Question 1

Baby David has an arterial line. What precautions should NICU RN maintain?

Accepted Answer

A) Assess the IV site each assessment. 
B) Change the tubing every 48 hours. 
C) Treat the stopcock and catheter as a sterile field. 
D) All of the above. 
A) Assess the IV site each assessment. 
B) Change the tubing every 48 hours. 
C) Treat the stopcock and catheter as a sterile field. 
D) All of the above.

Question 2

Baby Devon is in the neonatal intensive care until after being delivered prematurely. He is about to be discharged and on discharge planning Nurse Bill is taking the opportunity to teach some nursing students about neonates tactile behaviors. Of the following which are correct?

Accepted Answer

A) The neonate's lips are hypersensitive. 
B) The neonate is especially sensitive to being cuddled and touched. 
C) The neonate's skin on his thighs, forearms, and trunk are hyposensitive. 
D) All of the above. 
A) The neonate's lips are hypersensitive. 
B) The neonate is especially sensitive to being cuddled and touched. 
C) The neonate's skin on his thighs, forearms, and trunk are hyposensitive. 
D) All of the above.

Question 3

What is the preferred pain reliever in the NICU for the neonates?

Accepted Answer

A) Morphine 
B) Demerol 
C) Dilaudid 
D) Fentanyl 
A) Morphine 
B) Demerol 
C) Dilaudid 
D) Fentanyl

Question 4

What view of Chest X-Ray (CXR) is used post line placement?

Accepted Answer

A) Supine 
B) Side-lying 
C) Upright 
D) All of the above 
A) Supine 
B) Side-lying 
C) Upright 
D) All of the above

Question 5

A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome (RDS). Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?

Accepted Answer

A) Hypotension and bradycardia 
B) Tachypnea and retractions 
C) Acrocyanosis and grunting 
D) The presence of a barrel chest with acrocyanosis 
A) Hypotension and bradycardia 
B) Tachypnea and retractions 
C) Acrocyanosis and grunting 
D) The presence of a barrel chest with acrocyanosis

Question 6

A neonatal nurse who has just recently graduated and is serving her first shift in the neonatal unit is asked by the attending physician to order a BUN test for a 4 week old infant. The child has been diagnosed with Congestive Heart Failure (CHF). What with the results of the BUN test tell him?

Accepted Answer

A) It will tell him the child does not have congestive heart failure 
B) It will tell him there is a decreased blood flow to the kidneys 
C) It will tell him that the child has a virus 
D) It may tell him that the child is under developed 
A) It will tell him the child does not have congestive heart failure 
B) It will tell him there is a decreased blood flow to the kidneys 
C) It will tell him that the child has a virus 
D) It may tell him that the child is under developed

Question 7

Prior to discharging baby Leo home from the neonatal intensive care unit, he is left on the changing table alone while his mother is taking a shower. What should the neonatal care nurse do?

Accepted Answer

A) Nothing he is safe. 
B) Place him on the floor 
C) Explain to mother that he should not be left alone. 
D) Both B and C 
A) Nothing he is safe. 
B) Place him on the floor 
C) Explain to mother that he should not be left alone. 
D) Both B and C

Question 8

The neonatal nurse on duty is examining baby Mark. Why should the neonatal nurse be very gentle with baby Mark's neck?

Accepted Answer

A) He can't support his neck 
B) He can't rotate his head freely 
C) His neck is weak 
D) All of the above 
A) He can't support his neck 
B) He can't rotate his head freely 
C) His neck is weak 
D) All of the above

Question 9

The neonatal intensive care unit nurse is teaching baby Kevin's mother how not to startle him. Which of the following actions should be avoided?

Accepted Answer

A) Loud noises. 
B) Hand clapping. 
C) Both A and B 
D) Only A 
A) Loud noises. 
B) Hand clapping. 
C) Both A and B 
D) Only A

Question 10

The neonatal nurse on duty finds that Baby Donald is demonstrating seesaw movements while resting. The neonatal nurse recognizes this as a sign of what?

Accepted Answer

A) Respiratory distress 
B) Cardiac compromise 
C) Hunger 
D) All of the above 
A) Respiratory distress 
B) Cardiac compromise 
C) Hunger 
D) All of the above

Question 11

A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is reed with a small amount of bloody drainage. Which of the following nursing actions would be most appropriate?

Accepted Answer

A) Document findings 
B) Contact the physician 
C) Circle the amount of bloody drainage on the dressing and reassess in 30 minutes 
D) Reinforce the dressing 
A) Document findings 
B) Contact the physician 
C) Circle the amount of bloody drainage on the dressing and reassess in 30 minutes 
D) Reinforce the dressing

Question 12

Baby Diane is being assessed for potential cardiac problems after a murmur was detected on initial physical examination. What is the most common heart condition found in infants at birth?

Accepted Answer

A) Symptomatic cardiac arrhythmia 
B) Atrial septal defect 
C) Congenital heart disease 
D) Ventricular septal defect 
A) Symptomatic cardiac arrhythmia 
B) Atrial septal defect 
C) Congenital heart disease 
D) Ventricular septal defect

Question 13

Baby Andrew is diagnosed with Viral Pneumonia. Which of the following diseases could be responsible for this?

Accepted Answer

A) Herpes, cytomegalovirus 
B) Varicella 
C) Syphilis 
D) All of the above. 
A) Herpes, cytomegalovirus 
B) Varicella 
C) Syphilis 
D) All of the above.

Question 14

A 1 year old child is brought to emergency department by his mother with the complaints of lethargy, drowsiness and altered level of consciousness. He is suffering from severe diarrhea for last 3 days and is not eating or drinking well. He is most likely having electrolyte imbalance. Which of following is primary action in ECF to maintain ECF levels for tissue perfusion?

Accepted Answer

A) Sodium 
B) Potassium 
C) Calcium 
D) Magnesium 
A) Sodium 
B) Potassium 
C) Calcium 
D) Magnesium

Question 15

How long Apnea commonly defined as?

Accepted Answer

A) 10 to 15 seconds. 
B) 2 to 4 seconds. 
C) 3 to 5 seconds. 
D) 5 to 9 seconds. 
A) 10 to 15 seconds. 
B) 2 to 4 seconds. 
C) 3 to 5 seconds. 
D) 5 to 9 seconds.

Question 16

Baby Nicole is scheduled for a cardiac catheterization. What is she at an increased risk for?

Accepted Answer

A) Bacterial Endocarditis. 
B) CLD. 
C) BPD. 
D) RDS. 
A) Bacterial Endocarditis. 
B) CLD. 
C) BPD. 
D) RDS.

Question 17

A nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. On assessment of the child, the nurse would expect to note which of the following if this type posturing was present?

Accepted Answer

A) Abnormal flexion of the upper extremities and extension of the lower extremities 
B) Rigid extension and pronation of the arms and legs 
C) Rigid pronation of all extremities 
D) Flaccid paralysis of all extremities 
A) Abnormal flexion of the upper extremities and extension of the lower extremities 
B) Rigid extension and pronation of the arms and legs 
C) Rigid pronation of all extremities 
D) Flaccid paralysis of all extremities

Question 18

While in the neonatal intensive care unit, the neonatologist has order for accurate 'ins and outs' to be recorded on a neonate. What is the urine output a neonate should be making for a 24 hour period?

Accepted Answer

A) 600-1400ml/day. 
B) 1000-1500ml/day. 
C) 50-300 ml/day 
D) 500-800ml/day. 
A) 600-1400ml/day. 
B) 1000-1500ml/day. 
C) 50-300 ml/day 
D) 500-800ml/day.

Question 19

Nicole, a 29 year old mom, brings baby Andrew to the Emergency Department because she finds some bluish black marks on his back and sacrum that appear like bruises. What should the triage nurse do in this situation?

Accepted Answer

A) Call the abuse hotline. 
B) Explain these are not ordinary. 
C) Find out when they appeared. 
D) Explain these are Mongolian spots. 
A) Call the abuse hotline. 
B) Explain these are not ordinary. 
C) Find out when they appeared. 
D) Explain these are Mongolian spots.

Question 20

The charge nurse of a newborn nursery is providing a teaching session to new employees regarding Sudden Infant Death Syndrome (SIDS). The charge nurse tells the new employees that SIDS usually occurs during sleep and:

Accepted Answer

A) Is more common in premature infants 
B) Is more common in girls 
C) Most frequently occurs between 8 and 10 months of age 
D) Is more common in high-birth-weight infants 
A) Is more common in premature infants 
B) Is more common in girls 
C) Most frequently occurs between 8 and 10 months of age 
D) Is more common in high-birth-weight infants

Baby David has an arterial line. What precautions should NICU RN maintain?

Baby Devon is in the neonatal intensive care until after being delivered prematurely. He is about to be discharged and on discharge planning Nurse Bill is taking the opportunity to teach some nursing students about neonates tactile behaviors. Of the following which are correct?

What is the preferred pain reliever in the NICU for the neonates?

What view of Chest X-Ray (CXR) is used post line placement?

A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome (RDS). Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?

A neonatal nurse who has just recently graduated and is serving her first shift in the neonatal unit is asked by the attending physician to order a BUN test for a 4 week old infant. The child has been diagnosed with Congestive Heart Failure (CHF). What with the results of the BUN test tell him?

Prior to discharging baby Leo home from the neonatal intensive care unit, he is left on the changing table alone while his mother is taking a shower. What should the neonatal care nurse do?

The neonatal nurse on duty is examining baby Mark. Why should the neonatal nurse be very gentle with baby Mark's neck?

The neonatal intensive care unit nurse is teaching baby Kevin's mother how not to startle him. Which of the following actions should be avoided?

The neonatal nurse on duty finds that Baby Donald is demonstrating seesaw movements while resting. The neonatal nurse recognizes this as a sign of what?

A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is reed with a small amount of bloody drainage. Which of the following nursing actions would be most appropriate?

Baby Diane is being assessed for potential cardiac problems after a murmur was detected on initial physical examination. What is the most common heart condition found in infants at birth?

Baby Andrew is diagnosed with Viral Pneumonia. Which of the following diseases could be responsible for this?

How long Apnea commonly defined as?

Baby Nicole is scheduled for a cardiac catheterization. What is she at an increased risk for?

A nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. On assessment of the child, the nurse would expect to note which of the following if this type posturing was present?

While in the neonatal intensive care unit, the neonatologist has order for accurate 'ins and outs' to be recorded on a neonate. What is the urine output a neonate should be making for a 24 hour period?

Nicole, a 29 year old mom, brings baby Andrew to the Emergency Department because she finds some bluish black marks on his back and sacrum that appear like bruises. What should the triage nurse do in this situation?

The charge nurse of a newborn nursery is providing a teaching session to new employees regarding Sudden Infant Death Syndrome (SIDS). The charge nurse tells the new employees that SIDS usually occurs during sleep and:

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Exam 2: Neonatal

Baby David has an arterial line. What precautions should NICU RN maintain?

Baby Devon is in the neonatal intensive care until after being delivered prematurely. He is about to be discharged and on discharge planning Nurse Bill is taking the opportunity to teach some nursing students about neonates tactile behaviors. Of the following which are correct?

What is the preferred pain reliever in the NICU for the neonates?

What view of Chest X-Ray (CXR) is used post line placement?

A nurse in a newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome (RDS). Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome?

A neonatal nurse who has just recently graduated and is serving her first shift in the neonatal unit is asked by the attending physician to order a BUN test for a 4 week old infant. The child has been diagnosed with Congestive Heart Failure (CHF). What with the results of the BUN test tell him?

Prior to discharging baby Leo home from the neonatal intensive care unit, he is left on the changing table alone while his mother is taking a shower. What should the neonatal care nurse do?

The neonatal nurse on duty is examining baby Mark. Why should the neonatal nurse be very gentle with baby Mark's neck?

The neonatal intensive care unit nurse is teaching baby Kevin's mother how not to startle him. Which of the following actions should be avoided?

The neonatal nurse on duty finds that Baby Donald is demonstrating seesaw movements while resting. The neonatal nurse recognizes this as a sign of what?

A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is reed with a small amount of bloody drainage. Which of the following nursing actions would be most appropriate?

Baby Diane is being assessed for potential cardiac problems after a murmur was detected on initial physical examination. What is the most common heart condition found in infants at birth?

Baby Andrew is diagnosed with Viral Pneumonia. Which of the following diseases could be responsible for this?

How long Apnea commonly defined as?

Baby Nicole is scheduled for a cardiac catheterization. What is she at an increased risk for?

A nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. On assessment of the child, the nurse would expect to note which of the following if this type posturing was present?

While in the neonatal intensive care unit, the neonatologist has order for accurate 'ins and outs' to be recorded on a neonate. What is the urine output a neonate should be making for a 24 hour period?

Nicole, a 29 year old mom, brings baby Andrew to the Emergency Department because she finds some bluish black marks on his back and sacrum that appear like bruises. What should the triage nurse do in this situation?

The charge nurse of a newborn nursery is providing a teaching session to new employees regarding Sudden Infant Death Syndrome (SIDS). The charge nurse tells the new employees that SIDS usually occurs during sleep and:

Adult

Pediatrics

Adult Critical Care Registered Nurse

Filters