S.T.A.B.L.E CERTIFICATION PROGRAM |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A neonate with a pneumothorax may exhibit which of the following signs?
1) Increased work of breathing
2) Bradycardia
3) Asymmetric appearing chest
4) Cyanosis
5) Decreased femoral pulses
a) 1, 2, 4
b) 1, 3, 5
c) All are correct
CORRECT ANSWER
c) All are correct (Increased work of breathing, bradycardia, asymmetric appearing chest,
cyanosis, decreased femoral pulses)
Question 2
During a routine evaluation of a four-hour-old term infant, the nurse discovers the infant is
tachypneic, tachycardic, and hypotonic. The infant's temperature is 38.6ºC (101.5ºF). A
complete blood count (CBC) is ordered with the following results:
WBC 9,200
Hemoglobin 15 g/dL
Hematocrit 46%
1
,Platelets 290,000
Lymphocytes 51%
Segmented neutrophils 41%
Band neutrophils 5%
Monocytes 3%
You discuss the patient and CBC results with the infant's medical staff provider who responds
by saying, "The CBC is normal which reassures me that the baby is fine. I don't think we need
to do anything more than keep a close eye on the baby." Your assessment of this response is:
a) You agree that close observation is all that is necessary at this time because the CBC and
CRP are normal, which reassures you that the infant is well.
b) You are concerned because the infant's clinical presentation is not being adequately
considered; work-u
CORRECT ANSWER
b) You are concerned because the infant's clinical presentation is not being adequately
considered; work-up and treatment for possible infection is indicated.
Question 3
A term infant is breastfeeding when his mother asks you to come and assess him because
he vomited. You notice the color of the emesis is lime green. The mother reveals that this
is the third time the infant vomited green-colored emesis. The infant's abdomen is not
distended, and he is irritable and crying. Which one of the following should be performed
emergently?
a) A barium enema to evaluate for colonic obstruction
b) A swallow study with contrast to evaluate for trachea-esophageal fistula
c) An upper gastrointestinal (UGI) exam to evaluate for malrotation
CORRECT ANSWER
2
, c) An upper gastrointestinal (UGI) exam to evaluate for malrotation
Question 4
A term infant weighing 1400 grams (3 pounds, 1.5 ounces) is born to an underweight
mother. A bedside glucose test at 30 minutes of life is 10 mg/dL (0.6 mmol/L). The infant
does not have any apparent signs of hypoglycemia at the time the lab test was drawn.
Which of the following orders is the most appropriate therapy for this infant?
a) Gavage feed 7 mLs (equals 5 mLs per kg) of breast milk or formula; recheck the glucose 30
to 60 minutes after the feeding is given.
b) Insert an IV then give a 2.8 mL bolus of D10W, followed by an IV infusion of D10W at 80
mLs per kilogram per day; recheck the glucose 15 to 30 minutes after the bolus.
c) Send a confirmatory plasma glucose to the lab and if low, insert an IV and give a 2.8 mL
bolus of D10W followed by an IV infusion of D10W at 80 mLs per kilogram per day; recheck
the glucose 15 to 30 minutes after the bolus.
CORRECT ANSWER
b) Insert an IV then give a 2.8 mL bolus of D10W, followed by an IV infusion of D10W at
80 mLs per kilogram per day; recheck the glucose 15 to 30 minutes after the bolus.
Question 5
The function of brown fat is to:
a) Generate heat when it is metabolized.
b) Provide a rapidly available source of glucose in the first day of life.
c) Provide an insulating layer of fat in the first month of life.
CORRECT ANSWER
a) Generate heat when it is metabolized.
3
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A neonate with a pneumothorax may exhibit which of the following signs?
1) Increased work of breathing
2) Bradycardia
3) Asymmetric appearing chest
4) Cyanosis
5) Decreased femoral pulses
a) 1, 2, 4
b) 1, 3, 5
c) All are correct
CORRECT ANSWER
c) All are correct (Increased work of breathing, bradycardia, asymmetric appearing chest,
cyanosis, decreased femoral pulses)
Question 2
During a routine evaluation of a four-hour-old term infant, the nurse discovers the infant is
tachypneic, tachycardic, and hypotonic. The infant's temperature is 38.6ºC (101.5ºF). A
complete blood count (CBC) is ordered with the following results:
WBC 9,200
Hemoglobin 15 g/dL
Hematocrit 46%
1
,Platelets 290,000
Lymphocytes 51%
Segmented neutrophils 41%
Band neutrophils 5%
Monocytes 3%
You discuss the patient and CBC results with the infant's medical staff provider who responds
by saying, "The CBC is normal which reassures me that the baby is fine. I don't think we need
to do anything more than keep a close eye on the baby." Your assessment of this response is:
a) You agree that close observation is all that is necessary at this time because the CBC and
CRP are normal, which reassures you that the infant is well.
b) You are concerned because the infant's clinical presentation is not being adequately
considered; work-u
CORRECT ANSWER
b) You are concerned because the infant's clinical presentation is not being adequately
considered; work-up and treatment for possible infection is indicated.
Question 3
A term infant is breastfeeding when his mother asks you to come and assess him because
he vomited. You notice the color of the emesis is lime green. The mother reveals that this
is the third time the infant vomited green-colored emesis. The infant's abdomen is not
distended, and he is irritable and crying. Which one of the following should be performed
emergently?
a) A barium enema to evaluate for colonic obstruction
b) A swallow study with contrast to evaluate for trachea-esophageal fistula
c) An upper gastrointestinal (UGI) exam to evaluate for malrotation
CORRECT ANSWER
2
, c) An upper gastrointestinal (UGI) exam to evaluate for malrotation
Question 4
A term infant weighing 1400 grams (3 pounds, 1.5 ounces) is born to an underweight
mother. A bedside glucose test at 30 minutes of life is 10 mg/dL (0.6 mmol/L). The infant
does not have any apparent signs of hypoglycemia at the time the lab test was drawn.
Which of the following orders is the most appropriate therapy for this infant?
a) Gavage feed 7 mLs (equals 5 mLs per kg) of breast milk or formula; recheck the glucose 30
to 60 minutes after the feeding is given.
b) Insert an IV then give a 2.8 mL bolus of D10W, followed by an IV infusion of D10W at 80
mLs per kilogram per day; recheck the glucose 15 to 30 minutes after the bolus.
c) Send a confirmatory plasma glucose to the lab and if low, insert an IV and give a 2.8 mL
bolus of D10W followed by an IV infusion of D10W at 80 mLs per kilogram per day; recheck
the glucose 15 to 30 minutes after the bolus.
CORRECT ANSWER
b) Insert an IV then give a 2.8 mL bolus of D10W, followed by an IV infusion of D10W at
80 mLs per kilogram per day; recheck the glucose 15 to 30 minutes after the bolus.
Question 5
The function of brown fat is to:
a) Generate heat when it is metabolized.
b) Provide a rapidly available source of glucose in the first day of life.
c) Provide an insulating layer of fat in the first month of life.
CORRECT ANSWER
a) Generate heat when it is metabolized.
3
