The questions below will use the following answers. Each answer may be used once, more than once, or not at all. Type the letter (A-E) in the box below. This results from a defective enzyme in membrane proteins that normally function in chloride ion transport; central nervous system begins to deteriorate in infancy.

The questions below will use the following answers. Each answer may be used once, more than once, or not at all. Type the letter (A-E) in the box below. This is caused by a dominant gene defect that causes the brain tissue to gradually deteriorate in middle age; generally does not appear until the individual is 35-45 years of age.

A 3-day-old, term neonate is admitted through the Emergency Department with a temperature of 38.5 C, lethargy, poor feeding, skin rash, and centrally pink on room air with no significant respiratory distress.  Your initial clinical lab evaluation for this infant should include:

You are the NNP called to evaluate an infant with a sustained HR > 220, minimal beat-to-beat variability, and narrow QRS complexes. The infant has stable vital signs in room air, central color is pink. What is your first choice for the management of this patient? 

You are caring for a former 24-week premature neonate now corrected to 50 weeks with BPD.  She has been on a Lasix course for 2 weeks and has decreased urine output.  You obtain a renal function panel and the serum creatinine level results at 2.4.  What effect on the glomerular filtration rate (GFR) is reflected by this creatinine level?

A 23-week premature infant after peritoneal drain placement is resting quietly with an expressionless face, normal heart rate, and not breathing over the set ventilator rate.  The astute NNP recognizes that this infant requires closer observation related to pain management because:

You are the NNP caring for a premature infant with unilateral (OD) Zone 1, Stage 3 ROP results from the last Ophthalmology exam.  This result usually indicates:

You are the NNP caring for a neonate with a diagnosis of severe hypoxic-ischemic encephalopathy and seizures receiving therapeutic hypothermia.  The neonate is 24 hours of age with respiratory support of NCPAP at 8 cm and 21% oxygen, dopamine at 3 mcg/kg/min, and oliguria.  Appropriate clinical management for this infant will include:

Select your exam link from the list below to access your exam file on oneDrive. The exam will open Excel 365 on your browser.  DO NOT DOWNLOAD THE FILE TO YOUR COMPUTER.  .  Use the “OPEN IN DESKTOP APP” option that appears next to the Help option n the toolbar (see picture below).  Depending on your excel version you may need to click EDIT the workbook once it opens on your excel application, in that case the application will ask you to SAVE changes.  It is ok to Save Changes, they will update on OneDrive.   Newer versions will be on Autosave and will update automaticall y every 1second without you having to Save.  What we cannot work with is a downloaded copy of the file that is saved on your hard drive.  Only ONEDRIVE files will be graded. Your excel application must be signed in with your FIU account for the file to open properly on your Desktop app. TROUBLESHOOTING In the event that you have problems, you can try to reach the Professor: Dr. Simpson’s Personal zoom meeting room   If you can’t open the file on the desktop app complete the questions on the Excel Browser version      Select the sheet based on your Last name Enter any comments about your exam, did you have any issues?, were you able to access the file on your desktop app ?.  If everything went fine, enter “All OK”

T3 is useful in hyperthyroid testing.