,Merenstein & Gardner's Handbook of
Neonatal Intensive Care: An
Interprofessional Approach
Comprehensive Test Bank | 10th
Edition
Reference: 32 Chapters | 20 MCQs per Chapter | 640 Total Questions
Chapter List:
1. Interprofessional Collaboration 9. Diagnostic Imaging in the
and Evidence-Based Practice: Neonate
Promoting Exceptional Care 10. Pharmacology in Neonatal Care
2. Prenatal Environment Effect on 11. Drug Withdrawal in the Neonate
Neonatal Outcome 12. Pain and Pain Relief
3. Perinatal Transport and Levels of 13. The Neonate and the
Care Environmental Impact on
4. Care at Birth Development
5. Immediate Newborn Care After 14. Fluid and Electrolyte
Birth Management
6. Heat Balance 15. Glucose Homeostasis
7. Physiologic Monitoring 16. Total Parenteral Nutrition
8. Acid-Base Homeostasis and 17. Enteral Nutrition
Oxygenation
,18. Breastfeeding the Neonate With 27. Genetic Disorders,
Special Needs Malformations, and Inborn Errors of
19. Skin and Skin Care Metabolism
20. Newborn Hematology 28. Neonatal Surgery
21. Neonatal Hyperbilirubinemia 29. NICU Families in Crisis
22. Infection in the Neonate 30. Bereavement in the Neonatal
23. Respiratory Diseases Intensive Care Unit (NICU): Health
Equity in Context
24. Cardiovascular Diseases and
Surgical Interventions 31. Discharge Planning and Follow-
Up of the NICU Infant
25. Neonatal Nephrology
32. Ethics, Values, and Palliative
26. Neurologic Disorders
Care in Neonatal Intensive Care
,Chapter 1: Inter pr ofessional Collabor ation and Evidence-Based
Pr actice: Pr omoting Exceptional Car e
Question 1
A late-preterm newborn has findings that could represent early pathology.
Which action best aligns with current neonatal intensive care practice
regarding structured bedside rounds?
A) Use a standardized, protocol-based response with timely reassessment
and interprofessional communication specific to structured bedside rounds.
B) Delay intervention until a full shift trend confirms worsening, to reduce
unnecessary escalation.
C) Prioritize a single discipline decision without team input to improve
speed.
D) Apply a generalized adult critical-care approach without neonatal
adjustment.
✅ Correct Answer: A) Use a standardized, protocol-based response with
timely reassessment and interprofessional communication specific to
structured bedside rounds.
Rationale: The best response is the option that combines neonatal-specific
protocol use, rapid reassessment, and interprofessional coordination because
structured bedside rounds requires time-sensitive, context-dependent
decisions to reduce morbidity. Waiting for prolonged trend confirmation
may miss an early treatment window, unilateral decision-making increases
communication error risk, and non-neonatal frameworks can misclassify
physiology in preterm and term infants.
DIF: Difficult
,TOP: structured bedside rounds
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 2
A bedside nurse reports trend changes over the previous 6 hours. Which
action best aligns with current neonatal intensive care practice regarding
closed-loop communication?
A) Delay intervention until a full shift trend confirms worsening, to reduce
unnecessary escalation.
B) Use a standardized, protocol-based response with timely reassessment
and interprofessional communication specific to closed-loop communication.
C) Prioritize a single discipline decision without team input to improve
speed.
D) Apply a generalized adult critical-care approach without neonatal
adjustment.
✅ Correct Answer: B) Use a standardized, protocol-based response with
timely reassessment and interprofessional communication specific to closed-
loop communication.
Rationale: The best response is the option that combines neonatal-specific
protocol use, rapid reassessment, and interprofessional coordination because
closed-loop communication requires time-sensitive, context-dependent
decisions to reduce morbidity. Waiting for prolonged trend confirmation
may miss an early treatment window, unilateral decision-making increases
communication error risk, and non-neonatal frameworks can misclassify
physiology in preterm and term infants.
,DIF: Easy
TOP: closed-loop communication
MSC: NCLEX Client Needs Category: Psychosocial Integrity
Question 3
A team huddle is called after an unexpected monitoring trend appears.
Which action best aligns with current neonatal intensive care practice
regarding SBAR handoff?
A) Delay intervention until a full shift trend confirms worsening, to reduce
unnecessary escalation.
B) Prioritize a single discipline decision without team input to improve
speed.
C) Use a standardized, protocol-based response with timely reassessment
and interprofessional communication specific to SBAR handoff.
D) Apply a generalized adult critical-care approach without neonatal
adjustment.
✅ Correct Answer: C) Use a standardized, protocol-based response with
timely reassessment and interprofessional communication specific to SBAR
handoff.
Rationale: The best response is the option that combines neonatal-specific
protocol use, rapid reassessment, and interprofessional coordination because
SBAR handoff requires time-sensitive, context-dependent decisions to
reduce morbidity. Waiting for prolonged trend confirmation may miss an
early treatment window, unilateral decision-making increases
,communication error risk, and non-neonatal frameworks can misclassify
physiology in preterm and term infants.
DIF: Moderate
TOP: SBAR handoff
MSC: NCLEX Client Needs Category: Physiological Integrity: Basic Care
and Comfort
Question 4
A 29-week infant on day 2 of life shows a subtle change in status. Which
action best aligns with current neonatal intensive care practice regarding
evidence appraisal?
A) Delay intervention until a full shift trend confirms worsening, to reduce
unnecessary escalation.
B) Prioritize a single discipline decision without team input to improve
speed.
C) Apply a generalized adult critical-care approach without neonatal
adjustment.
D) Use a standardized, protocol-based response with timely reassessment
and interprofessional communication specific to evidence appraisal.
✅ Correct Answer: D) Use a standardized, protocol-based response with
timely reassessment and interprofessional communication specific to
evidence appraisal.
Rationale: The best response is the option that combines neonatal-specific
protocol use, rapid reassessment, and interprofessional coordination because
evidence appraisal requires time-sensitive, context-dependent decisions to
, reduce morbidity. Waiting for prolonged trend confirmation may miss an
early treatment window, unilateral decision-making increases
communication error risk, and non-neonatal frameworks can misclassify
physiology in preterm and term infants.
DIF: Difficult
TOP: evidence appraisal
MSC: NCLEX Client Needs Category: Physiological Integrity:
Pharmacological and Parenteral Therapies
Question 5
During rounds, the team identifies rising risk for clinical deterioration.
Which action best aligns with current neonatal intensive care practice
regarding central-line bundle?
A) Use a standardized, protocol-based response with timely reassessment
and interprofessional communication specific to central-line bundle.
B) Delay intervention until a full shift trend confirms worsening, to reduce
unnecessary escalation.
C) Prioritize a single discipline decision without team input to improve
speed.
D) Apply a generalized adult critical-care approach without neonatal
adjustment.
✅ Correct Answer: A) Use a standardized, protocol-based response with
timely reassessment and interprofessional communication specific to central-
line bundle.
Neonatal Intensive Care: An
Interprofessional Approach
Comprehensive Test Bank | 10th
Edition
Reference: 32 Chapters | 20 MCQs per Chapter | 640 Total Questions
Chapter List:
1. Interprofessional Collaboration 9. Diagnostic Imaging in the
and Evidence-Based Practice: Neonate
Promoting Exceptional Care 10. Pharmacology in Neonatal Care
2. Prenatal Environment Effect on 11. Drug Withdrawal in the Neonate
Neonatal Outcome 12. Pain and Pain Relief
3. Perinatal Transport and Levels of 13. The Neonate and the
Care Environmental Impact on
4. Care at Birth Development
5. Immediate Newborn Care After 14. Fluid and Electrolyte
Birth Management
6. Heat Balance 15. Glucose Homeostasis
7. Physiologic Monitoring 16. Total Parenteral Nutrition
8. Acid-Base Homeostasis and 17. Enteral Nutrition
Oxygenation
,18. Breastfeeding the Neonate With 27. Genetic Disorders,
Special Needs Malformations, and Inborn Errors of
19. Skin and Skin Care Metabolism
20. Newborn Hematology 28. Neonatal Surgery
21. Neonatal Hyperbilirubinemia 29. NICU Families in Crisis
22. Infection in the Neonate 30. Bereavement in the Neonatal
23. Respiratory Diseases Intensive Care Unit (NICU): Health
Equity in Context
24. Cardiovascular Diseases and
Surgical Interventions 31. Discharge Planning and Follow-
Up of the NICU Infant
25. Neonatal Nephrology
32. Ethics, Values, and Palliative
26. Neurologic Disorders
Care in Neonatal Intensive Care
,Chapter 1: Inter pr ofessional Collabor ation and Evidence-Based
Pr actice: Pr omoting Exceptional Car e
Question 1
A late-preterm newborn has findings that could represent early pathology.
Which action best aligns with current neonatal intensive care practice
regarding structured bedside rounds?
A) Use a standardized, protocol-based response with timely reassessment
and interprofessional communication specific to structured bedside rounds.
B) Delay intervention until a full shift trend confirms worsening, to reduce
unnecessary escalation.
C) Prioritize a single discipline decision without team input to improve
speed.
D) Apply a generalized adult critical-care approach without neonatal
adjustment.
✅ Correct Answer: A) Use a standardized, protocol-based response with
timely reassessment and interprofessional communication specific to
structured bedside rounds.
Rationale: The best response is the option that combines neonatal-specific
protocol use, rapid reassessment, and interprofessional coordination because
structured bedside rounds requires time-sensitive, context-dependent
decisions to reduce morbidity. Waiting for prolonged trend confirmation
may miss an early treatment window, unilateral decision-making increases
communication error risk, and non-neonatal frameworks can misclassify
physiology in preterm and term infants.
DIF: Difficult
,TOP: structured bedside rounds
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
Question 2
A bedside nurse reports trend changes over the previous 6 hours. Which
action best aligns with current neonatal intensive care practice regarding
closed-loop communication?
A) Delay intervention until a full shift trend confirms worsening, to reduce
unnecessary escalation.
B) Use a standardized, protocol-based response with timely reassessment
and interprofessional communication specific to closed-loop communication.
C) Prioritize a single discipline decision without team input to improve
speed.
D) Apply a generalized adult critical-care approach without neonatal
adjustment.
✅ Correct Answer: B) Use a standardized, protocol-based response with
timely reassessment and interprofessional communication specific to closed-
loop communication.
Rationale: The best response is the option that combines neonatal-specific
protocol use, rapid reassessment, and interprofessional coordination because
closed-loop communication requires time-sensitive, context-dependent
decisions to reduce morbidity. Waiting for prolonged trend confirmation
may miss an early treatment window, unilateral decision-making increases
communication error risk, and non-neonatal frameworks can misclassify
physiology in preterm and term infants.
,DIF: Easy
TOP: closed-loop communication
MSC: NCLEX Client Needs Category: Psychosocial Integrity
Question 3
A team huddle is called after an unexpected monitoring trend appears.
Which action best aligns with current neonatal intensive care practice
regarding SBAR handoff?
A) Delay intervention until a full shift trend confirms worsening, to reduce
unnecessary escalation.
B) Prioritize a single discipline decision without team input to improve
speed.
C) Use a standardized, protocol-based response with timely reassessment
and interprofessional communication specific to SBAR handoff.
D) Apply a generalized adult critical-care approach without neonatal
adjustment.
✅ Correct Answer: C) Use a standardized, protocol-based response with
timely reassessment and interprofessional communication specific to SBAR
handoff.
Rationale: The best response is the option that combines neonatal-specific
protocol use, rapid reassessment, and interprofessional coordination because
SBAR handoff requires time-sensitive, context-dependent decisions to
reduce morbidity. Waiting for prolonged trend confirmation may miss an
early treatment window, unilateral decision-making increases
,communication error risk, and non-neonatal frameworks can misclassify
physiology in preterm and term infants.
DIF: Moderate
TOP: SBAR handoff
MSC: NCLEX Client Needs Category: Physiological Integrity: Basic Care
and Comfort
Question 4
A 29-week infant on day 2 of life shows a subtle change in status. Which
action best aligns with current neonatal intensive care practice regarding
evidence appraisal?
A) Delay intervention until a full shift trend confirms worsening, to reduce
unnecessary escalation.
B) Prioritize a single discipline decision without team input to improve
speed.
C) Apply a generalized adult critical-care approach without neonatal
adjustment.
D) Use a standardized, protocol-based response with timely reassessment
and interprofessional communication specific to evidence appraisal.
✅ Correct Answer: D) Use a standardized, protocol-based response with
timely reassessment and interprofessional communication specific to
evidence appraisal.
Rationale: The best response is the option that combines neonatal-specific
protocol use, rapid reassessment, and interprofessional coordination because
evidence appraisal requires time-sensitive, context-dependent decisions to
, reduce morbidity. Waiting for prolonged trend confirmation may miss an
early treatment window, unilateral decision-making increases
communication error risk, and non-neonatal frameworks can misclassify
physiology in preterm and term infants.
DIF: Difficult
TOP: evidence appraisal
MSC: NCLEX Client Needs Category: Physiological Integrity:
Pharmacological and Parenteral Therapies
Question 5
During rounds, the team identifies rising risk for clinical deterioration.
Which action best aligns with current neonatal intensive care practice
regarding central-line bundle?
A) Use a standardized, protocol-based response with timely reassessment
and interprofessional communication specific to central-line bundle.
B) Delay intervention until a full shift trend confirms worsening, to reduce
unnecessary escalation.
C) Prioritize a single discipline decision without team input to improve
speed.
D) Apply a generalized adult critical-care approach without neonatal
adjustment.
✅ Correct Answer: A) Use a standardized, protocol-based response with
timely reassessment and interprofessional communication specific to central-
line bundle.
