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CCRN Neonatal Exam Questions With Complete Solutions
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CCRN Neonatal Exam Questions With Complete Solutions
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CCRN Neonatal Exam Questions With Complete SolutionsA 29 week gestation infant who displays symptoms of a
pulmonary hemorrhage should be evaluated for Correct
Answers patent ductus arteriosus.
A 38-week gestation neonate presents to the NICU with
respiratory distress symptoms and anuria. On physical
examination, she is found to have hypertension, bilateral flank
masses, and hypoplastic lungs. The best diagnosis for this
presentation is Correct Answers polycystic kidney disease.
A 7-day-old neonate with an unremarkable hospital course who
now presents with increasing episodes of hypoglycemia, severe
metabolic acidosis, recurrent vomiting, and high ammonia levels
should be evaluated for what disorder? Correct Answers ✓ An
inborn error of metabolism
A clinical feature commonly found in a neonate with Down
syndrome is Correct Answers hypotonia.
A common organism responsible for early onset sepsis is
Correct Answers E. coli. MOST common is GBS
A communicating hydrocephalus results from damage to the
Correct Answers arachnoid granulations. arachnoid
granulations over the surface of the brain
A deformation is a(n) Correct Answers abnormality caused by
unusual mechanical forces on normal tissue.
,A deformation is a(n) Correct Answers abnormality caused by
unusual mechanical forces on normal tissue.
A discrepancy greater than 10 mm Hg between the blood
pressure in the upper and lower extremities is indicative of
which defect? Correct Answers Coarctation of the aorta
A fluid accumulation in the dermal layer of the skin would be
described as a Correct Answers wheal.
A full term neonate who presents at six hours of age with
increasingly labile oxygenation that appears disproportionate to
the pulmonary disease should be evaluated for Correct Answers
pulmonary hypertension of the newborn.
A GI series may reveal a "transition zone" in which of the
following clinical conditions? Correct Answers Hirschprung's
disease
A hemorrhage associated with birth trauma that does NOT cross
suture lines is called a Correct Answers cephalohematoma.
A low birth weight infant's temperature increases during skin-to-
skin care. This is an example of heat transfer by Correct
Answers conduction.
A meconium plug is associated with of the following
conditions? Correct Answers Uncontrolled maternal diabetes
A mother is concerned regarding the safety of her medications
and breastfeeding. What is the best nursing intervention to
,reassure and support the woman's breastfeeding goals? Correct
Answers Find information on the safety of the medications
while breastfeeding to share with her.
A neonate at 10 hours of age is found to be cyanotic and without
respiratory distress symptoms. The EKG and chest x-ray are
normal. The administration of oxygen is not relieving the
cyanosis. The healthcare provider should have a high index of
suspicion for which of the following defects? Correct Answers
Transposition of the great vessels
A neonate at 12 hours of life with meconium aspiration
syndrome who has been intubated since birth suddenly develops
severe respiratory distress, tachycardia, and hypotension. Which
diagnosis would be least likely to be in the differential? Correct
Answers Intraventricular hemorrhage
A newborn with polycythemia may exhibit which of the
following? Correct Answers Tachypnea, thrombocytopenia,
hypoglycemia
A newborn's maternal history includes oligohydramnios
sequence. What might be an expected finding on physical exam?
Correct Answers Compressed facial features potter's
sequence;bilateral renal agenesis, atresia of the ureter or urethra,
polycystic or multicystic kidney disease, renal hypoplasia,
amniotic rupture, maternal hypertension/pre-e
A non-pharmacologic intervention that modulates the
transmission or processing of nociception through mediation by
, the endogenous nonopioid system is Correct Answers Non
nutritive sucking; sweet tasting solutions
A papule is defined as a Correct Answers solid, elevated lesion
with distinct borders less than 0.5 cm in size. solid or fluid filled
lesions that are elevated with distinct borders; less than 1 cm in
diameter
A post-op infant is exhibiting tachycardia, oxygen desaturations,
and elevated blood pressure. She received a dose of Fentanyl 1.5
hours ago. Which of the following is the MOST appropriate
action? Correct Answers Reposition the infant with arms and
legs flexed.
A preterm birth may delay the following steps of attachment
from occurring EXCEPT Correct Answers accepting the
pregnancy.
A priority of management for the neonate diagnosed with
polycystic kidney disease is Correct Answers treatment of
systemic hypertension. monitoring and treatment of
hypertension, nephrectomy sometimes indicated, peritoneal
dialysis
A right-to-left shunt will be seen with Correct Answers
pulmonary stenosis.
A sign that parents are experiencing acute stress disorder
includes Correct Answers having flashbacks of the trauma.
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