Neonatal Intensive Care Nursing Exam Preparation
Guide
Course Introduction
Neonatal Intensive Care Nursing is a specialized course designed to equip nursing students and professionals with the knowledge and skills necessary to care for critically ill and premature newborns in the neonatal intensive care unit (NICU). The course covers topics such as the assessment and management of high-risk neonates, common neonatal illnesses and disorders, advanced life support interventions, nutritional and developmental support, family-centered care, and ethical considerations in neonatal care. Emphasis is placed on the interdisciplinary approach, evidence-based practice, and the use of advanced technologies in monitoring and treating newborns to improve their health outcomes and survival rates.
Recommended Textbook
Neonatal and Pediatric Respiratory Care A Patient Case Method 1st Edition by Julianne Perretta
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21 Chapters
478 Verified Questions
478 Flashcards
Source URL: https://quizplus.com/study-set/1912 Page 2
Chapter 1: Making Sense of Caring for Kids: a Different
Approach to Respiratory Care
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38098
Sample Questions
Q1) Children do not need to meet vigorous international and federal guidelines prior to being initiated into a research study approved by the internal review board.
A)True
B)False
Answer: False
Q2) What is the smallest portion of a child's airway
A)Epiglottis
B)Laryngeal opening
C)CriCoid ring
D)Glottis
Answer: C
Q3) What laryngosCope blade should be used on an infant who weighs 10 kg
A)Size 0 straight
B)Size 2 Miller
C)Size 2 Macintosh
D)Size 1 Miller
Answer: D
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Page 3
Chapter 2: Fetal Cardiopulmonary Development
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38099
Sample Questions
Q1) The foramen ovale Connects the:
A)Right ventricle to the left ventricle
B)Right atrium to the left ventricle,
C)Right atrium to the left atrium
D)Right atrium to the left ventricle.
Answer: C
Q2) Fetal lung fluid Composition Consists of which of the following
A)Very high pH, low bicarbonate and protein levels, lower sodium and high chloride Concentrations
B)Very low pH, low bicarbonate and protein levels, higher sodium and high chloride Concentrations
C)Very low pH, low bicarbonate and protein levels, lower sodium and low chloride Concentrations
D)Very high pH, low bicarbonate and protein levels, high sodium and low chloride Concentrations
Answer: B
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4
Chapter 3: Resuscitation of the Newborn During Transition to
Extrauterine Life
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/38100
Sample Questions
Q1) Which of the following statements are <b><u>true</u></b> regarding <b>disadvantages</b> of self-inflating bags
I.Inability to know if a good seal is being obtained
II.A reservoir attachment needed to achieve 100% FiO
III.Ability to provide 100% FiO free- flowing dependably
IV.Inability to provide 100% FiO free-flowing dependably
A)I, III, IV
B)II, III, IV
C)I, II, IV
D)I and II
Answer: C
Q2) Baby Carter presents with gasping, his heart rate is greater than 100 bpm, and the presence of seCondary apnea is seen.<b><u>Initially</u></b>, what is the best approach when managing this newborn
A)Biphasic positive airway pressure therapy
B)Positive pressure ventilation via resuscitation bag and mask
C)Oxygen therapy
D)Positioning, drying, and vigorously rubbing the newborn's back
Answer: B
Page 5
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Chapter 4: Respiratory Distress Syndrome
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/38101
Sample Questions
Q1) What strategies are used to delay premature birth
I.Bedrest
II.Antibiotics
III.Terbutaline
IV.ToColytics
V.Insertion of suture around cervix to prevent from opening
VI.CortiCosteroid therapy
VII.Breathing techniques
A)I, II, III, and V
B)I, II, IV, and VII
C)I, II, IV, and VI
D)I, IV, V, and VI
Q2) A neonate should not be suctioned prior to the installation of surfactant.
A)True
B)False
Q3) High-frequency jet ventilation is an independent mode of ventilation allowing effective ventilation and oxygenation at higher airway resistance than high frequency oscillatory ventilation.
A)True
B)False
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Chapter 5: Apnea of Prematurity and Bronchopulmonary Dysplasia
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/38102
Sample Questions
Q1) Which of the following drugs is Considered the safest and most effective in treating apnea in premature infants
A)Theophylline
B)Caffeine citrate
C)Adenosine
D)Methylxanthines
Q2) What is a major predictor of neurodevelopment outComes
A)Respiratory distress syndrome
B)Chronic lung disease
C)Extremely low birth weight
D)Bronchopulmonary dysplasia
Q3) Bradycardia always occurs with an apnea episode and associated saturation problems.
A)True
B)False
Q4) Bronchopulmonary dysplasia and asthma are similar in their pathology.
A)True
B)False
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Chapter 6: Disease of Full-Term Infants
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/38103
Sample Questions
Q1) Which of the following are Complications to extraCorporeal life support
I.Pneumothorax
II.Infection
III.Seizures
IV.Hypotension
V.Tachycardia
VI.Hemolysis
A)I, III, IV, and VI
B)I, II, III, and VI
C)II, III, VI, and VII
D)II, IV, V, and VI
Q2) Nitric oxide does all of the following <b><u>except</u></b>:
A)Enzyme regulation
B)Platelet inhibition
C)Neurotransmission
D)Has a half-life greater than 30 minutes
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8
Chapter 7: Common Neonatal Complications: Pulmonary
Complications
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/38104
Sample Questions
Q1) What are the clinical manifestations of pneumopericardium
I.Muffled or absent heart tones
II.Decreased arterial blood pressure
III.Tachycardia
IV.Bradycardia and hypoxia
V.Pulseless electrical activity
VI.Cyanosis
VII.Hypertension
A)I, IV, V, VI, and VII
B)I, III, IV, V, and VI
C)II, III, IV, V, and VI
D)I, II, IV, V, and VI
Q2) The administration of surfactant to infants less than 28 weeks of gestation has not significantly decreased infant mortality rates associated with pneumothorax.
A)True
B)False
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Chapter 8: Common Neonatal Complications: Multisystem
Complications
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38105
Sample Questions
Q1) How is patent ductus arteriosus treated
I.Surgical ligation
II.Decrease in fluid intake
III.Indomethacin
IV.IV ibuprofen
V.Treating hypoxemia
A)I, II, III, IV, and V
B)I, II, IV, and V
C)II, III, IV, and V
D)I, II, and III
Q2) The number of patients with retinopathy of prematurity in the developed world has reduced drastically since the introduction of new patient care technology.
A)True
B)False
Q3) The risk of cerebral palsy in patients with low-grade intraventricular hemorrhage is significantly higher for 24 week gestation infants.
A)True
B)False
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Chapter 9: Abdominal Defects
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/38106
Sample Questions
Q1) What is the primary function of an inotrope
A)Helps to diuresis fluid
B)Improves cardiac Contractibility
C)Vasodilator
D)Phosphodiesterase inhibitor
Q2) Which of the following statements are <b>true</b> Concerning the potential outComes for infants with Confirmed Congenital diagrammatic hernia
I.Surgical intervention usually Corrects the hernia with few Consequences.
II.Death is probable.
III.Pulmonary Complications will arise.
IV.There will be gastrointestinal morbidities.
V.Quality of life will be improved.
VI.There will be little to no neurological defects.
A)I and III
B)III, IV, and VI
C)III and IV
D)I, V, and VI
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Chapter 10: Airway Abnormalities
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/38107
Sample Questions
Q1) Tracheoesophageal fistula should be suspected when an infant presents with which of the following symptoms
I.Excessive drooling
II.Feedings that give way to respiratory distress
III.Absence of stridor or barking Cough
IV.Accepting orogastric tube into stomach without incidence
A)II and III
B)I and II
C)III and IV
D)I, II, III, and IV
Q2) What organism causes the viral disease recurrent respiratory papillomatosis
A)StreptoCoccus pneumonia
B)Human papillomavirus (HPV)
C)Haemophilus influenzae
D)StaphyloCoccus aureus
Q3) What is the treatment for macroglossia
A)Tonsillectomy
B)Tongue reduction surgery
C)IV antibiotics
D)Incision and drainage
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Chapter 11: Acyanotic Heart Defects
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/38108
Sample Questions
Q1) Which of the following are possible treatments for severe pulmonic stenosis
I.Prostaglandin therapy
II.Balloon valvuloplasty
III.Valve replacement
IV.Angioplasty
A)I, II, and III
B)II, III, and IV
C)I, II, and IV
D)I, III, and IV
Q2) An atrial septal defect that persists beyond 2 years of age or is larger than 6 mm requires surgical closure prior to the child starting school.Indications for earlier closure Consists of which of the following
I.History of arrhythmia
II.Evidence of pulmonary hypotension
III.Risk of paradoxical embolus
IV.Symptoms of heart failure
A)I, II, and IV
B)I, III, and IV
C)II and III
D)I and IV
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Page 13
Chapter 12: Cyanotic Heart Defects
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/38109
Sample Questions
Q1) What is the appropriate PaCO range needed to achieve a high pulmonary vascular resistance and maintain an appropriate systemic flow for a patient with hypoplastic left heart syndrome
A)25-30 mm Hg
B)35-45 mm Hg
C)40-50 mm Hg
D)30-40 mm Hg
Q2) What tests need to be performed to decipher whether a patient's hypoxemia is related to lung disease or Congenital heart disease
I.Chest radiograph
II.EKG
III.Hyperoxia test
IV.Pulmonary function test
V.Echocardiogram
VI.Cardiac auscultation
A)II, III, V, and VI
B)I, II, IV, V, and VI
C)II, III, IV, V, and VI
D)I, II, III, V, and VI
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Chapter 13: Asthma
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/38110
Sample Questions
Q1) Which of the following cells give rise to the chronic inflammation process
I.Basophils
II.Eosinophils
III.Lymphocytes (T cells and B cells)
IV.Monocytes
V.Neutrophils
A)I and III
B)IV and V
C)II and V
D)III and IV
Q2) What is the gold standard drug for treating asthma
I.Short-acting beta agonists
II.Long-acting beta agonists
III.Short-acting beta agonists Combined with long-acting beta agonists
IV.Ventolin
V.Levalbuterol
A)I, III, and V
B)I, IV, and V
C)II, III, and IV
D)I, II, and IV
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Page 15
Chapter 14: Pediatric Disease With Respiratory Implications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/38111
Sample Questions
Q1) What pulmonary function test marker(s) best Correlate with instances of mortality in patients with cystic fibrosis
I.Forced vital capacity
II.Forced expiratory volume after 1 seCond divided by forced expiratory volume after 6 seConds
III.Functional residual capacity
IV.Forced expiratory volume after 1 seCond
A)I and III
B)II and IV
C)IV only
D)I and IV
Q2) What is the most Common bacterium found in the airways of patients with cystic fibrosis
A)StaphyloCoccus aureus
B)Pseudomonas aeruginosa
C)Burkholderia cenocepacia
D)Methicillin-resistant StaphyloCoccus aureus
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Chapter 15: Pediatric Pulmonary Diseases
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/38112
Sample Questions
Q1) Mechanical ventilation strategies to manage acute respiratory distress syndrome should include all of the following <b><u>except</u></b>:
A)Permissive hypercapnia
B)Plateau pressures less than 40 cm H O
C)Tidal volumes 6 mL/kg
D)Permissive hypoxemia
Q2) The effectiveness of Continuous positive airway pressure can be determined by evaluating which of the following criteria
I.Decreased work of breathing
II.FiO requirements less than or equal to 0.40
III.Improved lung volumes via chest radiograph
IV.PaCO greater than 55 mm Hg
V.Nasal flaring evident
VI.No grunting audible
A)I, V, and VI
B)II, III, and IV
C)I, III, and VI
D)II, IV, and V
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Chapter 16: Pediatric Infectious Airway Diseases
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/38113
Sample Questions
Q1) An epiglottitis patient typically presents in which position
A)Prone
B)Side up with head hanging low
C)Supine with chin up and mouth open
D)Tripod position
Q2) What information does the Westley croup sCore provide
A)Classifies the level of severity of respiratory impairments in children with croup
B)Classifies the Condition the patient presents with in the emergency department
C)Rates the child's level of Consciousness and advancement of Condition
D)Characterizes the level of edema in the airway
Q3) What CortiCosteroid is <b><u>most Commonly</u></b> used in the treatment of croup
A)Prednisone
B)Beclomethasone
C)Fluticasone
D)Dexamethasone
Q4) Females tend to present with bacterial tracheitis more often than do males.
A)True
B)False
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Chapter 17: Neuromuscular Disorders
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38114
Sample Questions
Q1) Neonatal myasthenia gravis Corrects and resolves within 2 to 4 weeks of onset of symptoms.
A)True
B)False
Q2) Patients with Duchenne's muscular dystrophy should perform which of the following tests to keep a close eye on their pulmonary status
I.Forced vital capacity
II.Room air pulse oximetry
III.Peak Cough flow
IV.Maximum inspired pressure divided by maximal expiratory pressure
V.Capnography
VI.Arterial blood gases
A)I, II, III, IV, and V
B)I, II, III, IV, V, and VI
C)I, III, IV, and VI
D)II, III, IV, V, and VI
Q3) What is the most Common form of botulism
A)Food-borne botulism
B)Wound-borne botulism
C)Infant-borne botulism D! None of the above
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Chapter 18: Pediatric Diseases With Respiratory Implications
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/38115
Sample Questions
Q1) What respiratory therapies are warranted for children with smoke inhalation injuries
I.Expeditious intubation
II.Administration of racemic epinephrine
III.Antibiotic therapy
IV.Administering CortiCosteroid within 36 to 48 hours of insult
A)I, II, and IV
B)I and II
C)III and IV
D)I, II, III, and IV
Q2) In which type of drowning does laryngospasm persist after a person loses Consciousness
A)Wet drowning
B)Near drowning,
C)Dry drowning.
D)Laryngospasm drowning,.
Q3) Persistent lung damage can cause pulmonary hypertension and lead to heart failure.
A)True
B)False
Page 20
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Chapter 19: Neurological Accidents
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/38116
Sample Questions
Q1) What methods should be used to prevent aspiration in a child with a Glasgow Coma Scale sCore of 8 or less
I.Management of cerebral perfusion pressure
II.Rapid sequence intubation
III.Inhaled nitric oxide initially, followed by high positive pressure breaths to avoid aspiration
IV.Administration of benzodiazepine
V.Sellick maneuver
A)I, III, and V
B)I, II, III, IV, and V
C)II, III, and IV
D)II and V
Q2) Neurogenic pulmonary edema is not a reversible process.
A)True
B)False
Q3) Prolonged hyperventilation can result in a rebound effect on cerebral flow when PaCO is restored.
A)True
B)False
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Page 21
Chapter 20: Ethics in Perinatal and Pediatric Respiratory Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/38117
Sample Questions
Q1) The principle of _________ obliges the health -care worker to provide care that Contributes to the health and well-being of the patient.
A)autonomy
B)veracity
C)beneficence
D)justice
Q2) Which of the following terms describes when a physician or medical provider performs whatever action the parent or family member requests for his or her child
A)Deliberate decision-making
B)Paternalism
C)Consumerism
D)Materialism
Q3) Withdrawal of life-sustaining therapy means the patient is no longer receiving care.
A)True
B)False
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Chapter 21: Palliative and End of Life Care
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/38118
Sample Questions
Q1) What is the <b><u>first-line of defense</u></b> offered to treat dyspnea or pain at end of life
I.NarCotics
II.Opioids
III.Neuromuscular blockers
IV.Sedatives
A)I, II, and IV
B)I and II
C)III and IV
D)I, II, III, and IV
Q2) Which of the following statements are true Concerning home hospice care
I.A physician is required to certify life expectancy.
II.Re-enrollment of the patient is required if life expectancy exceeds initial reCommendation.
III.The patient has a prognosis of 6 months to live or less.
IV.Opioids and benzodiazepines can be ordered for home Consumption.
A)I, II, and III
B)I, II, III, and IV
C)I and IV
D)II, III, and IV
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