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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 female neonate was delivered at 28 weeks gestation. The amniotic fluid was meconium stained.
Physical examination shows a erythematores rash with small, pale papules. Tone is poor and the infant
has had several episodes of apnea. Infection is suspected. The organism most likely responsible for
this neonate's symptoms is
a. Escherichia coli
b. Group B streptococcus
c. Listeria monocytogenes - ✔✔c. Listeria monocytogenes
A neonate is receiving a calcium infusion for treatment of hypocalcemia. The nurse should
a. monitor for oxygen saturation changes
b. obtain an EKG before and after the infusion
c. place the infant on a cardiac monitor - ✔✔c. place the infant on a cardiac monitor
Patients with respiratory distress syndrome exhibit prominent retractions with respiratory effort. This is
due to the work required to
a. generate high intrathoracic pressures
b. overcome the negative intrapleural pressure generated by contraction of the diaphragm and
the respiratory muscles
c. trap alveolar air and maintain functional residual capacity - ✔✔a. generate high
intrathoracic pressures
,Assessment of a term neonate is as follows: IUGR, microcephaly, congenital cataracts,
hepatosplenomegaly, and jaundice. Based on these findings, the most likely diagnosis is congenital
a. cytomegalovirus
b. rubella
c. toxoplasmosis - ✔✔b. rubella
Infants born to mothers with myasthenia gravis
a. are at risk for aspiration
b. will present with symptoms within first 12 hours of life.
c. transient myasthenia gravis will resolve spontaneously around 6 months of age. - ✔✔a. are at risk
for aspiration
Based on the intrauterine growth chart shown, this neonate would be classified as (38wks,
25th percentile)
a. post-term, SGA
b. term, AGA
c. term, SGA - ✔✔b. term, AGA
Continued posturing of a limb is characteristic of
a. clonic seizures
b. myoclonic seizures
c. tonic seizures - ✔✔c. tonic seizures
A disadvantage of continuous renal replacement therapy with hemofiltration in the treatment of
acute renal failure is that
a. constant heparinization during therapy is required
b. it causes rapid solute and fluid shifts
c. the patient must be hemodynamically stable prior to therapy - ✔✔a. constant heparinization during
therapy is required
,The hallmark finding of pneumatosis intestinalis is
a. air within the wall of the intestine
b. local bowel edema
c. perforation of the bowel wall - ✔✔a. air within the wall of the intestine
A neonate is born to a mother with a positive tuberculin test but no signs of active disease.
Management of this neonate should include
a. initiate medication therapy on mother and infant
b. no special evaluation or therapy
c. separate mother and neonate until status can be confirmed - ✔✔b. no special evaluation or therapy
An unexpected occurrence involving death or serious physical or psychological injury is called
a. a sentinel event
b. an incident
c. malpractice - ✔✔a. a sentinel event
Bullous lesions appear on an infant's skin on day 2 of life. The nurse should recognize that this finding is
a. benign
b. due to an irritant
c. indicative of infection - ✔✔c. indicative of infection
A neonate is apneic at birth and positive-pressure ventilation with 21% oxygen is initiated. After
30 seconds the neonate's heart rate is 50. What is the next step in resuscitation of this neonate?
a. Administer epinephrine 0.1-0.3 ml/kg
b. Begin chest compressions
c. Increase oxygen to 50% - ✔✔b. Begin chest compressions
, When developing a plan for a preterm neonate to transition to oral feedings, the nurse should consider
that
a. breast feeding requires more energy than bottle feeding in all infants
b. coordination of suck-swallow reflex and breathing is developed by 34 weeks postconceptual age
c. vigorous non-nutritive sucking is a predictor for oral feeding readiness - ✔✔b. coordination of suck-
swallow reflex and breathing is developed by 34 weeks postconceptual age
Ideally antiretroviral prophylaxis is initated and administered in the HIV exposed neonate within
a. 12 hours of birth
b. 24 hours of birth
c. 48 hours of birth - ✔✔a. 12 hours of birth
A 5 day old infant develops a very watery eye discharge that progressed rapidly to purulent exudate.
Chlamydia trachomatis conjunctivitis is diagnosed. The nurse should be aware that
a. gentle pressure over nasolacrimial sac results in mucopurulent drainage
b. this patient is at risk for corneal ulceration, perforation and visual impairment
c. therapy of choice is oral erythromycin x 14 days - ✔✔c. therapy of choice is oral erythromycin x
14 days
Concerning administration of immunizations to hospitalized preterm infants, the nurse should be aware
that
a. administration of dexamethasone may decrease immune response
b. doses are lower than doses for term infants
c. measles-mumps-rubella vaccine should not be given - ✔✔c. measles-mumps-rubella vaccine
should not be given
When developing a plan for a preterm neonate to transition to oral feedings, the nurse should
consider that
a. breast feeding requires more energy than bottle feeding in all infants
b. coordination of suck-swallow reflex and breathing is developed by 34 weeks postconceptual age
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