RNC-MNN STUDY QUESTIONS AND VERIFIED
ANSWERS; 100% CORRECT; GRADE A
A "blueberry muffin" rash is consistent with
a. rubella
b. herpes
c. hepatitis B
d. varicella - correct answer- a. rubella
A 1 day old, term baby has difficulty feeding, accompanied by
vomiting and diarrhea. The baby becomes irritable with a high-
pitched cry. These findings are most consistent with
a. drug withdrawal
b. intestinal obstruction
c. hypoglycemia
d. intraventricular hemorrhage - correct answer- a. drug
withdrawal
,A 1 day old, term newborn becomes jaundiced. Total bilirubin
levels are 6mg at 8AM and 11mg at noon. The RN should
anticipate further eval for
a. hepatitis A
b. hypoglycemia
c. hemolysis
d. dehydration - correct answer- c. hemolysis
A 1 hour old infant is experiencing episodes of coughing and
choking. This baby requires
a. immediate emergent surgery
b. intubation and ventilation
c. placement of an orogastric tube - correct answer- c.
placement of an orogastric tube
A 2 day old neonate born at 36 weeks develops jaundice and is
breastfeeding poorly. In addition to a moderate evaluation in the
total serum bilirubin, lab results indicate O Rh positive blood
type with a maternal blood type A Rh positive. The RN would
recognize that a major contributor to the rising bilirubin level is
most likely
,a. increased enterohepatic shunting
b. ongoing hemolysis
c. presence of maternal hormones in the breast milk - correct
answer- b. ongoing hemolysis
A 2 hour old newborn appears generally pale with a dusky
appearance to the nail beds and a grayish appearance to the
mucous membranes inside the mouth. The finding most
indicative of oxygen desaturation is the presence of
a. dusky nail beds
b. grayish mucous membranes
c. overall pale - correct answer- b. grayish mucous
membranes
A 2 week postpartum mother c/o loss of appetite, difficulty
concentrating, and sleeplessness. These symptoms are
consistent with postpartum
a. psychosis
b. OCD
, c. depression
d. panic disorder - correct answer- c. depression
A 2800 gram neonate, when lying on his side, shows a sharply
demarcated red color seen in the dependent side of the body.
The superior half is pale. If the infant is rotated to the other side,
the color reverses. The appropriate intervention is to
a. assess temperature
b. continue to observe
c. obtain a hematocrit level - correct answer- b. continue to
observe
A 35 week pregnant patient developed GDM. Due to this, the
MD ordered a lab test to evaluate the status of the fetus. A
noninvasive fetal assessment test appropriate for the specific
gestation would be
a. CST - contraction stress test
b. NST - non-stress test
c. amniocentesis
d. scalp pH - correct answer- b. NST - non-stress test
ANSWERS; 100% CORRECT; GRADE A
A "blueberry muffin" rash is consistent with
a. rubella
b. herpes
c. hepatitis B
d. varicella - correct answer- a. rubella
A 1 day old, term baby has difficulty feeding, accompanied by
vomiting and diarrhea. The baby becomes irritable with a high-
pitched cry. These findings are most consistent with
a. drug withdrawal
b. intestinal obstruction
c. hypoglycemia
d. intraventricular hemorrhage - correct answer- a. drug
withdrawal
,A 1 day old, term newborn becomes jaundiced. Total bilirubin
levels are 6mg at 8AM and 11mg at noon. The RN should
anticipate further eval for
a. hepatitis A
b. hypoglycemia
c. hemolysis
d. dehydration - correct answer- c. hemolysis
A 1 hour old infant is experiencing episodes of coughing and
choking. This baby requires
a. immediate emergent surgery
b. intubation and ventilation
c. placement of an orogastric tube - correct answer- c.
placement of an orogastric tube
A 2 day old neonate born at 36 weeks develops jaundice and is
breastfeeding poorly. In addition to a moderate evaluation in the
total serum bilirubin, lab results indicate O Rh positive blood
type with a maternal blood type A Rh positive. The RN would
recognize that a major contributor to the rising bilirubin level is
most likely
,a. increased enterohepatic shunting
b. ongoing hemolysis
c. presence of maternal hormones in the breast milk - correct
answer- b. ongoing hemolysis
A 2 hour old newborn appears generally pale with a dusky
appearance to the nail beds and a grayish appearance to the
mucous membranes inside the mouth. The finding most
indicative of oxygen desaturation is the presence of
a. dusky nail beds
b. grayish mucous membranes
c. overall pale - correct answer- b. grayish mucous
membranes
A 2 week postpartum mother c/o loss of appetite, difficulty
concentrating, and sleeplessness. These symptoms are
consistent with postpartum
a. psychosis
b. OCD
, c. depression
d. panic disorder - correct answer- c. depression
A 2800 gram neonate, when lying on his side, shows a sharply
demarcated red color seen in the dependent side of the body.
The superior half is pale. If the infant is rotated to the other side,
the color reverses. The appropriate intervention is to
a. assess temperature
b. continue to observe
c. obtain a hematocrit level - correct answer- b. continue to
observe
A 35 week pregnant patient developed GDM. Due to this, the
MD ordered a lab test to evaluate the status of the fetus. A
noninvasive fetal assessment test appropriate for the specific
gestation would be
a. CST - contraction stress test
b. NST - non-stress test
c. amniocentesis
d. scalp pH - correct answer- b. NST - non-stress test
