Roadtrip to RNC-NIC Week 8 questions and
answers 2025/2026 latest version
An extremely premature infant nearing discharge has an elevated alkaline phosphatase level. What
should the nurse include in discharge education?
A. Avoid kangaroo care
B. Handle the infant as carefully as possible
C. Recommend a soy-based formula - Answer B. Handle the infant as carefully as possible.
Rationale:The infant's history (extreme prematurity) and laboratory findings (elevated alkaline
phosphatase) suggest metabolic bone disease. The infant's bones are fragile and can be easily fractured
(eg, limbs, ribs).
Kangaroo care is not contraindicated in metabolic bone disease.
A soy-based formula will not positively affect metabolic bone disease and may be nutritionally inferior to
what the infant is receiving.
Reference(s):Halbardier, B.: Fluid and electrolyte management. In Verklan, M.T., Walden, M. (Eds.): Core
Curriculum for Neonatal Intensive Care Nursing, 5th ed. St. Louis, Elsevier Saunders, 2015, pp. 146-161.
Which of the following statements about the care of an infant with a chest tube is accurate?
A. Milking and stripping of the chest tube are routine interventions to ensure tube patency
B. Continuous bubbling in the water seal chamber is an indication that the chest tube is functioning
effectively
C. Tube patency, fluctuation, and bubbling in the drainage system should be monitored and
documented hourly. - Answer C. Tube patency, fluctuation and bubbling in the drainage system should
be monitored and documented hourly.
Rationale: An important aspect of chest tube care is the frequent monitoring and documentation of
tube patency, oscillation of fluid within the drainage system, and presence or absence of bubbling in the
water seal chamber. Continuous bubbling in the water seal chamber indicates an air leak; the source
may be either the patient or the system.
If visible clots and debris are seen in the chest tube and are not free flowing, gentle kneading, not
stripping, of the chest tube may be indicated.
Milking and stripping of the chest tube are not necessary.
answers 2025/2026 latest version
An extremely premature infant nearing discharge has an elevated alkaline phosphatase level. What
should the nurse include in discharge education?
A. Avoid kangaroo care
B. Handle the infant as carefully as possible
C. Recommend a soy-based formula - Answer B. Handle the infant as carefully as possible.
Rationale:The infant's history (extreme prematurity) and laboratory findings (elevated alkaline
phosphatase) suggest metabolic bone disease. The infant's bones are fragile and can be easily fractured
(eg, limbs, ribs).
Kangaroo care is not contraindicated in metabolic bone disease.
A soy-based formula will not positively affect metabolic bone disease and may be nutritionally inferior to
what the infant is receiving.
Reference(s):Halbardier, B.: Fluid and electrolyte management. In Verklan, M.T., Walden, M. (Eds.): Core
Curriculum for Neonatal Intensive Care Nursing, 5th ed. St. Louis, Elsevier Saunders, 2015, pp. 146-161.
Which of the following statements about the care of an infant with a chest tube is accurate?
A. Milking and stripping of the chest tube are routine interventions to ensure tube patency
B. Continuous bubbling in the water seal chamber is an indication that the chest tube is functioning
effectively
C. Tube patency, fluctuation, and bubbling in the drainage system should be monitored and
documented hourly. - Answer C. Tube patency, fluctuation and bubbling in the drainage system should
be monitored and documented hourly.
Rationale: An important aspect of chest tube care is the frequent monitoring and documentation of
tube patency, oscillation of fluid within the drainage system, and presence or absence of bubbling in the
water seal chamber. Continuous bubbling in the water seal chamber indicates an air leak; the source
may be either the patient or the system.
If visible clots and debris are seen in the chest tube and are not free flowing, gentle kneading, not
stripping, of the chest tube may be indicated.
Milking and stripping of the chest tube are not necessary.
