NICU RN A v1 Exam 2023 Questions and Answers Solved
Correctly
The amount of air that moves into or out of the lungs with each single breath at rest is
called
Tidal Volume
Which of the following is a non-pharmacologic management technique to treat apnea in
the preterm infant
Maintaining the head in neutral position
which of the following respiratory disorders occur in term and near-term infants due to
delayed clearance of fetal lung fluid?
Transient Tachypnea of the newborn (TTN)
which of the following dextrose infusion rates would be appropriate for an infant with
documented hypoglycemia?
4-8 mg/kg/min
While attempting to provide positive pressure ventilation per bag and mask to an apneic
infant, you not there is no chest rise with bagging. what is the MOST appropriate step to
take next?
reapply the mask , ensuring that a tight seal has been obtained.
you are aske to place pulse ox probe preductally for an infant with suspected pulmonary
hypertension. which of the following sites is a preductal site
right wrist
An 800 gram infant has a UAC line NS at 1ml/hr. NS has 0.154 mEq/ml of NA. How
many mEq of sodium does this infant receive in 24 hours from this infusion.
0.369 mEq/kg/day
normal serum potassium (K+) level is:
3.5-5.5 mEq/L
A healthy full term infant would require how many kcal/kg/day for adequate growth and
development?
150- 180
a term baby is delivered by emergency c-section for umbilical cord prolapse. Apgar's
were 1,3,and 5 . initial blood gas showed a PH 7.01, PCO2 39, PO2 180, HCO3 16, BE
-19. What is the correct interpretation of the blood gas?
Metabolic Acidosis
Which infant would have the greatest risk for evaporative heat loss?
30 weeker
A 2,000 gram infant has lost 200 grams in the first week of life. the parents are
concerned that their baby is loosing too much weight. Which of the following statements
is TRUE regarding this weight loss?
Diuresis in the first week of life with 10-15% weight loss in preterm infants is normal.
Which of the following drugs is used to maintain patency of the ductus arteriosus for
infants with ductal dependent cardiac defects?
alprostadil (Prostaglandin E1)
A nicu nurse operating in the role of patient advocate is an example of:
Beneficence
, The first drug usually given for neonatal seizures is :
Phenobarbital (Donnatal)
A mother with an infant with PPHN of the newborn requested to hold her infant. the
infant's oxygen saturation is greater the 94%, blood pressure is stable, and is not on
minimal stimulation. the nurses BEST intervention is to:
Have the mother hold the infant & explain signs and symptoms that demonstrate
instability of the infant.
which of the following findings suggest a surgical emergency?
Unilateral swollen scrotum that is bluish red
What disease comprise TORCH syndrome?
Toxoplasmosis, other diseases, rubella, cytomegalovirus, herpes simplex
An acquired disease that is primarily seen in preterm infants, characterized by feeding
intolerance, bowel wall edema, and pneumatosis intestinalis is called?
Necrotizing enterocolitis (NEC)
Which of the following is a benign skin rash that may persist for several days, resolves
spontaneously, and characterized by erythematous macules each containing a central
yellow or white papule?
Erythema toxicum
Herniation of abdominal contents through an abdominal wall, lateral to the umbilical ring
is called:
gastroschisis
The MOST effective way to reduce central line infections is
remove central line when no longer indicated
you are called to the delivery of a 41- week gestation infant with thick meconium stained
fluid. the infant is limp in the OB arms and is not crying. your first priority is to?
vigorously dry the infant to prevent cold stress
TORCH is an acronym for toxoplasmosis, other infections (such as syphillis), rubella,
CMV, and herpes simplex. Which statement is true regarding TORCH infections during
pregnancy?
All of the infectious agents causing TORCH infections across the placenta to the fetus
A life-threating complication of UVC us is
Cardiac Tamponade
An infants CSF sample obtained through lumbar puncture revealed bacteria through
gram staining. based on the result, which of the following is the MOST appropriate study
to include?
obtaining blood and urine cultures
which of the following drugs is used to treat fungal infections
Fluconazole (Diflucan)
Which of the following are threats to patient safety?
Fatigue, long shifts, and overtime practices
G1P1 breastfeeding mom has inverted nipples and infant is unable to latch and cries
during feedings. The MOST appropriate response of the nurse is to:
consult lactation nurse w/expectation of offering a nipple shield.
Accounting for almost 50% of cardiac defects. which of the following is the most
common congenital heart defect?
Ventricular septal defect
Correctly
The amount of air that moves into or out of the lungs with each single breath at rest is
called
Tidal Volume
Which of the following is a non-pharmacologic management technique to treat apnea in
the preterm infant
Maintaining the head in neutral position
which of the following respiratory disorders occur in term and near-term infants due to
delayed clearance of fetal lung fluid?
Transient Tachypnea of the newborn (TTN)
which of the following dextrose infusion rates would be appropriate for an infant with
documented hypoglycemia?
4-8 mg/kg/min
While attempting to provide positive pressure ventilation per bag and mask to an apneic
infant, you not there is no chest rise with bagging. what is the MOST appropriate step to
take next?
reapply the mask , ensuring that a tight seal has been obtained.
you are aske to place pulse ox probe preductally for an infant with suspected pulmonary
hypertension. which of the following sites is a preductal site
right wrist
An 800 gram infant has a UAC line NS at 1ml/hr. NS has 0.154 mEq/ml of NA. How
many mEq of sodium does this infant receive in 24 hours from this infusion.
0.369 mEq/kg/day
normal serum potassium (K+) level is:
3.5-5.5 mEq/L
A healthy full term infant would require how many kcal/kg/day for adequate growth and
development?
150- 180
a term baby is delivered by emergency c-section for umbilical cord prolapse. Apgar's
were 1,3,and 5 . initial blood gas showed a PH 7.01, PCO2 39, PO2 180, HCO3 16, BE
-19. What is the correct interpretation of the blood gas?
Metabolic Acidosis
Which infant would have the greatest risk for evaporative heat loss?
30 weeker
A 2,000 gram infant has lost 200 grams in the first week of life. the parents are
concerned that their baby is loosing too much weight. Which of the following statements
is TRUE regarding this weight loss?
Diuresis in the first week of life with 10-15% weight loss in preterm infants is normal.
Which of the following drugs is used to maintain patency of the ductus arteriosus for
infants with ductal dependent cardiac defects?
alprostadil (Prostaglandin E1)
A nicu nurse operating in the role of patient advocate is an example of:
Beneficence
, The first drug usually given for neonatal seizures is :
Phenobarbital (Donnatal)
A mother with an infant with PPHN of the newborn requested to hold her infant. the
infant's oxygen saturation is greater the 94%, blood pressure is stable, and is not on
minimal stimulation. the nurses BEST intervention is to:
Have the mother hold the infant & explain signs and symptoms that demonstrate
instability of the infant.
which of the following findings suggest a surgical emergency?
Unilateral swollen scrotum that is bluish red
What disease comprise TORCH syndrome?
Toxoplasmosis, other diseases, rubella, cytomegalovirus, herpes simplex
An acquired disease that is primarily seen in preterm infants, characterized by feeding
intolerance, bowel wall edema, and pneumatosis intestinalis is called?
Necrotizing enterocolitis (NEC)
Which of the following is a benign skin rash that may persist for several days, resolves
spontaneously, and characterized by erythematous macules each containing a central
yellow or white papule?
Erythema toxicum
Herniation of abdominal contents through an abdominal wall, lateral to the umbilical ring
is called:
gastroschisis
The MOST effective way to reduce central line infections is
remove central line when no longer indicated
you are called to the delivery of a 41- week gestation infant with thick meconium stained
fluid. the infant is limp in the OB arms and is not crying. your first priority is to?
vigorously dry the infant to prevent cold stress
TORCH is an acronym for toxoplasmosis, other infections (such as syphillis), rubella,
CMV, and herpes simplex. Which statement is true regarding TORCH infections during
pregnancy?
All of the infectious agents causing TORCH infections across the placenta to the fetus
A life-threating complication of UVC us is
Cardiac Tamponade
An infants CSF sample obtained through lumbar puncture revealed bacteria through
gram staining. based on the result, which of the following is the MOST appropriate study
to include?
obtaining blood and urine cultures
which of the following drugs is used to treat fungal infections
Fluconazole (Diflucan)
Which of the following are threats to patient safety?
Fatigue, long shifts, and overtime practices
G1P1 breastfeeding mom has inverted nipples and infant is unable to latch and cries
during feedings. The MOST appropriate response of the nurse is to:
consult lactation nurse w/expectation of offering a nipple shield.
Accounting for almost 50% of cardiac defects. which of the following is the most
common congenital heart defect?
Ventricular septal defect
