Low Risk Neonatal Nurse Exam Cheat Sheet 2026

The 30 highest-yield Low Risk Neonatal Nurse Exam facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. Before hanging a new parenteral nutrition bag for an infant, what is the safest practice? → Perform an independent double check against the order at the bedside
2. A parent wants to use a hand sanitizer routine before handling the newborn. What is the best teaching? → Use soap and water or alcohol-based rub before touching the baby
3. Which umbilical cord arterial blood gas finding is most consistent with significant metabolic acidosis from perinatal asphyxia? → pH below 7.0 with base deficit of 12 mmol/L or more
4. Rapid vancomycin infusion in a neonate can cause which reaction? → Red man syndrome with flushing and hypotension
5. Erythromycin ophthalmic ointment is given at birth primarily to prevent infection from which organism? → Neisseria gonorrhoeae
6. Why is it important to avoid sharing EHR login credentials? → Entries are tied to the user, so sharing breaks accountability and violates privacy rules
7. Which statement about bed-sharing should the nurse reinforce? → Room-sharing without bed-sharing is recommended
8. Why are newborns at risk for vitamin K deficiency bleeding? → Their sterile gut lacks bacteria that synthesize vitamin K
9. Which of these must be recorded when documenting a hepatitis B vaccine? → Lot number, expiration date, site, and VIS date
10. What is the standard IM vitamin K dose for a term newborn? → 1 mg
11. Which urine collection method is most reliable for a culture in a febrile newborn? → Sterile catheterization or suprapubic aspiration
12. Which finding is a common early sign of neonatal sepsis? → Temperature instability
13. Which change is the main trigger for functional closure of the ductus arteriosus after birth? → Rising PaO2 and falling prostaglandin levels
14. What is the usual loading dose of caffeine citrate for apnea of prematurity? → 20 mg/kg
15. Which maintenance practice best reduces CLABSI risk in a neonate with an umbilical venous catheter? → Scrubbing the needleless connector before each access
16. Which community intervention has the strongest evidence for improving outcomes of high-risk newborns after discharge? → Home visiting programs by nurses
17. A researcher interviews parents to understand the lived experience of having an infant in the NICU. Which approach is this? → Qualitative phenomenology
18. Which sign indicates a proper latch during breastfeeding? → Lips flanged outward with rhythmic swallowing
19. Routine cranial ultrasound screening for intraventricular hemorrhage is typically recommended for which infants? → Preterm infants born at less than 30 weeks gestation, at about 7 to 10 days of age
20. Why is ceftriaxone avoided in hyperbilirubinemic neonates? → It displaces bilirubin from albumin
21. Evidence from systematic reviews supports which approach for procedural pain in neonates? → Giving oral sucrose with non-nutritive sucking
22. A transcutaneous bilirubin reading in a 40-hour-old term infant is close to the phototherapy treatment threshold. What is the most appropriate next step? → Obtain a total serum bilirubin
23. Which nonpharmacologic and pharmacologic combination is appropriate for pain relief during a heel stick in a term newborn? → Oral 24% sucrose with non-nutritive sucking
24. According to NRP target preductal SpO2 values, what is the target at 5 minutes of life? → 80% to 85%
25. Which maternal infection is a contraindication to breastfeeding in the United States? → Untreated HIV infection
26. Which documentation practice correctly fixes a charting error on a paper record? → Draw a single line through it, write 'error', and add initials, date and time
27. Which competency is MOST essential for professionals working in anatomy & physiology fundamentals in Low Risk Neonatal Nurse? → Critical thinking combined with practical application of knowledge
28. Condensate in ventilator tubing should be handled how? → Drained away from the patient and discarded without contaminating the circuit
29. Which item is acceptable inside an infant's crib according to safe sleep guidance? → A fitted sheet
30. Which practice is part of the central line insertion bundle to reduce CLABSI? → Maximal sterile barrier precautions