Levels of care in neonatal ICU | Mock Test | Staff Nurse | Guides Academy
Time: 15:00
Which level of neonatal care is designed for healthy, full-term newborns who require routine postnatal care?
[a] Level I (Basic Newborn Care).
[b] Level II (Specialty Newborn Care).
[c] Level III (Subspecialty Newborn Care).
[d] Level IV (Highest Level of Care).
A stable infant born at 33 weeks gestation who requires gavage feeding and temperature support, but not mechanical ventilation, would most appropriately be cared for in which level of nursery?
[a] Level I.
[b] Level II.
[c] Level III.
[d] Level IV.
Which of the following capabilities is a defining characteristic of a Level III NICU?
[a] Performing routine newborn hearing screens.
[b] Providing care for infants born at 35 weeks.
[c] Providing sustained life support, including conventional and high-frequency mechanical ventilation.
[d] Stabilizing infants for transfer to a higher level of care.
A Level IV NICU is distinguished from a Level III NICU by its capability to:
[a] Provide continuous positive airway pressure (CPAP).
[b] Care for infants with hypoglycemia.
[c] Perform complex neonatal surgeries on-site, such as open-heart surgery.
[d] Administer intravenous antibiotics.
The primary role of a nurse in a Level I nursery is:
[a] Managing infants on mechanical ventilators.
[b] Performing complex diagnostic procedures.
[c] Promoting mother-infant bonding, providing routine care, and identifying deviations from normal.
[d] Preparing infants for major surgery.
An infant requiring extracorporeal membrane oxygenation (ECMO) would need to be cared for in which level of NICU?
[a] Level I.
[b] Level II.
[c] Level III.
[d] Level IV.
A "step-down" nursery, also known as a special care nursery, for infants who are moderately ill or convalescing after intensive care, corresponds to which level?
[a] Level I.
[b] Level II.
[c] Level III.
[d] Level IV.
A nurse in a Level III NICU should be competent in managing:
[a] Only routine newborn care.
[b] Only stable, growing preterm infants.
[c] Only postoperative surgical infants.
[d] Critically ill infants with complex needs, including respiratory and cardiovascular support.
The concept of "regionalization" of perinatal care is designed to:
[a] Ensure all hospitals have a Level IV NICU.
[b] Reduce the number of nurses working in NICUs.
[c] Ensure high-risk mothers and infants are cared for in facilities with the appropriate level of expertise.
[d] Encourage all deliveries to happen at home.
A full-term infant with transient tachypnea of the newborn (TTN) requiring supplemental oxygen via nasal cannula would most likely be admitted to which level of care?
[a] Level I.
[b] Level II.
[c] Level III.
[d] A general paediatric ward.
A key difference between a Level I and Level II nursery is the ability of a Level II nursery to:
[a] Perform routine newborn screening tests.
[b] Support breastfeeding mothers.
[c] Provide care for infants born at >32 weeks gestation who have moderate illness.
[d] Stabilize newborns for discharge to home.
A nurse is preparing to transfer a critically unstable neonate from a community hospital to a tertiary center. This transfer indicates the community hospital functions at which level of care?
[a] Level I or Level II.
[b] Level III.
[c] Level IV.
[d] A pediatric clinic.
Which staff member would you typically find in a Level III or IV NICU but not in a Level I nursery?
[a] A registered nurse.
[b] A lactation consultant.
[c] A neonatologist.
[d] A paediatrician.
Providing total parenteral nutrition (TPN) to a neonate is a common practice in which levels of care?
[a] Level I only.
[b] Level II only.
[c] Level III and IV.
[d] All levels of care.
An infant born with a complex congenital heart defect requiring immediate cardiac surgery would be cared for in a:
[a] Level I nursery.
[b] Level II nursery.
[c] Level III nursery.
[d] Level IV NICU.
The main nursing focus for a "grower and feeder" premature infant in a Level II nursery is:
[a] Managing complex ventilator settings.
[b] Promoting weight gain, thermoregulation, and transition to oral feedings.
[c] Preparing the infant for immediate discharge.
[d] Administering vasopressor medications.
Which statement accurately describes the staffing in a Level I nursery?
[a] A neonatologist must be on-site 24/7.
[b] It is staffed primarily by registered nurses and paediatricians or family physicians.
[c] It requires a full range of paediatric subspecialists on call.
[d] Nurses must have advanced certification in neonatal intensive care.
A Level III NICU must have which of the following readily available?
[a] Access to a lactation consultant.
[b] A designated family waiting area.
[c] A supply of diapers and formula.
[d] Paediatric medical and surgical subspecialists.
An infant with mild Neonatal Abstinence Syndrome (NAS) who requires monitoring and supportive care but not intensive pharmacological treatment could be managed in which setting?
[a] Level I.
[b] Level II.
[c] Level III or IV only.
[d] At home with a visiting nurse.
A key role of the nurse in a Level IV NICU, in addition to providing complex care, is:
[a] Ensuring the infant is discharged within 48 hours.
[b] Facilitating and participating in clinical research.
[c] Performing routine well-baby check-ups.
[d] Limiting parental involvement to reduce infection risk.
A Level II nursery would typically NOT be equipped to care for an infant who requires:
[a] Phototherapy for jaundice.
[b] Intravenous antibiotics.
[c] High-frequency oscillatory ventilation.
[d] Gavage feedings.
Care for infants born at less than 32 weeks gestation or weighing less than 1500 grams should be initiated at which level of care?
[a] Level I.
[b] Level II.
[c] Level III.
[d] A general paediatric unit.
"Kangaroo care" (skin-to-skin contact) is an appropriate nursing intervention in:
[a] Level I nurseries only.
[b] Level IV NICUs only.
[c] Only for full-term infants.
[d] All levels of neonatal care, when the infant is stable.
The term "neonatal transport team" is most associated with which aspect of the tiered care system?
[a] Discharging infants from the NICU to home.
[b] Moving infants safely between different levels of care.
[c] Transporting nurses between different hospitals.
[d] Bringing parents to the NICU to visit their infant.
The fundamental difference that determines the designation of a NICU level is the:
[a] Number of beds in the unit.
[b] Age of the hospital building.
[c] Geographic location of the hospital.
[d] Complexity of care the unit is equipped and staffed to provide.
No comments: