Neonatal Intensive Care Nurse Exam Neonatal Respiratory Management 3

Question 1

A 30-week infant's chest X-ray shows a ground-glass appearance with air bronchograms. This is consistent with:

Accepted Answer

Respiratory distress syndrome

Answer

Meconium aspiration syndrome

Answer

Transient tachypnea of the newborn

Answer

Congenital pneumonia

Question 2

Caffeine citrate is used in the NICU primarily for:

Accepted Answer

Apnea of prematurity

Answer

Neonatal seizures

Answer

Hyperbilirubinemia

Answer

Hypoglycemia

Question 3

Which measurement is used to confirm ET tube placement after intubation in a neonate?

Accepted Answer

Colorimetric CO2 detector plus bilateral chest rise

Answer

Pulse oximetry alone

Answer

Abdominal girth

Answer

Heart rate response only

Question 4

Bronchopulmonary dysplasia (BPD) is defined as a need for supplemental oxygen at:

Accepted Answer

36 weeks postmenstrual age

Answer

28 days of life in all infants

Answer

Term corrected age only

Answer

Discharge from the NICU

Question 5

A neonate on CPAP has a CPAP pressure of 6 cmH2O. The primary purpose of this pressure is to:

Accepted Answer

Maintain functional residual capacity and prevent alveolar collapse

Answer

Deliver supplemental oxygen directly

Answer

Reduce pulmonary blood flow

Answer

Prevent gastric reflux

Question 6

Which sign differentiates transient tachypnea of the newborn (TTN) from RDS?

Accepted Answer

TTN typically resolves within 24–72 hours and occurs in term or near-term infants

Answer

TTN requires surfactant replacement therapy

Answer

TTN presents with ground-glass changes on chest X-ray

Answer

TTN only occurs in preterm infants under 32 weeks