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

Ground-glass opacity with air bronchograms is the classic radiographic finding of RDS due to diffuse alveolar atelectasis.

Question 2

Caffeine citrate is used in the NICU primarily for:

Accepted Answer

Apnea of prematurity

Answer

Caffeine citrate is the first-line treatment for apnea of prematurity, stimulating the respiratory center to reduce apneic episodes.

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

Colorimetric CO2 detection combined with bilateral chest rise assessment is the recommended confirmation method for neonatal ETT placement.

Question 4

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

Accepted Answer

36 weeks postmenstrual age

Answer

BPD is defined as supplemental oxygen requirement or respiratory support at 36 weeks postmenstrual age in preterm infants.

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

CPAP maintains positive end-expiratory pressure to keep alveoli open and preserve functional residual capacity between breaths.

Neonatal Intensive Care Nurse Exam Practice Test