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Exam (elaborations)

BOARD REVIEW NNP QUESTIONS WITH CORRECT ANSWERS

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  • Course
  • Neonatal Nurse Practitioner
  • Institution
  • Neonatal Nurse Practitioner

BOARD REVIEW NNP QUESTIONS WITH CORRECT ANSWERS

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  • August 11, 2024
  • 38
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Neonatal Nurse Practitioner
  • Neonatal Nurse Practitioner
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AGRADEPROMASTER
BOARD REVIEW NNP QUESTIONS WITH
CORRECT ANSWERS
Increased sICP swhich ssutures sopen? s- sans--Sagittal

What sto scombine sativan swith? s- sans--Morphine

Best smedication sto scombine swith svecuronium? s- sans--Fentanyl

Description sof san sinfant swith sgood stone sincludes? s- sans--Flexion sof ships sand sknees,
selbows swith sgood srecoil, spull sto ssit, scomplete smoro, sand sgrasps



what swould syou sfind son sa sballard sof sa s41 sweek sinfant? s- sans--Dorsiflexion sof s0
sdegrees, sscarf ssign sat smid saxillary, ssquare swindow sof s45 sdegrees



Subdural shemorrhage sis soften scaused sby? s- sans--Trauma sas sin svacuum sassisted
sdelivery



What sis serbs spalsy? s- sans--a snerve splexus sinjury sthat soccurs smost scommonly sin sa
sbreech sdelivery sfrom sexcessive slateral straction son sthe sneck sand sarm



What sis sthe smost scommon scause sof sneural stube sdefects? s- sans--Multifactorial, s

mother staking svalproic sacid. sValproic sacid scrosses sthe splacenta scausing sneural stube
defects. sIt sis sa scategory sD sdrug sand sshould snever sbe staken sduring spregnancy.

If ssutures sare snoted sto sbe sclosed sprematurely, syou sshould sdo swhat? s- sans--Obtain san
sxray sto sconfirm sdiagnosis sof scraniosynostosis



Based son sgestational sage, swhat sstate sis sthe sinfant sbest sassessed sin? s- sans--Quiet
salert sstate



Methadone swithdrawal sin snewborns ssigns? s- sans--Takes slonger sto ssee sthan swith
sheroin sand sthe seffects sare smore ssevere



Cocaine swithdrawal? s- sans--has sno spattern sof ssymptoms sand scan sbe sgone sfrom sthe
surine sin s24 shours



Myelination soccurs sfastest swhen? s- sans--In speriod sof sbirth sto stwo syears

Preterm sbaby swho sis sasphyxiated sshould syou srestrict sfluids? s- sans--Yes syou salways
srestrict sfluids sin sasphyxiated sbabies. s40-60ml/kg/day

,Where sdoes scaput soccur? s- sans--above speriosteum sand sCrosses ssuture slines

Where sdoes scephalohematoma soccur? s- sans--Beneath sthe speriosteum sand sdoes snot
scross ssuture slines



Where sis sblood sflow sdirected sduring ssevere sasphyxia? s- sans--toward sthe sbrain sstem

Which sreflex sis slast sto sgo saway? s- sans--Babinski, s1 syear sof sage

Tonic sneck, s7 smonths

Moro, s6 smonths

palmar sgrasp, s2 smonths

What sis sthe sbest sway sto smonitor sfor sventriculomegaly? s- sans--US

What sis sthe smost simportant spart sof san sIVH? s- sans--Ventricular sdilation sbecause sit sputs
spressure son sthe ssurrounding stissue



What sare ssubtle sseizures? s- sans--baby sblinking seyes srepeatedly sor slip ssmacking

What sis sPVL slinked sto? s- sans--spastic sDiplegia s(lower slimbs)

What sis sthe smost scommon scause sof shydrocephalus? s- sans--CSF sflow sobstruction-
saquaductal sflow sobstruction



How sdo syou sdiagnose sa sskull sfracture? s- sans--XRAY

What sis smorbidity sand smortality sof smeningitis sassociated swith? s- sans--Time sof sonset

What sdoes sthe sbrain shave swhen slacking soxygen? s- sans--ATP

Which sof sthe sfollowing swould sprovide sthe sweakest sevidence sfor spractice?
A. sCase sstudy
B. sCase-control sstudy
C. sQuasi-experimental sstudy s- sans--A. sCase sstudy

An sinitial ssign sof shyperkalemia son san sEKG sis
A. sPeaked sT swaves
B. sSlurring sof sthe sQRS
C. sVentricular sfibrillation s- sans--A. sPeaked sT swaves

The sHenderson-Hasselebalch sequation sis sa snegative slogarithm sthat scalculates sthe
slevel sof

,A. sBicarbonate sions
B. sDioxide sions
C. sHydrogen sions s- sans--C. sHydrogen sions

The sneonatal snurse spractitioner s(NNP) sknows sthat sa sserum speak slevel sof sa sdrug sis
sgenerally sreflective sof sthe sinfants:

A. sExcretion sof smetabolites
B. sDigestion sof sthe sdrug
C. sVolume sof sdistribution s- sans--C. sVolume sof sdistribution

Pharmacokinetics sis sthe sprocess sof sdrug
A. sAbsorption, sdistribution, sbiotransformation, sand sexcretion
B. sAdaptations smade sto sphysiological ssystems sby sthe sdrugs
C. sAlterations, smetabolism, sand sexcretion sin sthe scellular smatrix s- sans--A. sAbsorption,
sdistribution, sbio stransformation sand sexcretion



Phase sI sdrug smetabolism sreactions sare smediated sby
A. sCytochrome sP450 senzymes
B. sHepatic soxidation smetabolites
C. sEnzymatic sreduction smolecules s- sans--A. sCytochrome sP450 senzymes

The stranslocation sof sa sdrug sfrom sthe ssite sof sadministration sinto sthe ssystemic
scirculation sis scalled

A. sAbsorption
B. sDistribution
C. sDrug sdelivery s- sans--A. sAbsorption

The srecommendation sfor slength sof stime sto sdelay sumbilical scord sclamping safter sdelivery
sof sa swell snewborn sis s- sans--B. s30-60 sseconds



A snewborn sinfant's soxygen ssaturation sat s10 sminutes safter sbirth sshould sbe sa sminimum
sof

A. s80%
B. s85%
C. s90% s- sans--B. s85%

The smost sappropriate svalue sto suse sas san sindicator sof sfetal sand suteroplacental sstates
sis sthe

A. sArterial scord sblood
B. sPlacental scord svolume
C. sVenous scord sblood sflow s- sans--A. sArterial scord sblood

The sneonatal snurse spractitioner s(NNP) sattends sthe svaginal sdelivery sof sa s38-week
smale swith sa ssignificant smaternal shistory sof suncontrolled stype s1 sdiabetes. sThe slarge-

for-gestational-age s(LGA) sinfant sis svigorous swith sa slusty scry sat sdelivery; showever,
supon sexam, sthere sis sasymmetrical smovement sof sthe supper sextremities swith sthe sright

, smore sflaccid sthan sthe sleft. sThe sright shand sexhibits sa spositive sgrasp sreflex; stherefore,
sthe sNNP srecognizes sthe sasymmetry sis slikely srelated sto

A. sBarlow sstretch
B. sErb's spalsy
C. sKlumpke spalsy s- sans--B. sErb's spalsy

A s1-week-old sinfant spresents sto sthe sprimary scare sprovider s(PCP) sfor sthe sfirst swell-
child scheck. sThe sPCP snotes sthe sinfant sis sunable sto sturn sthe shead sto sthe sright, sand sa
smass sis spalpated son sthe sleft sside sof shis sneck. sThe sPCP ssuggests sphysical stherapy

sfor sthe sinfant, sexplaining sto sthe smother sthat sthe sinfant slikely shas

A. sClavicular sfracture
B. sErb's spalsy
C. sSCM storticollis s- sans--C. sSCM storticollis

The sneonatal snurse spractitioner s(NNP) snotes sduring san sexamination sthat sthe sinfant
shas spositive sBarlow sand sOrtolani stests; stherefore, sfurther sfollow-up sis snecessary sfor

A. sPavilk sharness
B. sAn sabdominal sgirdle
C. sAn sorthopedic scasting s- sans--A. sPavlik sHarness

The sneonatal snurse spractitioner s(NNP) sshould sbe sknowledgeable sabout seducation
srelated sto sshift slength sand sthe srelationship sto sthe srecognition sof sfatigue sand

A. sBy-laws sadherence
B. sMental scompetence
C. sSystem smanagement s- sans--C. sSystem smanagement

The smost simportant sstep sin sthe sresuscitation sof sa snewborn sis sto
A. sAssign sthe sApgar
B. sCirculate sblood svolume
C. sVentilate sthe slungs s- sans--C. sVentilate sthe slungs

The shallmark sof sdisease sadvancement sfrom spreeclampsia sto seclampsia sis sthe
soccurrence sof

A. sDelivery sprior sto s28 sweeks' sgestation
B. sFetal sintrauterine sgrowth srestriction
C. sGeneralized, stonicclonic sseizures s- sans--C. sGeneralized, stonic sclonic sseizures

The sheart sdefect smost scommonly sfound sin swomen swho sare sor smay sbecome spregnant
sis

A. sAn satrial sseptal sdefect
B. sA ssub-pulmonic sstenosis
C. sA sventricular sseptal sdefect s- sans--A. sASD

A spregnant swoman swho sunderwent ssurgical srepair sof stetralogy sof sFallot s(TOF) sas sa
schild squestions sthe srisk sof sher sinfant sinheriting sthe ssame sdefect. sThe sneonatal snurse

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