NICU RN A V1 Exam Questions and Answers

Which of the following is an appropriate isolation precaution for an infant who tested positive for MRSA? - Place infant on contact isolation TORCH is an acronym for taxoplasmosis, other infections (such as syphillis), rubella, cytomegalovirus infection (CMV), and herpes simplex. Which statement is TRUE regarding TORCH infections during pregnancy? - All of the infectious agents causing TORCH infections cross the placenta to the fetus An infant is delivered by emergency cesarean section for cord prolapse. A quick assessment shows a heart rate of 20-30 beats per minute. The physician orders epinephrine to be given per ETT. What is the correct concentration of epinephrine to be administered to an infant? - 1:10,000 Which of the following dextrose infusion rates would be appropriate for an infant with documented hypoglycemia? - 4-8 mg/kg/min Sustained supraventricular tachycardia (SVT) can cause which form of shock in the newborn? - Cardiogenic A NICU nurse operating in the role of a patient advocate is an example of - Beneficence A healthy full-term infant would require how many kcal/day for adequate growth development? - 100-120 kcal/kg/day Apgar scoring can be affected by: - Maternal administration of magnesium sulfate Which of the following is a type of pulmonary air leak that presents with abrupt hypotension, bradycardia, and muffled heart sounds? - Pneumopericardium are ultimately responsible for deciding what is in the best interest of a baby - Parents 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 Normal serum potassium (K+) level is: - 3.5 to 5.5 mEq/L Which of the following findings suggest a surgical emergency? - Unilateral swollen scrotum that is bluish red An infant's cerebrospinal fluid (CSF) sample obtained through lumbar puncture revealed bacteria through gram-staining. Based on this result, which of the following is the MOST appropriate study to include? - Obtaining blood and urine cultures Herniation of abdominal contents through an abdominal wall defect lateral to the umbilical ring is called: - Umbilical hernia The MOST common clinical presentation of a neonatal seizure is: - Subtle During the newborn nursery admission of a term infant, you note that the systolic blood pressure of the upper extremities are 20mmHg higher than that of the lower extremities. The finding is indicative of: - Coarctation of the aorta Delivery room preparation includes which of the following? - Prewarm the resuscitation room, bed, and linens to minimize thermal losses The parents of a 24-week infant wants aggressive care for their infant, even though a grim prognosis is present. This is an example of which ethical principle? - Respect for autonomy You've just admitted an infant who has increased work of breathing and appears to have a small lower jaw. What position should this infant be placed to decrease airway distress? - Prone An infant is delivered by cesarean section is noted to have gastroschisis. What would be the MOST appropriate measure to prevent evaporative heat loss from the exposed intestines? - Place infant in a sterile bowel bag You are called to the delivery of a 41-week gestation infant with thick meconium stained fluid. The infant is limp in the obstetrician's arms and is not crying. Your FIRST priority is to: - Vigorously dry the infant to prevent cold stress Congenital webbing of the fingers or toes is called? - Syndactyly Which of the following drugs is used to treat fungal infectons? - fluconazole (Diflucan) What is the maximum glucose concentration that can be infused in a peripheral IV? - 12.5 % Which of the following are threats to patient safety? - Fatigue, long shifts, and overtime practices The amount of air that moves into or out of the lungs with each single breath at rest is called: - Tidal volume A Ballard exam shows the following physical findings: skin that is red and translucent, sparse lanugo, no plantar creases, barely perceptible breast buds, and fused eyelids. These findings are most consistent with which gestational age range? - 23 to 24 weeks