Question 1

A child diagnosed with Down syndrome is cared for by a nurse. In describing the disorder to the parents, the nurse bases the explanation on the fact that Down syndrome is a condition characterized by:

Accepted Answer

A)  Above average intellectual functioning with deficits in adaptive behavior
B)  Average intellectual functioning and the absence of deficits in adaptive behavior
C)  Moderate to severe retardation, congenital nature, and linkage to an extra chromosome 21, group G
D)  Subaverage intellectual functioning with the absence of deficits in adaptive behavior C

Question 2

David's mom demonstrates understanding of his proper care of bathing when she states which of the following as taught by nurse Ellen prior to her discharging them?

Accepted Answer

A)  Use mild baby soap except on face
B)  Give him a tub bath
C)  Give him a sponge bath until the umbilical cord falls off
D)  Both A and C D

Question 3

A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. Which of the following instructions would the nurse provide to the mother?

Accepted Answer

A)  Switch to bottle feeding the baby during the period of high bilirubin levels and to feed less frequently
B)  Stop the breast feedings and switch to bottle feeding permanently
C)  Provide bottled water feedings between the breastfeeding sessions
D)  Continue to breastfeed every 2 to 4 hours D

Question 4

A 4-day-old newborn infant is receiving phototherapy at home for a bilirubin level of 14 mg/dL. The nurse should plan to include which of the following in the plan of care during the home visit to the mother of the newborn infant?

Accepted Answer

A)  Having minimal contact with the newborn infant to prevent stimulation
B)  Advising the mother to limit newborn infant oral intake during phototherapy
C)  Applying lotions to exposed newborn infant's skin
D)  Assessing skin integrity and fluid and electrolyte status of the newborn infant

Question 5

A 4 year old boy presents with the complaints of fatigue, low grade fever and generalized lymphadenopathy. Which of following is most common type of blood cancer in this age group?

Accepted Answer

A)  Polycythemia vera
B)  Acute lymphocytic leukemia
C)  Acute myeloid leukemia
D)  Hodgkin's lymphoma

Question 6

What test will be used to confirm the diagnosis of pneumonia?

Accepted Answer

A)  ABG
B)  CT scan of chest
C)  Chest X-Ray
D)  MRI

Question 7

A baby suddenly develops a Pneumothorax. What is imperative for Nurse Ellen to recognize?

Accepted Answer

A)  Cool skin.
B)  Mottled appearance.
C)  Hypotension, uneven diminished breath sounds
D)  All of the above.

Question 8

A neonate was admitted to the nursery for observation 48 hours after birth for showing signs of not wanting to eat, lethargic, apnea, irritable crying, and the mother suspected the neonate may have had a seizure. However, the neonatal nurse on duty disagrees with the mother. What is this neonate most likely suffering from?

Accepted Answer

A)  Severe acute hypertension
B)  Acute hypertension
C)  Congestive heart failure
D)  Cardiogenic shock

Question 9

A maternity nurse working in a newborn nursery accepted a telephone call from the delivery room and is told that a newborn with spina bifida (meningomyelocele) will be transported to the nursery. The maternity nurse prepares for the arrival of the newborn and places which of the following priority items at the newborn's bedside?

Accepted Answer

A)  A blood pressure cuff
B)  A rectal thermometer
C)  A specific gravity urinometer
D)  A bottle of sterile normal saline

Question 10

A nurse in monitoring a 3-month-old infant for signs of increased intracranial pressure (ICP). On palapation of the fontanels, the nurse notes that the anterior fontanel is soft and flat. On the basis of this finding, which action should the nurse take next?

Accepted Answer

A)  Elevate the head of the bed to 90 degrees
B)  Notify the physician
C)  Increase oral fluids
D)  Document the finding

Question 11

Baby Tyrone was just born at term and has been given to the neonatal nursing for APGAR scoring and initial management. What initial injection should Baby Tyrone receive?

Accepted Answer

A)  Vitamin K 0.5-1mg IM
B)  VitaminK 0.5-1mg SC
C)  Vitamin B 0.5-1mg IM
D)  Vitamin B 0.5-1mg SC

Question 12

On initial morning rounds, the neonatal nurse discovers baby Sean has blood glucose of 35 mg/dl. What immediate course of action should be taken?

Accepted Answer

A)  Feed him immediately
B)  Give him water
C)  Give him insulin
D)  All of the above

Question 13

A nurse is preparing to administer beractant (Survanta)to a premature infant who has respiratory distress syndrome (hyaline membrane disease). The nurse plans to administer the medication by which of the following routes?

Accepted Answer

A)  Subcutaneous
B)  Intratracheal
C)  Intramuscular
D)  Intradermal

Question 14

Which of the following heart defects is the most common congenital heart defect?

Accepted Answer

A)  Atrial septal defect
B)  Tetrology of Fallot
C)  Ventricular septal defect
D)  Mitral valve prolapse

Question 15

Baby Christopher is rushed to the Emergency Department with a nose bleed that is ceasing to stop, upon history the nurse finds that Christopher's parents are of Ashkenozic descent. What type hemophilia is baby Christopher most likely to have?

Accepted Answer

A)  Hemophilia A
B)  Hemophilia C
C)  Hemophilia B
D)  Hemophilia A/B

Question 16

What are best methods used to get a diagnosis of RDS in a baby who is undergoing Surfactant Replacement Therapy?

Accepted Answer

A)  Blood glucose levels, blood cultures.
B)  ABG
C)  Chest X-Ray
D)  All of the above

Question 17

The nurse assesses a female newborn. The assessment reveals a decreased amount of soft tissue mass, especially subcutaneous fat. The skin hanging loosely on the extremities is dry and peeling. The fingernails and toenails are long. The nurse knows that based on the newborn's clinical appearance, the age of gestation is more likely:

Accepted Answer

A)  Between 34 and 35 weeks
B)  Between 37 and 40 weeks
C)  Between 40 and 42 weeks
D)  Between 42 and 44 weeks

Question 18

A 3 year old child is brought to pediatric emergency with sudden onset of breathlessness, wheezing, diaphoresis and restlessness. Her mother mentions in history that the child was eating peanuts before developing these symptoms. An emergent chest x ray was ordered, which shows obstruction of right main stem of bronchus. Which of the following is definitive treatment of her condition?

Accepted Answer

A)  aggressive antimicrobials
B)  surgical repair
C)  diuretic therapy
D)  surgical removal

Question 19

A 25-year-old mother with a 6-month-old baby asks the nurse if her son should receive the Hepatitis A vaccine. What is the best response of the nurse?

Accepted Answer

A)  "No. The Hepatitis A vaccine is given to those who are sexually active."
B)  "No. Hepatitis A is given to those who work with contaminated blood specimens."
C)  "Yes. Children who are 6 months of age must receive the vaccine."
D)  "No. The Hepatitis A vaccine is recommended at ages 12 months or 24 months."

Question 20

In a neonate whom was just born 4 hours previously, when does Atrioventicular Node conduction of impulse occur?

Accepted Answer

A)  when the AV node relays the impulse to the ventricles
B)  when the electric impulse travels cells of the atria
C)  when the impulses from the SA node reach the AV node
D)  when the impulses from the AV node reach the SA node

Exam 2: Neonatal