RNC-NIC Neonatal Intensive Care Nurse Basic 5

Question 1

A neonate with persistent pulmonary hypertension (PPHN) does not improve with 100% oxygen. Which inhaled medication is the first-line treatment?

Accepted Answer

Inhaled nitric oxide (iNO)

Answer

Inhaled nitric oxide selectively dilates pulmonary vasculature without systemic hypotension and is the first-line therapy for PPHN.

Question 2

A NICU nurse is performing developmental positioning for a 28-week preterm neonate. Which position best supports flexion and midline orientation?

Accepted Answer

Side-lying with knees and elbows flexed toward midline

Answer

Side-lying with flexed extremities brought toward midline mimics the fetal position and promotes neuromotor development.

Question 3

Which maternal history finding is an important risk factor for early-onset neonatal sepsis (EOS)?

Accepted Answer

Group B Streptococcus (GBS) colonization with inadequate intrapartum prophylaxis

Answer

GBS colonization without adequate intrapartum antibiotics is a leading risk factor for early-onset neonatal sepsis.

Question 4

A nurse notices that a 34-week neonate receiving nasal CPAP has a distended abdomen. What is the most likely explanation?

Accepted Answer

Air swallowing causing gastric distension

Answer

CPAP can cause air swallowing leading to gastric distension; an orogastric tube is often placed to vent the stomach.

Question 5

A nurse is preparing to discharge a NICU infant whose mother plans to breastfeed. Which instruction regarding breast milk storage is correct?

Accepted Answer

Refrigerated breast milk is safe for up to 4 days

Answer

Refrigerated breast milk is safe for up to 4 days (96 hours) at or below 4°C per CDC guidelines for healthy infants.

Neonatal Intensive Care Nurse Exam Practice Test