scope of practice
- A term infant is on an oscillator due to respiratory failure. Besides increasing the FiO2, how else can oxygenation be improved?
- a. Decreasing the hertz
- b. Increasing the delta P
- c. Increasing the mean airway pressure
- A 7-year-old female with a history of corrected AV canal is being transported to a children’s hospital with a three day history of malaise and nasal congestion. Her weight is 20 kg. Her mother brought her to a community hospital when she developed a fever. During transport, she becomes unresponsive and the team is unable to detect a pulse. The team starts CPR with bag mask ventilation and the rhythm appears to be sinus bradycardia. Which of the following should the team do next?
- a. Administer epinephrine 0.2 mg
- b. Cardiovert her with 10 joules
- c. Defibrillate with 20 joules
- A 2-year-old male is in acute respiratory distress syndrome and is being mechanically ventilated, requiring 30% FiO2. While in-flight en-route to the tertiary facility, the oxygen requirement for the patient increases. When the airplane lands, the oxygen requirement drops back down to 30%. Which of the following gas laws most applies to this situation?
- a. Boyle’s law
- b. Charles’ law
- c. Dalton’s law
Scroll down or click here to see the answer key.
Answer Key
1. a. Newborn with severe respiratory distress requiring transfer to a higher level of care; mother unconscious in the ICU and father unreachable. Implied consent occurs when a patient is unable to write or verbalize consent mentally, physically, or psychologically. The 12-year-old is an example of expressed consent, since they verbally gave consent. The 18-year-old is an example of informed consent since they are legally able to consent and the risks and benefits were discussed with them.
2. a. Insert the needle below the xiphoid process and aim towards the left shoulder. . Insert the needle at the midclavicular line may be done for pneumothoraces, but not a pericardiocentesis. It may be true that transport team personnel may not have the scope of practice to do a pericardiocentesis depending on the state, but this is not true everywhere.
3. c. Increasing the mean airway pressure.Increasing the mean airway pressure generally helps to improve oxygenation. Increasing the delta P or decreasing the hertz generally improve high carbon dioxide levels.
4. a. Administer epinephrine 0.2 mg. This child appears to have pulseless electrical activity, since there appears to be a rhythm but no pulse detectable. After CPR is initiated, the next step is to give epinephrine as soon as possible at 0.01 mg/kg. Cardioversion is reserved for conditions with pulses including supraventricular tachycardia & atrial flutter, among others. Defibrillation is reserved for ventricular tachycardia or ventricular fibrillation.
5. c. Dalton’s law. . Dalton’s law most applies in this situation. While the percentage of oxygen remains constant at about 21%, the total amount of oxygen molecules is less with increasing altitude due to decreased barometric pressure. With a decrease in oxygen molecules, hypoxemia may occur.