Neonatal Intensive Care Nursing
SAMPLE QUESTIONS
Listed below are five sample questions to acquaint you with the test question format. These questions do not reflect the scope or the difficulty level of the questions on the actual examination. The reference from which each question is derived is also cited. However, other references might substantiate a different answer, and the answer shown here might be substantiated by other references.
The rigorous review to which actual test questions are subject is not applied to these sample questions. The focus that should be attended to in reviewing these items is format, not content.
1. Functional closure of the ductus arteriosus occurs as a result of
A. fibrosis of the ductal muscle
B. increased arterial oxygen tension
C. increased left atrial pressure
Answer: B
Martin, et al., Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant, Elsevier Mosby, Philadelphia, 2006, p. 1206.
2. A premature neonate has been consistently engaging in hand-to-mouth movements. The nurse should
A. provide a time out for care giving activities
B. recognize these behaviors as a form of self consolation
C. swaddle and hold the infant for awhile
Answer: B
Merenstein, et al., Handbook of Neonatal Intensive Care, Mosby, St. Louis, 2006, p. 303.
3. After six hours of IV calcium replacement, the serum calcium level of a neonate remains below normal. Which of the following laboratory values should be obtained as the next step in evaluating the neonate’s condition?
A. Serum magnesium
B. Serum phosphorus
C. Urine calcium
Answer: A
Kenner, et al., Comprehensive Neonatal Nursing, W.B. Saunders, Philadelphia, 2007, p. 416.
4. The primary etiology of transient tachypnea of the newborn is thought to be
A. asphyxia at birth
B. retained lung fluid
C. surfactant deficiency
Answer: B
Taeusch, et al., Avery’s Diseases of the Newborn, Elsevier, Philadelphia, 2006, p. 697.
5. A 1300 gm neonate wearing only a diaper is placed in a single walled incubator with an inside temperature of 35oC (95oF). By what method is the neonate most likely to experience heat loss?
A. Convection
B. Evaporation
C. Radiation
Answer: C
Blackburn, et al., Maternal, Fetal & Neonatal Physiology, A Clinical Perspective, W. B. Saunders, Philadelphia,2007, p. 712.