, Core Curriculum for Neonatal
Intensive Care Nursing
6th Edition - Test Bank
Chapter List
Part One: Antepartum,
Intrapartum, and Transition to 11. Developmental Support
Extrauterine Life
12. Pharmacology
1. Uncomplicated Antepartum,
Intrapartum, and Postpartum Care 13. Laboratory Testing in the NICU
2. Antepartum-Intrapartum 14. Radiologic Evaluation
Complications
15. Common Invasive Procedures
3. Perinatal Substance Abuse
16. Pain Assessment and
4. Adaptation to Extrauterine Life Management
5. Neonatal Delivery Room 17. Families in Crisis
Resuscitation
18. Patient Safety
Part Two: Cornerstones of
Clinical Practice 19. Discharge Planning and
Transition to Home
6. Thermoregulation
20. Genetics: From Bench to
7. Physical Assessment Bedside
8. Fluid and Electrolyte 21. Intrafacility and Interfacility
Management Neonatal Transport
9. Glucose Management 22. Care of the Extremely Low
Birth Weight Infant
10. Nutritional Management
,23. Care of the Late Preterm Infant 32. Infectious Disease in the
Neonate
Part Three: Pathophysiology:
Management and Treatment of 33. Renal and Genitourinary
Common Disorders Disorders
24. Respiratory Distress 34. Neurologic Disorders
25. Apnea 35. Congenital Anomalies
26. Assisted Ventilation 36. Neonatal Dermatology
27. Extracorporeal Membrane 37. Ophthalmologic and Auditory
Oxygenation Disorders
28. Cardiovascular Disorders Part Four: Professional Practice
29. Gastrointestinal Disorders 38. Foundations of Neonatal
Research
30. Endocrine Disorders
39. Ethical Issues
31. Hematologic Disorders
40. Legal Issues
,Section 1: Uncomplicated Antepar tum, Intr apar tum, and
Postpar tum Car e
Question 1
In the NICU, a 26 weeks neonate (680 g) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
HR 133/min, RR 39/min, SpO₂ 87%, and axillary temperature
35.7°C. The nurse identifies concern related to uncomplicated
antepartum, intrapartum, and postpartum care: assessment cue
interpretation. Which action is most appropriate FIRST?
A. cluster painful procedures without analgesic planning
B. increase stimulation and handling to keep the infant awake
C. withhold parent updates until discharge teaching
D. verify equipment setup and alarm limits before changing
therapy
✅ Correct Answer: D
Rationale: D is correct because the best immediate priority is to
verify equipment setup and alarm limits before changing therapy;
this addresses preventable system error first. The other options are
less appropriate because they either delay reassessment, increase
physiologic stress, or introduce safety risk without confirming
current data and protocol alignment.
DIF: Easy
TOP: documentation quality
MSC: NCLEX Client Needs Category: Reduction of Risk Potential
,Question 2
In the NICU, a 24 weeks neonate (1.2 kg) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
HR 181/min, RR 68/min, SpO₂ 92%, and axillary temperature
36.3°C. The nurse identifies concern related to uncomplicated
antepartum, intrapartum, and postpartum care: first-line nursing
action. Which action is most appropriate FIRST?
A. educate caregivers at bedside using teach-back
B. document the finding and recheck at the end of the shift
C. rely on yesterday's weight and orders without verification
D. skip double-checks because the order is already signed
✅ Correct Answer: A
Rationale: A is correct because the best immediate priority is to
educate caregivers at bedside using teach-back; this improves
adherence and catches misunderstandings early. The other options
are less appropriate because they either delay reassessment,
increase physiologic stress, or introduce safety risk without
confirming current data and protocol alignment.
DIF: Moderate
TOP: cue-based care
MSC: NCLEX Client Needs Category: Safety and Infection
Control
Question 3
,In the NICU, a 30 weeks neonate (2.2 kg) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
HR 111/min, RR 29/min, SpO₂ 90%, and axillary temperature
35.6°C. The nurse identifies concern related to uncomplicated
antepartum, intrapartum, and postpartum care: priority monitoring.
Which action is most appropriate FIRST?
A. skip double-checks because the order is already signed
B. prepare to escalate respiratory support per protocol
C. rely on yesterday's weight and orders without verification
D. document the finding and recheck at the end of the shift
✅ Correct Answer: B
Rationale: B is correct because the best immediate priority is to
prepare to escalate respiratory support per protocol; this matches
increasing work of breathing with timely support. The other
options are less appropriate because they either delay reassessment,
increase physiologic stress, or introduce safety risk without
confirming current data and protocol alignment.
DIF: Easy
TOP: metabolic stability
MSC: NCLEX Client Needs Category: Reduction of Risk Potential
Question 4
In the NICU, a 32 weeks neonate (2.2 kg) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
,HR 171/min, RR 36/min, SpO₂ 95%, and axillary temperature
35.6°C. The nurse identifies concern related to uncomplicated
antepartum, intrapartum, and postpartum care: escalation trigger.
Which action is most appropriate FIRST?
A. delay communication until all routine tasks are complete
B. increase stimulation and handling to keep the infant awake
C. rely on yesterday's weight and orders without verification
D. notify the neonatal provider with focused SBAR
communication
✅ Correct Answer: D
Rationale: D is correct because the best immediate priority is to
notify the neonatal provider with focused SBAR communication;
this ensures timely team decision-making for potential
deterioration. The other options are less appropriate because they
either delay reassessment, increase physiologic stress, or introduce
safety risk without confirming current data and protocol alignment.
DIF: Challenging
TOP: respiratory support
MSC: NCLEX Client Needs Category: Pharmacological and
Parenteral Therapies
Question 5
In the NICU, a 34 weeks neonate (980 g) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
, HR 145/min, RR 46/min, SpO₂ 87%, and axillary temperature
36.9°C. The nurse identifies concern related to uncomplicated
antepartum, intrapartum, and postpartum care: family teaching
point. Which action is most appropriate FIRST?
A. verify equipment setup and alarm limits before changing
therapy
B. start broad interventions before confirming current status
C. delay communication until all routine tasks are complete
D. skip double-checks because the order is already signed
✅ Correct Answer: A
Rationale: A is correct because the best immediate priority is to
verify equipment setup and alarm limits before changing therapy;
this addresses preventable system error first. The other options are
less appropriate because they either delay reassessment, increase
physiologic stress, or introduce safety risk without confirming
current data and protocol alignment.
DIF: Challenging
TOP: device safety
MSC: NCLEX Client Needs Category: Basic Care and Comfort
Question 6
In the NICU, a 40 weeks neonate (1.2 kg) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
HR 139/min, RR 77/min, SpO₂ 96%, and axillary temperature
Intensive Care Nursing
6th Edition - Test Bank
Chapter List
Part One: Antepartum,
Intrapartum, and Transition to 11. Developmental Support
Extrauterine Life
12. Pharmacology
1. Uncomplicated Antepartum,
Intrapartum, and Postpartum Care 13. Laboratory Testing in the NICU
2. Antepartum-Intrapartum 14. Radiologic Evaluation
Complications
15. Common Invasive Procedures
3. Perinatal Substance Abuse
16. Pain Assessment and
4. Adaptation to Extrauterine Life Management
5. Neonatal Delivery Room 17. Families in Crisis
Resuscitation
18. Patient Safety
Part Two: Cornerstones of
Clinical Practice 19. Discharge Planning and
Transition to Home
6. Thermoregulation
20. Genetics: From Bench to
7. Physical Assessment Bedside
8. Fluid and Electrolyte 21. Intrafacility and Interfacility
Management Neonatal Transport
9. Glucose Management 22. Care of the Extremely Low
Birth Weight Infant
10. Nutritional Management
,23. Care of the Late Preterm Infant 32. Infectious Disease in the
Neonate
Part Three: Pathophysiology:
Management and Treatment of 33. Renal and Genitourinary
Common Disorders Disorders
24. Respiratory Distress 34. Neurologic Disorders
25. Apnea 35. Congenital Anomalies
26. Assisted Ventilation 36. Neonatal Dermatology
27. Extracorporeal Membrane 37. Ophthalmologic and Auditory
Oxygenation Disorders
28. Cardiovascular Disorders Part Four: Professional Practice
29. Gastrointestinal Disorders 38. Foundations of Neonatal
Research
30. Endocrine Disorders
39. Ethical Issues
31. Hematologic Disorders
40. Legal Issues
,Section 1: Uncomplicated Antepar tum, Intr apar tum, and
Postpar tum Car e
Question 1
In the NICU, a 26 weeks neonate (680 g) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
HR 133/min, RR 39/min, SpO₂ 87%, and axillary temperature
35.7°C. The nurse identifies concern related to uncomplicated
antepartum, intrapartum, and postpartum care: assessment cue
interpretation. Which action is most appropriate FIRST?
A. cluster painful procedures without analgesic planning
B. increase stimulation and handling to keep the infant awake
C. withhold parent updates until discharge teaching
D. verify equipment setup and alarm limits before changing
therapy
✅ Correct Answer: D
Rationale: D is correct because the best immediate priority is to
verify equipment setup and alarm limits before changing therapy;
this addresses preventable system error first. The other options are
less appropriate because they either delay reassessment, increase
physiologic stress, or introduce safety risk without confirming
current data and protocol alignment.
DIF: Easy
TOP: documentation quality
MSC: NCLEX Client Needs Category: Reduction of Risk Potential
,Question 2
In the NICU, a 24 weeks neonate (1.2 kg) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
HR 181/min, RR 68/min, SpO₂ 92%, and axillary temperature
36.3°C. The nurse identifies concern related to uncomplicated
antepartum, intrapartum, and postpartum care: first-line nursing
action. Which action is most appropriate FIRST?
A. educate caregivers at bedside using teach-back
B. document the finding and recheck at the end of the shift
C. rely on yesterday's weight and orders without verification
D. skip double-checks because the order is already signed
✅ Correct Answer: A
Rationale: A is correct because the best immediate priority is to
educate caregivers at bedside using teach-back; this improves
adherence and catches misunderstandings early. The other options
are less appropriate because they either delay reassessment,
increase physiologic stress, or introduce safety risk without
confirming current data and protocol alignment.
DIF: Moderate
TOP: cue-based care
MSC: NCLEX Client Needs Category: Safety and Infection
Control
Question 3
,In the NICU, a 30 weeks neonate (2.2 kg) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
HR 111/min, RR 29/min, SpO₂ 90%, and axillary temperature
35.6°C. The nurse identifies concern related to uncomplicated
antepartum, intrapartum, and postpartum care: priority monitoring.
Which action is most appropriate FIRST?
A. skip double-checks because the order is already signed
B. prepare to escalate respiratory support per protocol
C. rely on yesterday's weight and orders without verification
D. document the finding and recheck at the end of the shift
✅ Correct Answer: B
Rationale: B is correct because the best immediate priority is to
prepare to escalate respiratory support per protocol; this matches
increasing work of breathing with timely support. The other
options are less appropriate because they either delay reassessment,
increase physiologic stress, or introduce safety risk without
confirming current data and protocol alignment.
DIF: Easy
TOP: metabolic stability
MSC: NCLEX Client Needs Category: Reduction of Risk Potential
Question 4
In the NICU, a 32 weeks neonate (2.2 kg) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
,HR 171/min, RR 36/min, SpO₂ 95%, and axillary temperature
35.6°C. The nurse identifies concern related to uncomplicated
antepartum, intrapartum, and postpartum care: escalation trigger.
Which action is most appropriate FIRST?
A. delay communication until all routine tasks are complete
B. increase stimulation and handling to keep the infant awake
C. rely on yesterday's weight and orders without verification
D. notify the neonatal provider with focused SBAR
communication
✅ Correct Answer: D
Rationale: D is correct because the best immediate priority is to
notify the neonatal provider with focused SBAR communication;
this ensures timely team decision-making for potential
deterioration. The other options are less appropriate because they
either delay reassessment, increase physiologic stress, or introduce
safety risk without confirming current data and protocol alignment.
DIF: Challenging
TOP: respiratory support
MSC: NCLEX Client Needs Category: Pharmacological and
Parenteral Therapies
Question 5
In the NICU, a 34 weeks neonate (980 g) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
, HR 145/min, RR 46/min, SpO₂ 87%, and axillary temperature
36.9°C. The nurse identifies concern related to uncomplicated
antepartum, intrapartum, and postpartum care: family teaching
point. Which action is most appropriate FIRST?
A. verify equipment setup and alarm limits before changing
therapy
B. start broad interventions before confirming current status
C. delay communication until all routine tasks are complete
D. skip double-checks because the order is already signed
✅ Correct Answer: A
Rationale: A is correct because the best immediate priority is to
verify equipment setup and alarm limits before changing therapy;
this addresses preventable system error first. The other options are
less appropriate because they either delay reassessment, increase
physiologic stress, or introduce safety risk without confirming
current data and protocol alignment.
DIF: Challenging
TOP: device safety
MSC: NCLEX Client Needs Category: Basic Care and Comfort
Question 6
In the NICU, a 40 weeks neonate (1.2 kg) in the context of
uncomplicated antepartum, intrapartum, and postpartum care has
HR 139/min, RR 77/min, SpO₂ 96%, and axillary temperature
