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NNP Practice Exam (CCPR 2024) | Actual Questions and Answers Latest Updated 2024/2025 (Graded A+)
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NNP Practice Exam (CCPR 2024) | Actual Questions and Answers Latest Updated 2024/2025 (Graded A+)
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NNP Practice Exam (CCPR 2024) | Actual Questions and Answers Latest Updated2024/2025 (Graded A+)
A neonate born to a mother given Demerol three hours prior to delivery is apneic and cyanotic with
heart rate of 74 at one hour after birth. The initial intervention should be
a. administration of naloxone 0.1mg/kg
b. bag and mask ventilation
c. placement of endotracheal tube - ✔✔b. bag and mask ventilation
The best recommendation for treatment of intraventricular hemorrhage is
a. management of ensuing problems
b. fluid restriction
c. Dopamine for blood pressure support - ✔✔a. management of ensuing problems
Which congenital heart defect is suspected when a systolic murmur is heard at the location noted on the
diagram?
a. Atrial septal defect
b. Pulmonary valve stenosis
c. Ventricular septal defect - ✔✔c. Ventricular septal defect
A two day old neonate has an abdominal mass. The most likely cause is
a. adrenal hemorrhage
b. polycystic kidney
c. volvulur - ✔✔b. polycystic kidney
,Nasal septum dislocation can be differentiated from normal variant of a misshapened nose by
performing
a. a compression test
b. sinus transillumination
c. x-ray - ✔✔a. a compression test
Orotracheal intubation is preferable to nasotracheal intubation during acute neonatal
resuscitation because
a. a smaller size endotracheal tube can be utilized
b. it can be performed without additional equipment
c. the endotracheal tube is easier to stabilize - ✔✔b. it can be performed without additional equipment
Following a traumatic delivery, a neonate's arm falls motionless along the side of the body and is rotated
inwards. Extension of the forearm is present but there is no limitation on the movement of the hand.
Once localized edema and pain diminished, the neonate should be referred for
a. casting of the affected limb
b. physical therapy
c. surgical repair - ✔✔b. physical therapy
On physical examination of a 4100 gm male neonate, a firm scrotal mass is palpated. The next step in
the evaluation is
a. transillumination
b. ultrasound
c. x-ray - ✔✔a. transillumination
The absence of which reflex distinguishes total brachial plexus palsy from Erb's palsy?
a. Grasp
b. Moro
c. Radical - ✔✔a. Grasp
,A Neuromuscular development characteristic of prematurity includes increased
a. heel to ear resistance
b. hip flexion and adduction
c. popliteal angle - ✔✔c. popliteal angle
An infant is noted to have vertebral anomalies, a single umbilical artery, and a tracheoesophageal
fistula. What studies should you consider obtaining?
a. echocardiogram
b. eye exam
c. renal ultrasound - ✔✔c. renal ultrasound
The decreased ability of the preterm neonate to produce heat to maintain normal body temperature is
most related to
a. decreased thermal receptors in the skin
b. large surface skin area relative to body mass
c. limited subcutaneous tissue and brown fat stores - ✔✔c. limited subcutaneous tissue and brown
fat stores
The nurse should recognize that the auditory sounds of the NICU can compromise a neonate's
neurobehavioral development and that most noise is produced by
a. equipment
b. exogenous sources
c. staff - ✔✔c. staff
Pro-coagulation factors II, VII, IX and X are activated by
a. fibrinogen maturation
b. prothrombin
c. vitamin K - ✔✔c. vitamin K
The skin barrier function in the 25 week gestation neonate may take up to how many weeks to mature?
, a. 2 weeks
b. 4 weeks
c. 8 weeks - ✔✔c. 8 weeks
Which of the following is a true statement regarding neonatal hyperbilirubinemia?
a. Conjugated bilirubin is reabsorbed in the intestine
b. Newborn infants produce more bilirubin per day than adults
c. In VLBW infants, albumin has an increased affinity for bilirubin - ✔✔b. Newborn infants produce
more bilirubin per day than adults
Neonates born to mothers with uncontrolled phenylketonuria (PKU) are at increased risk
for a. cardiac defects
b. microcephaly
c. prematurity - ✔✔b. microcephaly
The grief response associated with (permanent, progressive, recurring and cyclic) loss is
a. anticipatory
b. chronic grief
c. chronic sorrow - ✔✔c. chronic sorrow
A neonate born at 36 weeks gestation weighing 3000 gm is at increased risk for
a. jaundice
b. patent ductus arteriosus
c. polycythemia - ✔✔a. jaundice
The foundation for nursing education, practice and documentation is the
a. nursing process
b. nurse practice act
c. standard of care - ✔✔a. nursing process
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