Neonatal Intensive Care Nurse Exam Neonatal Pharmacology

Question 1

When administering gentamicin to a neonate, the nurse should monitor which laboratory value most closely?

Accepted Answer

Serum creatinine and BUN

Answer

Serum glucose

Answer

Bilirubin level

Answer

Platelet count

Question 2

Indomethacin is used in the NICU to treat which condition?

Accepted Answer

Patent ductus arteriosus

Answer

Neonatal seizures

Answer

Hyperglycemia

Answer

Hyperbilirubinemia

Question 3

A neonate receives phenobarbital for seizures. Which side effect requires close monitoring?

Accepted Answer

Respiratory depression and sedation

Answer

Hypertension

Answer

Hyperglycemia

Answer

Thrombocytopenia

Question 4

Which route of administration is preferred for emergency medications in neonates when IV access is unavailable?

Accepted Answer

Intraosseous (IO)

Answer

Intramuscular

Answer

Subcutaneous

Answer

Oral

Question 5

Vitamin K is administered to all newborns at birth to prevent:

Accepted Answer

Hemorrhagic disease of the newborn

Answer

Neonatal jaundice

Answer

Group B Streptococcus infection

Answer

Transient tachypnea

Question 6

The nurse is preparing to administer IV vancomycin to a 28-week neonate. The most important pre-administration assessment is:

Accepted Answer

Renal function (serum creatinine) and trough level

Answer

Blood pressure

Answer

Temperature

Answer

Fontanelle assessment