NU 335 FINAL PRACTICE QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question 1
A nurse is performing a comprehensive assessment on a newborn exhibiting
Neonatal Abstinence Syndrome (NAS) due to maternal drug dependence. While
several signs of drug withdrawal are expected, which clinical manifestation reflects
significant central nervous system irritability and mandates immediate, ongoing
nursing evaluation?
1. Occasional loose, watery stools
2. Intermittent spitting up after a feeding
3. Persistent jitteriness and hyper-irritability
4. Mild nasal stuffiness
✔✔ 3. Persistent jitteriness and hyper-irritability
Rationale: Infants undergoing neonatal drug withdrawal suffer from severe central
nervous system (CNS) hyper-irritability. While gastrointestinal distress (watery
stools, spitting up) and autonomic adjustments (nasal stuffiness) are classic
symptoms of NAS, persistent jitteriness, tremors, and a high-pitched,
inconsolable cry indicate profound neurological hyperactivity. These signs require
continuous scoring (e.g., Finnegan Scale) and may indicate the need for
pharmacological intervention to prevent seizures and exhaustion.
Question 2
When developing an evidence-based plan of care for a newborn diagnosed with
Fetal Alcohol Syndrome (FAS), which nursing intervention is essential to support
the infant’s growth, development, and metabolic stability?
1. Allocating extra time and patience during feedings.
2. Rotating different nursing personnel to care for the newborn each shift.
3. Placing the infant's crib or incubator in a well-lit, active nursery area.
AND ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question 1
A nurse is performing a comprehensive assessment on a newborn exhibiting
Neonatal Abstinence Syndrome (NAS) due to maternal drug dependence. While
several signs of drug withdrawal are expected, which clinical manifestation reflects
significant central nervous system irritability and mandates immediate, ongoing
nursing evaluation?
1. Occasional loose, watery stools
2. Intermittent spitting up after a feeding
3. Persistent jitteriness and hyper-irritability
4. Mild nasal stuffiness
✔✔ 3. Persistent jitteriness and hyper-irritability
Rationale: Infants undergoing neonatal drug withdrawal suffer from severe central
nervous system (CNS) hyper-irritability. While gastrointestinal distress (watery
stools, spitting up) and autonomic adjustments (nasal stuffiness) are classic
symptoms of NAS, persistent jitteriness, tremors, and a high-pitched,
inconsolable cry indicate profound neurological hyperactivity. These signs require
continuous scoring (e.g., Finnegan Scale) and may indicate the need for
pharmacological intervention to prevent seizures and exhaustion.
Question 2
When developing an evidence-based plan of care for a newborn diagnosed with
Fetal Alcohol Syndrome (FAS), which nursing intervention is essential to support
the infant’s growth, development, and metabolic stability?
1. Allocating extra time and patience during feedings.
2. Rotating different nursing personnel to care for the newborn each shift.
3. Placing the infant's crib or incubator in a well-lit, active nursery area.
