NICU RN A V1 EXAMS SCRIPT ALL QUESTIONS
AND ANSWERS SURE A+
✔✔Ventricular septal defect - ✔✔Accounting for almost 50% of cardiac defects, which
of the following is the most common congenital heart defect?
✔✔Cardiac tamponade - ✔✔A life-threatening complication of umbilical vein catheter
use is:
✔✔Use a certified language interpreter - ✔✔A 36-week infant is unexpectedly admitted
to the NICU for hypoglycemia. The BEST method to assist a Spanish speaking mother
in making informed decisions is to:
✔✔3.125 - ✔✔On day 2 of life, the 25-week gestation infant you are caring for has 45
ml of urine output in 24 hours. Weight 0.6 kg. How many ml/kh/hr did this infant void?
✔✔Positive end-expiratory pressure (PEEP) - ✔✔Which mechanical ventilation
parameter aids in maintaining functional residual capacity, thus stabilizing and recruiting
atelectatic areas for gas exchange?
✔✔Remove central line when no longer indicated - ✔✔The MOST effective way to
reduce central line infection is to:
✔✔4.6 mEq/kg/day - ✔✔An 800-gram infant has an umbilical arterial line that is infusing
normal saline (NS) at 1 ml/hr. Normal saline has 0.154 mEq/ml of Na. How many
mEq/kg of sodium does this infant receive in 24 hrs from this infusion?
✔✔phenobarbital (Donnatal) - ✔✔The first drug usually given for neonatal seizure is:
✔✔Ampicillin and gentamicin - ✔✔The most common broad-spectrum antimicrobial
therapy initiated on admission includes:
, ✔✔Reapply the mask, ensuring that a light seal has been obtained - ✔✔While
attempting to provide positive pressure ventilation per bag and mask to an apneic infant,
you note that there is no chest rise with bagging. What is the MOST appropriate step to
take next?
✔✔Consider conserving areas that may later be needed for central line placement -
✔✔When considering a site for placement of a peripheral intravenous catheter, the
nurse should:
✔✔Taxoplasmosis, other diseases, rubella, cytomegalovirus, herpes simplex - ✔✔What
diseases comprise TORCH syndrome?
✔✔The virus can survive for several hours on environmental surface - ✔✔Respiratory
syncytial virus (RSV) is transmitted by exposure to large-particle droplets or
contaminated surfaces. Which statement is TRUE regarding RSV?
✔✔Thoracentesis and/or paracentesis - ✔✔An infant delivered at 28-weeks gestation
by cesarean section is diagnosed with nonimmune hydrops fetalis (nonimmune
hydrops). Which of the following interventions should the nurse anticipate in
management of the infant?
✔✔acetaminophen 15mg/kg PO every 4 hours PRN - ✔✔One of The Joint
Commission's national patient safety goal is to reduce medication errors by
implementing a "Do Not Use: list guide medication ordering. Which of the following is an
example of a CORRECT medication order?
✔✔Maintaining the head in neutral position - ✔✔Which of the following is non-
pharmacological management technique to treat apnea in the preterm infant?
✔✔acyclovir (Zovirax) - ✔✔Treatment of choice for infections cause by herpes simplex
virus is:
✔✔Phenylketonuria (PKU) - ✔✔The most common inborn error of amino acid
metabolism that may result in mental retardation is:
✔✔Muscle tone - ✔✔Which of the following is component of the Apgar score?
✔✔Diuresis in the first week of life with 10-15% weight loss in preterm infants is normal
- ✔✔A 2,000-gram infant has lost 200 grams in the first week of life. The parents are
concerned that their baby is losing too much weight. Which of the following statements
is TRUE regarding the weight loss?
AND ANSWERS SURE A+
✔✔Ventricular septal defect - ✔✔Accounting for almost 50% of cardiac defects, which
of the following is the most common congenital heart defect?
✔✔Cardiac tamponade - ✔✔A life-threatening complication of umbilical vein catheter
use is:
✔✔Use a certified language interpreter - ✔✔A 36-week infant is unexpectedly admitted
to the NICU for hypoglycemia. The BEST method to assist a Spanish speaking mother
in making informed decisions is to:
✔✔3.125 - ✔✔On day 2 of life, the 25-week gestation infant you are caring for has 45
ml of urine output in 24 hours. Weight 0.6 kg. How many ml/kh/hr did this infant void?
✔✔Positive end-expiratory pressure (PEEP) - ✔✔Which mechanical ventilation
parameter aids in maintaining functional residual capacity, thus stabilizing and recruiting
atelectatic areas for gas exchange?
✔✔Remove central line when no longer indicated - ✔✔The MOST effective way to
reduce central line infection is to:
✔✔4.6 mEq/kg/day - ✔✔An 800-gram infant has an umbilical arterial line that is infusing
normal saline (NS) at 1 ml/hr. Normal saline has 0.154 mEq/ml of Na. How many
mEq/kg of sodium does this infant receive in 24 hrs from this infusion?
✔✔phenobarbital (Donnatal) - ✔✔The first drug usually given for neonatal seizure is:
✔✔Ampicillin and gentamicin - ✔✔The most common broad-spectrum antimicrobial
therapy initiated on admission includes:
, ✔✔Reapply the mask, ensuring that a light seal has been obtained - ✔✔While
attempting to provide positive pressure ventilation per bag and mask to an apneic infant,
you note that there is no chest rise with bagging. What is the MOST appropriate step to
take next?
✔✔Consider conserving areas that may later be needed for central line placement -
✔✔When considering a site for placement of a peripheral intravenous catheter, the
nurse should:
✔✔Taxoplasmosis, other diseases, rubella, cytomegalovirus, herpes simplex - ✔✔What
diseases comprise TORCH syndrome?
✔✔The virus can survive for several hours on environmental surface - ✔✔Respiratory
syncytial virus (RSV) is transmitted by exposure to large-particle droplets or
contaminated surfaces. Which statement is TRUE regarding RSV?
✔✔Thoracentesis and/or paracentesis - ✔✔An infant delivered at 28-weeks gestation
by cesarean section is diagnosed with nonimmune hydrops fetalis (nonimmune
hydrops). Which of the following interventions should the nurse anticipate in
management of the infant?
✔✔acetaminophen 15mg/kg PO every 4 hours PRN - ✔✔One of The Joint
Commission's national patient safety goal is to reduce medication errors by
implementing a "Do Not Use: list guide medication ordering. Which of the following is an
example of a CORRECT medication order?
✔✔Maintaining the head in neutral position - ✔✔Which of the following is non-
pharmacological management technique to treat apnea in the preterm infant?
✔✔acyclovir (Zovirax) - ✔✔Treatment of choice for infections cause by herpes simplex
virus is:
✔✔Phenylketonuria (PKU) - ✔✔The most common inborn error of amino acid
metabolism that may result in mental retardation is:
✔✔Muscle tone - ✔✔Which of the following is component of the Apgar score?
✔✔Diuresis in the first week of life with 10-15% weight loss in preterm infants is normal
- ✔✔A 2,000-gram infant has lost 200 grams in the first week of life. The parents are
concerned that their baby is losing too much weight. Which of the following statements
is TRUE regarding the weight loss?
