RN ICU Neonatal level
2 Assessment test
fully solved & updated
Which of the following factors can be predictive of abnormal neurological
development?
Seizures and fetal growth restriction
The nurse is administering ampicillin to a neonate born at 32 week's;
gestation via a peripheral IV in the right hand. Ampicillin is commonly
prescribed to prevent or treat neonatal infection with which organism?
Group B Streptococcus
Which of the following is a symptom of increased intracranial pressure for
which the nurse should observe after a ventriculoperitoneal shunt?
sunset sign of eyes
A level II neonatal ICU patient's blood culture has grown a specific
pathogen. The patient's previous antibiotics have been discontinued and
there is an order for a new antibiotic medication. The nurse explains the
change to the parents by saying:
"This antibiotic is effective against the specific bacteria in your child's
body."
Prior to the administration of IM Vitamin K to a neonate born at 36 5/7
week's; gestation, the nurse instructs the parents regarding the indication
for the Vitamin K injection. Which is the correct indication?
"Vitamin K is given prophylactically for hemorrhagic disease of the
newborn."
If acute blood loss is suspected and the neonate is pale and limp at birth,
blood pressure should be obtained and monitored, oxygen should be
administered, and intravenous fluids should be started at:
20 mL/Kg
The mother of a stable preterm infant in the NICU asks how she can best
develop a bond with her baby. The nurse suggests that the baby's mother:
, hold the diapered baby skin-to-skin covered with a light blanket.
A neonate born at 33 weeks; gestation weighing 1600 grams was admitted
to the level II neonatal ICU a week ago. The neonate started having apneic
episodes with bradycardia 2 days ago and all other etiologies of apnea
have been ruled out, leaving the diagnosis of apnea of prematurity (AOP).
An order has been received for a loading dose of caffeine citrate 20 mg/kg
to be given IV. The neonate weighed 1650 grams today. What dosage
should the nurse give?
33 mg
It must be assumed that an infant with hypertension has a specific
secondary etiology. Which of the following are causes of hypertension in
infants?
Bronchopulmonary dysplasia and seizures
The late preterm infant just admitted to the NICU displays some jittery
movements. Which of the following lab tests might the nurse expect to be
ordered?
cbc with diff and blood gas
A patient in the level II neonatal ICU is receiving D10W solution via
peripheral IV; the IV pump keeps beeping. When checking on the infusion,
the nurse checks the IV site and discovers that the site is cool and
blanched, edematous with taut skin, and there is fluid leaking from the
site. The neonate cries when the area is palpated. The nurse knows that
this patient's IV site is likely displaying signs of:
extravasation
A patient diagnosed with hydrocephalus has a ventriculoperitoneal shunt.
The nurse's assessment findings include: temperature 101.2 degrees F,
heart rate 168, respiratory rate 58, irritability, and poor feeding. What is
this patient's primary problem?
shunt infection
Which of the following is an appropriate measure for the acute
management of neonatal seizures?
Give a loading dose of phenytoin (Dilantin;), 30 mg/kg IV.
A neonate has returned from surgery and is starting to awaken well. She
is restless and appears to be in pain. Besides obtaining an order for post-
operative pain medication, which methods should the NICU nurse use to
help relieve this baby pain?
Bundle, hold, and rock the baby as her condition allows.
2 Assessment test
fully solved & updated
Which of the following factors can be predictive of abnormal neurological
development?
Seizures and fetal growth restriction
The nurse is administering ampicillin to a neonate born at 32 week's;
gestation via a peripheral IV in the right hand. Ampicillin is commonly
prescribed to prevent or treat neonatal infection with which organism?
Group B Streptococcus
Which of the following is a symptom of increased intracranial pressure for
which the nurse should observe after a ventriculoperitoneal shunt?
sunset sign of eyes
A level II neonatal ICU patient's blood culture has grown a specific
pathogen. The patient's previous antibiotics have been discontinued and
there is an order for a new antibiotic medication. The nurse explains the
change to the parents by saying:
"This antibiotic is effective against the specific bacteria in your child's
body."
Prior to the administration of IM Vitamin K to a neonate born at 36 5/7
week's; gestation, the nurse instructs the parents regarding the indication
for the Vitamin K injection. Which is the correct indication?
"Vitamin K is given prophylactically for hemorrhagic disease of the
newborn."
If acute blood loss is suspected and the neonate is pale and limp at birth,
blood pressure should be obtained and monitored, oxygen should be
administered, and intravenous fluids should be started at:
20 mL/Kg
The mother of a stable preterm infant in the NICU asks how she can best
develop a bond with her baby. The nurse suggests that the baby's mother:
, hold the diapered baby skin-to-skin covered with a light blanket.
A neonate born at 33 weeks; gestation weighing 1600 grams was admitted
to the level II neonatal ICU a week ago. The neonate started having apneic
episodes with bradycardia 2 days ago and all other etiologies of apnea
have been ruled out, leaving the diagnosis of apnea of prematurity (AOP).
An order has been received for a loading dose of caffeine citrate 20 mg/kg
to be given IV. The neonate weighed 1650 grams today. What dosage
should the nurse give?
33 mg
It must be assumed that an infant with hypertension has a specific
secondary etiology. Which of the following are causes of hypertension in
infants?
Bronchopulmonary dysplasia and seizures
The late preterm infant just admitted to the NICU displays some jittery
movements. Which of the following lab tests might the nurse expect to be
ordered?
cbc with diff and blood gas
A patient in the level II neonatal ICU is receiving D10W solution via
peripheral IV; the IV pump keeps beeping. When checking on the infusion,
the nurse checks the IV site and discovers that the site is cool and
blanched, edematous with taut skin, and there is fluid leaking from the
site. The neonate cries when the area is palpated. The nurse knows that
this patient's IV site is likely displaying signs of:
extravasation
A patient diagnosed with hydrocephalus has a ventriculoperitoneal shunt.
The nurse's assessment findings include: temperature 101.2 degrees F,
heart rate 168, respiratory rate 58, irritability, and poor feeding. What is
this patient's primary problem?
shunt infection
Which of the following is an appropriate measure for the acute
management of neonatal seizures?
Give a loading dose of phenytoin (Dilantin;), 30 mg/kg IV.
A neonate has returned from surgery and is starting to awaken well. She
is restless and appears to be in pain. Besides obtaining an order for post-
operative pain medication, which methods should the NICU nurse use to
help relieve this baby pain?
Bundle, hold, and rock the baby as her condition allows.
