Question 1

A nurse preparing a plan of care for a newborn infant with fetal alcohol syndrome (FAS). The nurse would include which of the following priority interventions in the plan of care?

Accepted Answer

A) Monitor the newborn infant's response to feedings and weight gain pattern 
B) Encourage frequent handling of the newborn infant by staff and parents 
C) Maintain the newborn infant in a brightly lighted area of the nursery 
D) Allow the newborn infant to establish own sleep/rest pattern 
A) Monitor the newborn infant's response to feedings and weight gain pattern 
B) Encourage frequent handling of the newborn infant by staff and parents 
C) Maintain the newborn infant in a brightly lighted area of the nursery 
D) Allow the newborn infant to establish own sleep/rest pattern

Question 2

A nurse caring for an infant with bronchiolitis is assessing for signs of dehydration. The nurse assesses which of the following, knowing that it is the most reliable method of determining fluid loss?

Accepted Answer

A) Intake and output (I & O) 
B) Fontanels 
C) Mucous membranes 
D) Weight 
A) Intake and output (I & O) 
B) Fontanels 
C) Mucous membranes 
D) Weight

Question 3

A newborn mother urgent alerts the neonatal intensive care nurse that her neonate is grunting, nasal flaring and subcostal indrawing. The neonatalologist on call is called and diagnosis the neonate as in respiratory distress and orders blood gases to be obtained every 30 minutes. What type of access line should be inserted into this neonate in this situation?

Accepted Answer

A) Arterial line 
B) Venous line 
C) Central venous pressure line 
D) Swan Ganz catheter 
A) Arterial line 
B) Venous line 
C) Central venous pressure line 
D) Swan Ganz catheter

Question 4

Upon birth Baby Richard is noticed by his mother Lorraine to have beautiful blue eyes. Lorraine asks the nurse on duty in the nursery when will baby Richard's permanent eye be established?

Accepted Answer

A) 3 to 12 months 
B) 12 to 24 months 
C) 24 to 36 months 
D) 36 to 48 months 
A) 3 to 12 months 
B) 12 to 24 months 
C) 24 to 36 months 
D) 36 to 48 months

Question 5

A two month old infant admitted into hospital with suspicious breathing problems but yet undiagnosed suddenly displays respiratory distress. What should the examining nurse determine?

Accepted Answer

A) That this is a respiratory defect 
B) That there is the possibility of a pulmonary infection 
C) That the infant most likely has pneumonia 
D) That it is an allergic reaction 
A) That this is a respiratory defect 
B) That there is the possibility of a pulmonary infection 
C) That the infant most likely has pneumonia 
D) That it is an allergic reaction

Question 6

Baby Tammy's mom had a positive Hepatitis-B antigen. What should baby Nicole receive and in what time frame?

Accepted Answer

A) Hepatitis B immunoglobulin within 12 hours of birth. 
B) Hepatitis B immunoglobulin within 36 hours of birth. 
C) Hepatitis A within 12 hours of birth. 
D) Nothing is needed. 
A) Hepatitis B immunoglobulin within 12 hours of birth. 
B) Hepatitis B immunoglobulin within 36 hours of birth. 
C) Hepatitis A within 12 hours of birth. 
D) Nothing is needed.

Question 7

Baby Alexandre is diagnosed with Tay-Sachs disease at birth. In what populations is this disease most commonly seen?

Accepted Answer

A) French Canadians 
B) Eastern European Jewish people 
C) People of African descent 
D) Both A and B 
A) French Canadians 
B) Eastern European Jewish people 
C) People of African descent 
D) Both A and B

Question 8

Baby Nicole goes into acute heart failure. What are some clinical signs?

Accepted Answer

A) Weak cry, cool extremities. 
B) Strong cry, blue mucosa inside mouth. 
C) Purple mucosa inside mouth, lethargy. 
D) Both A and C. 
A) Weak cry, cool extremities. 
B) Strong cry, blue mucosa inside mouth. 
C) Purple mucosa inside mouth, lethargy. 
D) Both A and C.

Question 9

Baby David has a need for Surfactant Replacement Therapy. What means should NICU nurse employ to administer therapy?

Accepted Answer

A) The head of bed is declined and head is turned to one direction. 
B) First dose is thru UVL line. 
C) First dose is thru ET tube. 
D) Both A and C 
A) The head of bed is declined and head is turned to one direction. 
B) First dose is thru UVL line. 
C) First dose is thru ET tube. 
D) Both A and C

Question 10

Baby David is considered hypertensive if his BP recorded is what?

Accepted Answer

A) 100/70. 
B) 70/40. 
C) 70/38. 
D) 69/38. 
A) 100/70. 
B) 70/40. 
C) 70/38. 
D) 69/38.

Question 11

A child diagnose with Reye's syndrome. A nurse develops a nursing care plan for the child and includes which intervention in the plan?

Accepted Answer

A) Providing a quiet atmosphere with dimmed lighting 
B) Assessing hearing loss 
C) Monitoring urine output 
D) Changing body position every 2 hours 
A) Providing a quiet atmosphere with dimmed lighting 
B) Assessing hearing loss 
C) Monitoring urine output 
D) Changing body position every 2 hours

Question 12

What is the most effective dose for pain relief of morphine in an infant?

Accepted Answer

A) 0.05-0.2mg/kg/hr 
B) 1-5 mcg/kg 
C) 1-2 mcg/kg 
D) 0.5-1mg/kg 
A) 0.05-0.2mg/kg/hr 
B) 1-5 mcg/kg 
C) 1-2 mcg/kg 
D) 0.5-1mg/kg

Question 13

A 39 year old mom, named Sophia, arrives to the Emergency Department with her 2 month old girl, however, she only speaks French. What is the best method of communicating with her?

Accepted Answer

A) use sign language 
B) use a translation service 
C) have a bilingual staff member translate 
D) both B and C 
A) use sign language 
B) use a translation service 
C) have a bilingual staff member translate 
D) both B and C

Question 14

A nurse is developing a plan of care for a child with cerebral palsy. The nurse includes interventions in the plan of care, understanding that a primary goal is to:

Accepted Answer

A) Eliminate the cause of the disorder 
B) Prevent the occurrence of emotional disturbances 
C) Maximize the child's assets and minimize the limitation 
D) Cure the disorder 
A) Eliminate the cause of the disorder 
B) Prevent the occurrence of emotional disturbances 
C) Maximize the child's assets and minimize the limitation 
D) Cure the disorder

Question 15

When is a child in Erik Erikson's trust versus mistrust stage?

Accepted Answer

A) Birth to 1 year 
B) 1 to 2 years 
C) 2 to 3 years 
D) 3 to 4 years 
A) Birth to 1 year 
B) 1 to 2 years 
C) 2 to 3 years 
D) 3 to 4 years

Question 16

Nicole has just given birth to baby Alex and you are the neonatal nurse teaching proper breast feeding technique. Which positions should Nicole NOT use to breast feed baby Alex?

Accepted Answer

A) Cradle 
B) Side-lying 
C) Football 
D) Front-lying 
A) Cradle 
B) Side-lying 
C) Football 
D) Front-lying

Question 17

A nurse has provided directions to a mother of a male newborn infant who is not circumcised about measures to clean the penis. Which statement if made by the mother indicates an understanding of how to clean the newborn infant's penis?

Accepted Answer

A) "I need to retract the foreskin and clean the penis every time I give my infant a bath." 
B) "I should gently retract the foreskin as far as it will go on the penis and then pull the skin back over the penis after cleaning." 
C) "I should retract the foreskin and clean the penis every time I changed the diaper." 
D) "I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions." 
A) "I need to retract the foreskin and clean the penis every time I give my infant a bath." 
B) "I should gently retract the foreskin as far as it will go on the penis and then pull the skin back over the penis after cleaning." 
C) "I should retract the foreskin and clean the penis every time I changed the diaper." 
D) "I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions."

Question 18

Can waterless hand wash be used in between babies?

Accepted Answer

A) No 
B) Yes 
C) Yes except for Clostridium difficile 
D) Both B and C 
A) No 
B) Yes 
C) Yes except for Clostridium difficile 
D) Both B and C

Question 19

Baby Dwayne was born at 35 weeks premature and is the neonatal intensive care unit, the nurse taking care of him walks over to baby Dwayne's bassinet and finds him bradycardic and blue. What course of action should be taken take?

Accepted Answer

A) Provide respiratory support 
B) Provide immediate suction 
C) Tactile stimulation 
D) All of the above 
A) Provide respiratory support 
B) Provide immediate suction 
C) Tactile stimulation 
D) All of the above

Question 20

A nurse is performing an admission assessment on 6-month-old infant with a diagnosis of hydrocephalus. The nurse assesses for the major sign associated with hydrocephalus when the nurse:

Accepted Answer

A) Tests the urine for protein 
B) Takes the apical pulse 
C) Palpates the anterior fontanel 
D) Tales the blood pressure 
A) Tests the urine for protein 
B) Takes the apical pulse 
C) Palpates the anterior fontanel 
D) Tales the blood pressure

A nurse preparing a plan of care for a newborn infant with fetal alcohol syndrome (FAS). The nurse would include which of the following priority interventions in the plan of care?

A nurse caring for an infant with bronchiolitis is assessing for signs of dehydration. The nurse assesses which of the following, knowing that it is the most reliable method of determining fluid loss?

Upon birth Baby Richard is noticed by his mother Lorraine to have beautiful blue eyes. Lorraine asks the nurse on duty in the nursery when will baby Richard's permanent eye be established?

A two month old infant admitted into hospital with suspicious breathing problems but yet undiagnosed suddenly displays respiratory distress. What should the examining nurse determine?

Baby Tammy's mom had a positive Hepatitis-B antigen. What should baby Nicole receive and in what time frame?

Baby Alexandre is diagnosed with Tay-Sachs disease at birth. In what populations is this disease most commonly seen?

Baby Nicole goes into acute heart failure. What are some clinical signs?

Baby David has a need for Surfactant Replacement Therapy. What means should NICU nurse employ to administer therapy?

Baby David is considered hypertensive if his BP recorded is what?

A child diagnose with Reye's syndrome. A nurse develops a nursing care plan for the child and includes which intervention in the plan?

What is the most effective dose for pain relief of morphine in an infant?

A 39 year old mom, named Sophia, arrives to the Emergency Department with her 2 month old girl, however, she only speaks French. What is the best method of communicating with her?

A nurse is developing a plan of care for a child with cerebral palsy. The nurse includes interventions in the plan of care, understanding that a primary goal is to:

When is a child in Erik Erikson's trust versus mistrust stage?

Nicole has just given birth to baby Alex and you are the neonatal nurse teaching proper breast feeding technique. Which positions should Nicole NOT use to breast feed baby Alex?

A nurse has provided directions to a mother of a male newborn infant who is not circumcised about measures to clean the penis. Which statement if made by the mother indicates an understanding of how to clean the newborn infant's penis?

Can waterless hand wash be used in between babies?

Baby Dwayne was born at 35 weeks premature and is the neonatal intensive care unit, the nurse taking care of him walks over to baby Dwayne's bassinet and finds him bradycardic and blue. What course of action should be taken take?

A nurse is performing an admission assessment on 6-month-old infant with a diagnosis of hydrocephalus. The nurse assesses for the major sign associated with hydrocephalus when the nurse:

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Exam 2: Neonatal

A nurse preparing a plan of care for a newborn infant with fetal alcohol syndrome (FAS). The nurse would include which of the following priority interventions in the plan of care?

A nurse caring for an infant with bronchiolitis is assessing for signs of dehydration. The nurse assesses which of the following, knowing that it is the most reliable method of determining fluid loss?

Upon birth Baby Richard is noticed by his mother Lorraine to have beautiful blue eyes. Lorraine asks the nurse on duty in the nursery when will baby Richard's permanent eye be established?

A two month old infant admitted into hospital with suspicious breathing problems but yet undiagnosed suddenly displays respiratory distress. What should the examining nurse determine?

Baby Tammy's mom had a positive Hepatitis-B antigen. What should baby Nicole receive and in what time frame?

Baby Alexandre is diagnosed with Tay-Sachs disease at birth. In what populations is this disease most commonly seen?

Baby Nicole goes into acute heart failure. What are some clinical signs?

Baby David has a need for Surfactant Replacement Therapy. What means should NICU nurse employ to administer therapy?

Baby David is considered hypertensive if his BP recorded is what?

A child diagnose with Reye's syndrome. A nurse develops a nursing care plan for the child and includes which intervention in the plan?

What is the most effective dose for pain relief of morphine in an infant?

A 39 year old mom, named Sophia, arrives to the Emergency Department with her 2 month old girl, however, she only speaks French. What is the best method of communicating with her?

A nurse is developing a plan of care for a child with cerebral palsy. The nurse includes interventions in the plan of care, understanding that a primary goal is to:

When is a child in Erik Erikson's trust versus mistrust stage?

Nicole has just given birth to baby Alex and you are the neonatal nurse teaching proper breast feeding technique. Which positions should Nicole NOT use to breast feed baby Alex?

A nurse has provided directions to a mother of a male newborn infant who is not circumcised about measures to clean the penis. Which statement if made by the mother indicates an understanding of how to clean the newborn infant's penis?

Can waterless hand wash be used in between babies?

Baby Dwayne was born at 35 weeks premature and is the neonatal intensive care unit, the nurse taking care of him walks over to baby Dwayne's bassinet and finds him bradycardic and blue. What course of action should be taken take?

A nurse is performing an admission assessment on 6-month-old infant with a diagnosis of hydrocephalus. The nurse assesses for the major sign associated with hydrocephalus when the nurse:

Adult

Pediatrics

Adult Critical Care Registered Nurse

Filters