Experienced Nurse Test
 There are 50 questions on this test.  A score of 85% is required to be successful; no more than 7 questions may be incorrect.  Good Luck!!!


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1
Apnea is defined as -
2
The endotracheal medication given to prevent and/or minimize Respiratory Distress Syndrome (RDS) is -
3
Surfactant maturation is usually completed by what gestational age?
4
Oxygen dependency after 28 days of age might indicate what pulmonary disease?
5
When caring for an infant with documented polycythemia, the nurse should know that polycythemia is defined as -
6
Clinical findings associated with polycythemia include -
7
The approximate blood volume of the newborn is -
8
Conditions potentially placing an infant at risk for developing hyperbilirubinemia include -
a.  Polycythemia and prematurity
b.  ABO incompatibility
c.  Bruising and dehydration
d.  Mechanical ventilation and receiving IV fluids
9
For the infant requiring phototherapy, which of the following interventions would be implemented?
10
Risk factors for development of sepsis in the neonate include -
11
Clinical signs and symptoms of sepsis in the respiratory system include -
12
Clinical signs and symptoms of sepsis in the gastrointestinal system include -
13
Clinical signs and symptoms of sepsis in the renal/metabolic systems include -
14
A medication order reads - Give Gentamicin 2 mg IV every 18 hours.  Draw trough with second dose.  The initial dose was given on 8/1/10 at 1930.  When is the second dose due?
15
When drawing a gentamicin trough, it should be obtained within _____ before dose administration.  An acceptable gentamicin trough level is ______.
16
Nursing care of the infant receiving Indomethicin includes -
17
The neonate is bathed prior to administering the Hepatitis B vaccine -
18
Amphotericin B is given over -
19
An infant who has "latched on", is sucking well and in no distress is allowed to nurse -
20
Expected pH and CO2 values for a baby with respiratory acidosis would include -
21
Expected pH and bicarb values for a baby with metabolic acidosis would include -
22
pH: 7.25
PaCO2: 40
Bicarb: 18


The correct interpretation of this blood gas is -
23
pH: 7.0
PaCO2: 55
Bicarb: 14


The correct interpretation of this blood gas is -
24
Dopamine may improve acid-base balance by -
25
The primary drug of choice used to paralyze neonates is -
26
The ductus arteriosus is located anatomically between the -
27
Signs and symptoms of a Patent Ductus Arteriosus (PDA) include -
28
The drug of choice to maintain patency of the PDA is -
29
The drug of choice to close a PDA is -
30
The transition from fetal circulation to extrauterine circulation is started by -
31
Saline locks are usually flushed -
32
__________ is always assessed prior to administering methylxanthines (eg. Caffeine citrate).
33
When completing the above assessment, an acceptable value is -
34
__________ is always assessed prior to administering Digoxin.
35
When completing the above assessment, an acceptable value is -
36
The Allen's Test is performed to evaluate for adequate circulation in the -
37
During the Allen's Test, the vessels are occluded to cause blanching.  The ___________is released to demonstrate adequate circulation.
38
If the Allen's Test does not demonstrate adequate circulation, an appropriate intervention is -
39
Ordered - Ampicillin 245 mg IV every 12 hours
On hand - Ampicillin 500 mg/5 mL
How much medication should be drawn up and administered?
40
Ordered - Caffeine citrate 3 mg IV every 12 hours
On hand - Caffeine citrate 20 mg/ mL 10 mL vial
How much medication should be drawn up and administered?
41
Of the following illustrations, _______ demonstrates the correct location to perform a heelstick.


graphic
42
If possible, IV attempts should be at the distal end of the vein.
43
Scalp IV's should be aimed toward the crown of the head.
44
Amino acids are the primary source of calories in TPN.
45
Lipids are useful in providing calories for fluid restricted infants.
46
There is an increased risk of catheter emboli that occurs with repeated reinsertion of the needle during IV attempts.
47
According to NICU Policy, the AccuChek values that would cause concern and require notification of the medical team are -
48
The primary drug of choice used to treat seizures in the neonate is -
49
This drug can cause -
Burns and tissue necrosis with IV extravasation
Bradycardia when given rapidly via IV
Crystallization if given IM
Erratic absorption when given PO
50
Ordered - Clindamycin 5 mg IV
On hand - 150 mg/mL vial
How much medication should be drawn up and administered?