NICU RN A v1 Actual Questions And Correct And Detailed Answers.

The amount of air that moves into or out of the lungs with each single breath at rest is called - correct answer Tidal Volume Which of the following is a non-pharmacologic management technique to treat apnea in the preterm infant - correct answer Maintaining the head in neutral position which of the following respiratory disorders occur in term and near-term infants due to delayed clearance of fetal lung fluid? - correct answer Transient Tachypnea of the newborn (TTN) which of the following dextrose infusion rates would be appropriate for an infant with documented hypoglycemia? - correct answer 4-8 mg/kg/min While attempting to provide positive pressure ventilation per bag and mask to an apneic infant, you not there is no chest rise with bagging. what is the MOST appropriate step to take next? - correct answer reapply the mask , ensuring that a tight seal has been obtained. you are aske to place pulse ox probe preductally for an infant with suspected pulmonary hypertension. which of the following sites is a preductal site - correct answer right wrist An 800 gram infant has a UAC line NS at 1ml/hr. NS has 0.154 mEq/ml of NA. How many mEq of sodium does this infant receive in 24 hours from this infusion. - correct answer 0.369 mEq/kg/day normal serum potassium (K+) level is: - correct answer 3.5-5.5 mEq/L A healthy full term infant would require how many kcal/kg/day for adequate growth and development? - correct answer 150- 180 a term baby is delivered by emergency c-section for umbilical cord prolapse. Apgar's were 1,3,and 5 . initial blood gas showed a PH 7.01, PCO2 39, PO2 180, HCO3 16, BE -19. What is the correct interpretation of the blood gas? - correct answer Metabolic Acidosis Which infant would have the greatest risk for evaporative heat loss? - correct answer 30 weeker A 2,000 gram infant has lost 200 grams in the first week of life. the parents are concerned that their baby is loosing too much weight. Which of the following statements is TRUE regarding this weight loss? - correct answer Diuresis in the first week of life with 10-15% weight loss in preterm infants is normal. Which of the following drugs is used to maintain patency of the ductus arteriosus for infants with ductal dependent cardiac defects? - correct answer alprostadil (Prostaglandin E1) A nicu nurse operating in the role of patient advocate is an example of: - correct answer Beneficence The first drug usually given for neonatal seizures is : - correct answer Phenobarbital (Donnatal) A mother with an infant with PPHN of the newborn requested to hold her infant. the infant's oxygen saturation is greater the 94%, blood pressure is stable, and is not on minimal stimulation. the nurses BEST intervention is to: - correct answer Have the mother hold the infant & explain signs and symptoms that demonstrate instability of the infant. which of the following findings suggest a surgical emergency? - correct answer Unilateral swollen scrotum that is bluish red What disease comprise TORCH syndrome? - correct answer Toxoplasmosis, other diseases, rubella, cytomegalovirus, herpes simplex An acquired disease that is primarily seen in preterm infants, characterized by feeding intolerance, bowel wall edema, and pneumatosis intestinalis is called? - correct answer Necrotizing enterocolitis (NEC) Which of the following is a benign skin rash that may persist for several days, resolves spontaneously, and characterized by erythematous macules each containing a central yellow or white papule? - correct answer Erythema toxicum Herniation of abdominal contents through an abdominal wall, lateral to the umbilical ring is called: - correct answer gastroschisis The MOST effective way to reduce central line infections is - correct answer remove central line when no longer indicated you are called to the delivery of a 41- week gestation infant with thick meconium stained fluid. the infant is limp in the OB arms and is not crying. your first priority is to? - correct answer vigorously dry the infant to prevent cold stress TORCH is an acronym for toxoplasmosis, other infections (such as syphillis), rubella, CMV, and herpes simplex. Which statement is true regarding TORCH infections during pregnancy? - correct answer All of the infectious agents causing TORCH infections across the placenta to the fetus A life-threating complication of UVC us is - correct answer Cardiac Tamponade An infants CSF sample obtained through lumbar puncture revealed bacteria through gram staining. based on the result, which of the following is the MOST appropriate study to include? - correct answer obtaining blood and urine cultures which of the following drugs is used to treat fungal infections - correct answer Fluconazole (Diflucan) Which of the following are threats to patient safety? - correct answer Fatigue, long shifts, and overtime practices G1P1 breastfeeding mom has inverted nipples and infant is unable to latch and cries during feedings. The MOST appropriate response of the nurse is to: - correct answer consult lactation nurse w/expectation of offering a nipple shield. Accounting for almost 50% of cardiac defects. which of the following is the most common congenital heart defect? - correct answer Ventricular septal defect Scalp swelling that is present at birth , crosses suture lines, and disappears within 24 to 48 hours is most consistent with which potential birth trauma? - correct answer Caput Succedaneum Which mechanical ventilation parameter aids in maintain functional residual capacity, thus stabilizing and recruiting atelectatic areas for gas exchange? - correct answer Positive end-expiratory pressure (PEEP) During the newborn nursery admission of a term infant, you note that the systolic blood pressure of the upper extremities are 20 mmHg higher than that of the lower extremities. This finding is an indication of - correct answer Coarctation of aorta which of the following nursing interventions facilitate developmentally supportive care? - correct answer decrease noise and lighting A nurse is explaining the difference between foremilk and hindmilk to a breast pumping mother . which of the following statements by the nurse BEST describes the difference? - correct answer The fat content is