Answer: D
Section 20: Sec Twenty (351 to 355)
Details:Critical Care Nursing Neonatal Exam
QUESTION: 351
Ifa newborn's stroke volume is about 5 mL, what is the averagepulse required to ensure
adequate cardiac output?
A. 100 bpm.
B. 145 bpm.
C. 180 bpm.
D. 195 bpm.
Answer: B
QUESTION: 352
Aneonatehas adifferentialdiagnosisofcongenitalmusculardystrophy(CMD)(laminin
alpha-2 deficiency) and exhibits hypotonia at birth with poor feeding and mild respiratory
distress. Which tests are necessary to establish the diagnosis?
A. Creatinine kinase.
B. Electromyogram, nerve conduction studies, and muscle biopsy.
C. Muscle biopsy only.
D. MRI only.
Answer: B
QUESTION: 353
The nurse is inserting a PICC for an infant who requires extended IV therapy because of very
lowbirthweight.Duringtheprocedure,theinfantmustbemonitoredforwhichofthe
following?
A. Tachycardia and tachypnea.
B. Bradycardia and hypoxia.
C. Atrial fibrillation.
D. Blood pressure.
Answer: B
QUESTION: 354
A mixed venous oxygensaturation (SvO2) level of less than 60% can indicate which of the
following?
A. Increased hemoglobin, PaO2, and/or cardiac output.
B. Decreased hemoglobin, PaO2, and/or cardiac output.
C. Decreased oxygen consumption.
D. Sepsis.
Answer: B
QUESTION: 355
A21-day-oldneonatedevelopsgreen-bronzejaundice,darkurine,claycoloredstools,
abdominaldistentionwithdistendedabdominalveins,andhepatosplenomegalywithfirm
liver. Liver biopsy and test shows extrahepatic biliary atresia, and a hepatoportoenterostomy
(Kasai procedure) is done to create a conduit between the liver and small intestine. Which
added vitamin(s) or minerals should the baby receive postoperatively?
A. Water-soluble vitamins (B-complex, C).
B. Fat-soluble vitamins (A, D, E, K).
C. Calcium.
D. Potassium.
Answer: B
Section 21: Sec Twenty One (356 to 360)
Details:Progressive Care Certified Nurse (PCCN) Practice
QUESTION: 356
Thoracic electrical bioimpedence monitoring with 4 sets of bioimpedence electrodes and 3
ECGelectrodesisusedtoevaluatehemodynamicstatusofapostsurgicalcardiacpatient.
Where are the bioimpedence electrodes placed?
A. One set on the arms, one set on the legs, and one set on the sides of the chest.
B. Two sets bilaterally at the base of the neck and two sets on each side of the chest.
C. One set on the legs and three sets on each side of the chest.
D. One set on the arms, one set bilaterally at the base of the neck, and two sets on each side
of the chest.
Answer: B
QUESTION: 357
A 52-year-old female with a history of bipolar disease is one-day post-operative following a
hip replacement. The patient slept only one or two hours during the night and is speaking
rapidly, throwing her belongings at the nurses, and insisting she is going to leave the hospital
against medical advice. The nurse should notify:
A. The mental health crisis team
B. Social services
C. A home health agency
D. The patient's husband
Answer: A
QUESTION: 358
If all patients who develop urinary infections are evaluated per urine culture and sensitivities
for microbial resistance, but only those with clinically-evident infections are included, then
those with subclinical infections may be missed, skewing results. This is an example of:
A. Information bias
B. Selection bias
C. Hypothesis testing
D. Generalizability
Answer: B
QUESTION: 359
A28-year-oldmalewithextensivesecondandthird-degreeburnsdevelopsabdominal
discomfort and vomits cffee ground emesis and frank blood. The most likely cause is:
A. A peptic ulcer
B. The erosion of the esophagus from burns
C. Paralytic ileus
D. Stress-related erosive syndrome
Answer: D
QUESTION: 360
Beck'striad(increasedcentralvenouspressurewithdistendedneckveins,muffledheart
sounds, and hypotension) is indicative of which condition?
A. Myocardial infarction
B. Aortic valve prolapse
C. Cardiac tamponade
D. Pulmonary embolism
Answer: C
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