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NNP PRACTICE EXAM (CCPR ) QUESTIONS AND ANSWERS 2024
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NNP PRACTICE EXAM (CCPR ) QUESTIONS AND ANSWERS 2024
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NNP PRACTICE EXAM (CCPR )A vigorous neonate is born with thick meconium present in the amniotic fluid.
After placing the baby on a warmed radiant warmer and positioning the head, the
next step in resuscitation should be
a. bulb syringe suctioning
b. endotracheal suctioning
c. evaluation of respirations - ANSWERS-a. bulb syringe suctioning
For the neonate with patent ductus arteriosus the left-to-right shunt is dependent
on a decrease in
a. pulmonary artery pressure
b. pulmonary vascular resistance
c. systemic vascular resistance - ANSWERS-b. pulmonary vascular resistance
The mother of a newborn with a post-operative gastroschisis repair expresses
concern about the nurse's use of a pacifier for her infant. The nurse explains that
a. non-nutritive sucking reduces pain
b. sucking is a reflex response
c. the pacifier will be taken away - ANSWERS-a. non-nutritive sucking reduces pain
Clinical manifestations of hyperkalemia include
,a. atrial tachycardia
b. peaked T wave
c. narrowed QRS complex - ANSWERS-b. peaked T wave
A neonate has a firm, fluctuant mass over the cranial bone which does not cross
suture lines. This neonate should also be evaluated for
a. a linear skull fracture
b. increased intracranial pressure
c. subdural hemorrhage - ANSWERS-a. a linear skull fracture
On examination of the eyes, a neonate demonstrates symptoms of infantile
glaucoma, such as tearing, squinting, photosensitivity, and a cloudy cornea. This
neonate should also be evaluated for
a. Klinefelter syndrome
b. neurofibromatosis
c. retinoblastoma - ANSWERS-neurofibromatosis
Compared to term breast milk, preterm breast milk is composed of
a. higher carbohydrate content
b. higher lipid content
c. higher protein content - ANSWERS-c. higher protein content
,A one hour old, 36 week gestation neonate presents with generalized depression,
poor muscle tone and diminished respiratory effort. These findings are consistent
with infants born to mothers with
a. multiple sclerosis
b. phenylketonuria
c. seizure disorder - ANSWERS-seizure disorder
After an initial resuscitation, poor perfusion continues, pulses are thready, and
the neonate appears in shock. Dopamine is administered as a continuous IV
infusion. The nurse should recognize that
a. beneficial effects are dependent on adequate blood volume
b. increased blood pressure can be expected at low doses
c. the serum half-life is 1-2 minutes - ANSWERS-a. beneficial effects are
dependent on adequate blood volume
When caring for an infant on total parenteral nutrition, the nurse should
recognize that
a. a dextrose concentration of 12.5% or greater requires a central line
b. caloric intakes for parenteral nutrition are about 20% less than those for
enteral nutrition
c. monitoring of serum bun is important to identify excess protein - ANSWERS-a. a
dextrose concentration of 12.5% or greater requires a central line
When introducing trophic feedings to the premature infant, the nurse should
recognize that
, a. development of the intrinsic GI immune system will be enhanced
b. dilution of breastmilk or formula with sterile water is preferred
c. trophic feedings increase the risk of NEC - ANSWERS-
In comparing neonates with early and late onset of Group B streptococcal
infection, the nurse should recognize that
a. ampicillin and gentamicin are most effective antibiotics for treatment
b. meningitis is a complication in both groups of infants
c. mortality rates are the same for both groups of infants - ANSWERS-meningitis is
a complication in both groups of infants
The x-ray of a neonate with suspected necrotizing enterocolitis shows
pneumoperitoneum. This finding is consistent with
a. air in the portal venous system
b. bowel perforation
c. diffuse gaseous intestinal distention - ANSWERS-bowel perforation
A newborn with Pierre Robin sequence presents with cyanosis and stridor. The
optimal position for this baby is
a. prone
b. side-lying
c. supine - ANSWERS-a. prone
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