NICU Internship Orientation Test
 There are 65 questions on this test.  A score of 85% is required to be successful; no more than 10 questions may be incorrect.  Good Luck!!!


Questions 66-69 are your opportunity to make suggestions for improving internship classes.  Please thoughtfully consider ways to improve this internship! Thank you!
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1
Apnea is defined as -
2
The medication used in our unit to treat apnea of prematurity is -
3
Surfactant maturation is usually completed by what gestational age?
4
The endotracheal medication given to prevent and/or minimize Respiratory Distress Syndrome (RDS) is -
5
Oxygen dependency after 28 days of age might indicate what pulmonary disease?
6
Extremely low birthweight (ELBW) guidelines are implemented for infants weighing ______.  The primary goal of these guidelines is to ______________.
7
To minimize environmental stimulation, the bedside nurse might -
a.  Dim the lights at the bedside
b.  Cover the top of the isolette
c.  Take report away from the bedside
d.  Remove equipment from the top of the isolette
8
When caring for an infant with documented polycythemia, the nurse should know that polycythemia is defined as -
9
Clinical findings associated with polycythemia include -
10
The approximate blood volume of the newborn is -
11
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
12
For the infant requiring phototherapy, which of the following interventions would be implemented?
13
The primary energy source for all cellular activity is -
14
Infants of diabetic mothers (IDM) are at risk for hypoglycemia because maternal glucose crosses the placenta, but insulin does not cross the placenta.
15
The fetal organ of oxygenation, nutrient delivery, and CO2 and waste removal is the -
16
Risk factors for development of sepsis in the neonate include -
17
NICU policy guidelines for initial handwashing at the beginning of each shift are -
18
NICU beginning of shift handwashing policy also includes a palm-sized puff of antiseptic foam rubbed in until dissolved.
19
Clinical signs and symptoms of sepsis in the respiratory system include -
20
Clinical signs and symptoms of sepsis in the gastrointestinal system include -
21
Clinical signs and symptoms of sepsis in the renal/metabolic systems include -
22
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 trough due?
23
When drawing a gentamicin trough, it should be obtained within _____ before dose administration.  An acceptable gentamicin trough level is ______.
24
Nursing care of the infant receiving Indomethicin  includes -
25
Ampicillin is given over -
26
The neonate is bathed prior to administering the Hepatitis B vaccine -
27
Amphotericin B is given over -
28
An infant who has "latched on", is sucking well and in no distress is allowed to nurse -
29
Two (2) days following the birth of her preterm infant, a mother is upset because she is not getting any milk when she uses the breast pump.  An appropriate response is -
30
Expected pH and CO2 values for a baby with respiratory acidosis would include -
31
Expected pH and bicarb values for a baby with metabolic acidosis would include -
32
pH: 7.25
PaCO2: 40
Bicarb: 18


The correct interpretation of this blood gas is -
33
pH: 7.15
PaCO2: 63
Bicarb: 21


The correct interpretation of this blood gas is -
34
pH: 7.0
PaCO2: 55
Bicarb: 14


The correct interpretation of this blood gas is -
35
Pulmonary vascular resistance in the fetus is -
36
Systemic vascular resistance in the fetus is -
37
In the fetus, blood is diverted from the pulmonary system and pulmonary arterial bed to the -
38
This diversion is said to be a -
39
The ductus arteriosus is located anatomically between the -
40
Signs and symptoms of a Patent Ductus Arteriosus (PDA) include -
41
The drug of choice to maintain patency of the PDA is -
42
The drug of choice to close a PDA is -
43
The transition from fetal circulation to extrauterine circulation is started by -
44
Each family receives a copy of the Baby Book on admission.  Parent teaching using the book begins -
45
Saline locks are flushed -
46
__________ is always assessed prior to administering methylxanthines (eg. Caffeine citrate).
47
When completing the above assessment, an acceptable value is -
48
The following statements regarding Dopamine are true -


a.  Assess BP every hour
b.  No stopcocks or interruptions
c.  Assess IV site for blanching
d.  Administer via infusion pump
49
Dopamine may be routinely administered through the UAC.
50
_____________ is used to flush before and after the administration of blood products.
51
__________ is always assessed prior to administering Digoxin.
52
When completing the above assessment, an acceptable value is -
53
The Allen's Test is performed to evaluate for adequate circulation in the -
54
During the Allen's Test, the vessels are occluded to cause blanching.  The ___________is released to demonstrate adequate circulation.
55
If the Allen's Test does not demonstrate adequate circulation, an appropriate intervention is -
56
Ordered - Ampicillin 245 mg IV every 12 hours
On hand - Ampicillin 500 mg/5 mL
How much medication should be drawn up and administered?
57
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?
58
Of the following illustrations, _______ demonstrates the correct location to perform a heelstick.


graphic
59
If possible, IV attempts should be at the distal end of the vein.
60
In the event of a clot, the nurse should immediately flush the IV.
61
Scalp IV's should be aimed toward the crown of the head.
62
Amino acids are the primary source of calories in TPN.
63
Lipids are useful in providing calories for fluid restricted infants.
64
There is an increased risk of catheter emboli that occurs with repeated reinsertion of the needle during IV attempts.
65
According to NICU Policy, the blood glucose screening values that would cause concern and require notification of the medical team are -
66
What class/classes were most beneficial?
67
What class/classes were least beneficial?
68
What class/classes would you have liked to be longer and/or more detailed?
69
What class/classes would you have liked to be shorter and/or less detailed?