Neonatal Intensive Care Nursing Solved
Exam Questions
Course Introduction
Neonatal Intensive Care Nursing focuses on the specialized care of critically ill and premature newborns in the neonatal intensive care unit (NICU). This course covers advanced nursing concepts essential for assessing, monitoring, and supporting neonates with complex medical conditions, including respiratory distress, congenital anomalies, and infections. Emphasis is placed on family-centered care, ethical considerations, and effective communication with healthcare teams and families. Students will gain an understanding of neonatal physiology, common interventions, use of specialized equipment, and the psychosocial aspects of caring for infants and their families during high-stress, emotionally challenging situations.
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) 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
Q2) When receiving an aerosol treatment, infants usually inhale through their nose regardless of whether their mouths are open.
A)True
B)False
Answer: True
Q3) Why would criCoid pressure (Sellick maneuver) be applied to a patient
A)To aid in intubation for visualization
B)To decrease gastric insufflation and aspiration
C)To increase ability to swallow
D)It is never helpful and should not be performed.
Answer: B
Q4) List five errors that can occur in arterial blood gas sampling.
Answer: Heparin dilution, air in sample, venous admixture, temperature, metabolism
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Chapter 2: Fetal Cardiopulmonary Development
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Higher surface tension improves lung Compliance.
A)True
B)False
Answer: False
Q2) Starting at which week during the gestational period can the presence of mucus be found in the fetal lung
A)13 weeks
B)12 weeks
C)14 weeks
D)11 weeks
Answer: A
Q3) During which gestational phase have the airways begun to branch to approximately four generations
A)Embryonic phase
B)Saccular phase
C)Pseudoglandular phase
D)Canalicular phase
Answer: C
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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) In the presence of meConium, it is suggested to use a bulb syringe aspirator vigorously to reduce the risk of aspiration.
A)True
B)False
Answer: False
Q2) Withholding and disContinuing resuscitation efforts may be appropriate in all of the following circumstances <b>except</b>:
A)When the birth weight is less than 400 grams
B)When gestational age is less than 28 weeks
C)When parental agreement is obtained
D)When there is an undetectable heart rate after 10 minutes of CPR
Answer: B
Q3) During cardiopulmonary resuscitation, a newborn's heart rate should be assessed every 5 seConds to determine effectiveness of Compressions.
A)True
B)False
Answer: False
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Page 5
Chapter 4: Respiratory Distress Syndrome
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/38101
Sample Questions
Q1) At what period of gestation does mature surfactant begin to appear
A)24-28 weeks
B)28-31 weeks
C)31-34 weeks
D)34-40 weeks
Q2) In the 1950s, hyaline membrane disease was initially identified by which of the following groups of characteristics
A)Lung tissue has the Consistency of the liver, alveolar capillaries engorged, and majority of the parenchyma Collapsed
B)Pink lungs instead of dull red, underdeveloped alveolar ducts, and respiratory bronchioles
C)No evidence of aeration, nonCongested, and edematous
Q3) Dead space ventilation in infants with respiratory distress syndrome is frequently caused by which of the following
A)Increased cardiac output
B)Excess of vascularization
C)Alveolar hyperinflation
D)Decrease in alveolar-capillary membrane as a result of extreme prematurity
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Chapter 5: Apnea of Prematurity and Bronchopulmonary Dysplasia
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Classify what is meant by an extreme apneic event:
A)Apnea duration 30 seConds or longer or a heart rate less than 50 to 60 bpm for 10 seConds or more
B)Apnea duration of 20 to 29 seConds or a heart rate less than 50 to 80 bpm for 5 to 15 seConds
C)Cessation of breathing for more than 20 seConds or cessation of breathing for longer than 10 seConds, heart rate less than 100 bpm
D)Bradycardia of heart rate less than two-thirds of baseline and saturation SPO less than 80%
Q2) What is the <b><u>first action</u></b> a clinician needs to perform for a patient experiencing apnea
A)Nasal Continuous positive airway pressure
B)PharmaCology intervention
C)Tactile stimulation
D)Positive pressure ventilation
Q3) 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) Baby Nolan presents with persistent pulmonary hypertension of the newborn and is failing assist Control ventilation.What are the reCommended initial high-frequency oscillator settings
A)Bias flow 8 Lpm, Hz 8, I-time 25%, Paw 1.5 cm H O above Controlled mandatory ventilation, and change in pressure for chest wiggle
B)Bias flow 10 Lpm, Hz 12, I-time 33%, Paw 3 cm H O above Controlled mandatory ventilation, and change in pressure for chest wiggle
C)Bias flow 15 Lpm, Hz 15, I-time 33%, Paw 3 cm H O above Controlled mandatory ventilation, and change in pressure for chest wiggle
D)Bias flow 18 Lpm, Hz 8, I-time 25%, Paw 3.0 cm H O above Controlled mandatory ventilation, and change in pressure for chest wiggle
Q2) Which cardiopulmonary disease is also associated with pulmonary hypertension
A)MeConium aspiration syndrome
B)Pulmonary hypoplasia
C)Hypoplastic left heart syndrome
D)Bronchopulmonary dysplasia
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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) Re-intubation and mechanical ventilation should be based only on chest radiograph evidence.
A)True
B)False
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
Q3) What is the most effective way to treat pulmonary interstitial emphysema
I.Pressure-targeted ventilation
II.Volume-targeted ventilation
III.Hyperinflation of lungs
IV.Minimizing overdistention
A)I and II
B)II and IV
C)II and III
D)I and IV
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Page 9
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) What three risk factors are associated with necrotizing enteroColitis in term infants
I.Umbilical catheters
II.Exchange transfusions
III.Polycythemia
IV.Hyperoxia at time of delivery
V.Increase in interstitial fluid pressure
A)I, III, and IV
B)III, IV, and V
C)I, II, and III
D)II, III, and V
Q2) How many hours does it take the ductus arteriosus to close Completely in a healthy term baby
A)72 hours
B)48 hours
C)24 hours
D)12 hours
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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) Potential benefits of gradual reduction of the bowel versus primary reduction include which of the following
I.Fewer days on the ventilator
II.Decrease in pulmonary barotrauma
III.Longer enteral feedings
IV.Decreased tissue perfusion
V.Decreased risk of infection
A)I, II, III, IV, and V
B)III, IV, and V
C)I, II, and V
D)II, IV, and V
Q2) Repair of the omphalocele can be delayed for months to years depending on the size of the defect.
A)True
B)False
Q3) High-frequency oscillatory ventilation may decrease alveolar surfactant production.
A)True
B)False
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11
Chapter 10: Airway Abnormalities
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which of the following disorders of the oropharynx requires intervention by the registered respiratory therapist
I.Robin sequence
II.Peritonsillar abscess
III.Stickler syndrome
IV.Treacher Collins syndrome
A)I and II
B)II and III
C)I and IV
D)III and IV
Q2) Which of the following is both the <b><u>most Common</u></b> laryngeal anomaly and the most Common Congenital cause of stridor
A)Epiglottitis
B)Laryngomalacia
C)Cleft palate
D)Glossoptosis
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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) A patient with atrioventricular septal defect would present with which of the following characteristics
I.Rapid weight gain
II.Diaphoresis while feeding
III.Noneventful feeding episodes
IV.Fatigue
A)I, III, and IV
B)II, III, and IV
C)II and IV
D)I and III
Q2) Bicuspid aortic valve is the most Common cause of aortic stenosis.
A)True
B)False
Q3) Atrioventricular septal defect is especially Common in children with what syndrome
A)Turner's syndrome
B)Trisomy 21
C)Spinal bifida
D)Cushing's syndrome
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13
Chapter 12: Cyanotic Heart Defects
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) What are the clinical signs of total anomalous pulmonary venous return
I.Elevated T-waves on electrocardiogram
II.Right ventricular heave
III.Periods of hypercyanosis
IV.Left ventricular hypertrophy
V.Snowman cardiac silhouette
VI.A fixed split S2
A)I, II, III, IV, and V
B)II, IV, and V
C)I, II, V, and VI
D)I, III, V, and VI
Q2) What is deemed the industry standard for diagnosis and differentiation of Congenital cardiac malformation
A)MRI
B)CT scan
C)Positron emission tomography
D)Echocardiography
Q3) Surgical intervention is not indicated in patients with truncus arteriosus.
A)True
B)False
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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) What specific pulmonary function tests are most valuable for asthma diagnosis
I.Forced vital capacity (FVC)
II.Forced expiratory volume after 1 seCond (FEV )
III.Forced expiratory volume after 6 seConds (FEV )
IV.FEV /FVC
V.Forced expiratory volume after 3 seConds (FEV )
VI.(FEV /FEV )
A)I, II, III, and VI
B)I, II, III, and IV
C)I, III, IV, and V
D)I, II, III, IV, and V
Q2) Children whose asthma symptoms occur before 3 years of age are more likely to develop loss of lung function than those whose symptoms begin later in life.
A)True
B)False
Q3) Although asthma deaths among children are rare, occurrences of death increase with age.
A)True
B)False
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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 percentage of patients with cystic fibrosis present with bowel obstructions
A)20%-25%
B)30%-35%
C)10%-15%
D)25%-30%
Q2) Which of the following inhaled antibiotics are approved to treat a patient with cystic fibrosis
I.Tobramycin
II.Aztreonam
III.Pulmozyme
IV.Colistin
A)I, II, and IV
B)I and III
C)I and IV
D)I only
Q3) What was the median survival age for patients with cystic fibrosis as of 2010
A)27.2
B)30.6
C)35.4 D)38.3
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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) What <b><u>Common diagnostic testing</u></b> can be used to diagnose bronchiolitis
I.Chest radiograph
II.CT scan
III.MRI
IV.Sputum culture
V.Respiratory syncytial virus test
A)II and V
B)III and IV
C)I and III
D)I and V
Q2) High-frequency oscillatory ventilation settings include all of the following <b><u>except</u></b>:
A)Mean airway pressure
B) P
C)FiO
D)Positive end-expiratory pressure (PEEP)
E)Hertz
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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) What CortiCosteroid is <b><u>most Commonly</u></b> used in the treatment of croup
A)Prednisone
B)Beclomethasone
C)Fluticasone
D)Dexamethasone
Q2) Epiglottitis classically affects what age group of children
A)6 months to 5 years old
B)1 to 6 years of age
C)2 to 5 years of age
D)Infancy to 18 months
Q3) Historically, what is the most Common cause of epiglottitis
A)Group A StreptoCoccus pneumoniae
B)Klebsiella pneumoniae
C)Haemophilus influenzae type b (Hib)
D)StaphyloCoccus aureus
Q4) The diagnosis for croup is frequently made based on history and physical examination.
A)True
B)False
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Chapter 17: Neuromuscular Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) In cases of infant botulism, what treatment reduces time spent on a ventilator and shortens hospital stays
A)Providing human-derived antitoxin botulism immune globulin
B)Antitoxins
C)Antibiotics
D)Nutritional support
Q2) How does a registered respiratory therapist noninvasively track the decline of patients with Guillain Barré syndrome
I.Maximal inspired pressure
II.Minute ventilation
III.Forced vital capacity
IV.Tidal volume
V.Maximal expiratory pressure
A)I, III, and V
B)II, IV, and V
C)I only
D)I and V
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Chapter 18: Pediatric Diseases With Respiratory Implications
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Inflammation leads to chronic fibrosis and poor pulmonary function and is the major morbidity of aspiration.
A)True
B)False
Q2) What is Considered the only definitive treatment for aspiration of gastric secretions
A)Nissen fundoplication
B)Metoclopramide
C)Erythromycin
D)Proton pump inhibitors
Q3) Hyperbaric chambers have shown remarkable success in the management and treatment of carbon monoxide poisoning.
A)True
B)False
Q4) What is the acidity of saliva
A)pH 6.9
B)pH 7.0
C)pH 7.1
D)pH 7.2
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Chapter 19: Neurological Accidents
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) What is Considered the <b><u>most effective initial strategy</u></b> to acutely decrease intracranial pressure
A)Valsalva's maneuver
B)Supraventricular tachycardia ablation
C)Respiratory alkalosis
D)Metabolic acidosis
E)Inhaled nitrous oxide
Q2) Which of the following respiratory patterns does not suggest the presence of a traumatic brain injury
A)Tachypnea
B)Cluster breathing
C)Eupneic
D)Apneustic
E)Cheyne-Stokes
Q3) Patients with neurogenic pulmonary edema follow the same clinical manifestations as aspiration pneumonia.
A)True
B)False
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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) Which terms describes a clinician's moral and legal right to not provide care he or she finds ethically objectionable
A)Futility
B)Moral distress
C)Best-interest standard
D)Conscientious refusal
Q2) What does assent mean
A)Duty to honor patient's autonomy
B)Medical treatment resulting in little benefit to the patient
C)A child's agreement to a medical decision, although he or she cannot legally give informed Consent
D)How clinicians feel when they are prevented from doing what they feel is best for the patient
Q3) Spinal muscular atrophy type 1 is a Congenital disease causing degeneration of the skeletal system.
A)True
B)False
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Page 22
Chapter 21: Palliative and End of Life Care
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) ________ focuses on helping patients and families decide what medical interventions are most likely to be helpful, rather than harmful, and also focuses on managing pain and other symptoms where Comfort is the intended outCome.
Q2) Which of the following occurrences can prevent a patient from being an organ donor
I.Disseminated cancer
II.Infection
III.Cardiac disease
IV.Patient wishes
A)I, II, and IV
B)I, II, III, and IV
C)II and IV
D)I and II
Q3) What document provides specific interventions that a patient does or does not want to be provided to them
A)Durable power of attorney
B)Do not attempt resuscitate document
C)Advance directives
D)Treatment of Consent form
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Page 23