NNP 1 Quiz 2 Questions With Complete
Solutions
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Medical treatment of post Renal failure? - Answers:fluid boluses
blood products
vasopressors
minimize fluid overload/assess for surgical correctable anomalies
adjust fluids and medications that worsen kidney failure
foley catheter for I/Os
Etiologies of Intrinsic ARF? - Answers:Prolonged ischemia: Shock, hemorrhage, sepsis
Vascular lesions:
Thrombi
Nephrotoxins:
Indocin, ATBX, non steroidal anti-inflammatories
Pigments:
Myo- or hemoglobinemia
A one week of age, 34 week neonate develops feeding intolerance, vomiting, diarrhea,
fever irritability, rapid respirations, sweating, hyperactive reflexes. You suspect the
infant is experiencing what? - Answers:NAS
What is a sub acute sign of NAS that may persist for 4-6 months? - Answers:Feeding
problems
What combination of sedative have been shown to decrease the severity of narcotic
withdrawl symptoms in the neonate? - Answers:Phenobarbital and clonidine
In neonates, biotransformation or drug metabolism occurs most commonly in which
organ? - Answers:Liver
The primary mechanism for excretion of many drugs commonly used in the NICU are
glomular filtration and what? - Answers:Tubular Secretion
Therapeautic drug monitoring is required for aminoglycoside use due to neonatal
decreased what? - Answers:Renal tubular excretion capacity
What is the diuretic that is most Calcium sparing? - Answers:Diuril
What is the appropriate management for a neonatal serum trough level for vancomycin
of 12mcg/ml? - Answers:Maintain
What maternal factor lessens the severity of RDS? - Answers:Maternal heroin addiction
Solutions
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Medical treatment of post Renal failure? - Answers:fluid boluses
blood products
vasopressors
minimize fluid overload/assess for surgical correctable anomalies
adjust fluids and medications that worsen kidney failure
foley catheter for I/Os
Etiologies of Intrinsic ARF? - Answers:Prolonged ischemia: Shock, hemorrhage, sepsis
Vascular lesions:
Thrombi
Nephrotoxins:
Indocin, ATBX, non steroidal anti-inflammatories
Pigments:
Myo- or hemoglobinemia
A one week of age, 34 week neonate develops feeding intolerance, vomiting, diarrhea,
fever irritability, rapid respirations, sweating, hyperactive reflexes. You suspect the
infant is experiencing what? - Answers:NAS
What is a sub acute sign of NAS that may persist for 4-6 months? - Answers:Feeding
problems
What combination of sedative have been shown to decrease the severity of narcotic
withdrawl symptoms in the neonate? - Answers:Phenobarbital and clonidine
In neonates, biotransformation or drug metabolism occurs most commonly in which
organ? - Answers:Liver
The primary mechanism for excretion of many drugs commonly used in the NICU are
glomular filtration and what? - Answers:Tubular Secretion
Therapeautic drug monitoring is required for aminoglycoside use due to neonatal
decreased what? - Answers:Renal tubular excretion capacity
What is the diuretic that is most Calcium sparing? - Answers:Diuril
What is the appropriate management for a neonatal serum trough level for vancomycin
of 12mcg/ml? - Answers:Maintain
What maternal factor lessens the severity of RDS? - Answers:Maternal heroin addiction
