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CCPR NNP Exam Practice Questions and Comprehensive Neonatal Nurse Practitioner Review for 2026 Certification Preparation

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This document contains comprehensive CCPR NNP exam practice questions with verified answers covering neonatal intensive care, neonatal resuscitation, congenital disorders, respiratory distress, pharmacology, thermoregulation, infectious diseases, cardiac conditions, and developmental care. It includes detailed neonatal nurse practitioner review material on prematurity, congenital abnormalities, metabolic disorders, neonatal pharmacology, sepsis, respiratory support, gastrointestinal disorders, and neonatal physiology commonly tested on NNP certification exams. The material is organized in a question-and-answer format designed to support exam preparation, clinical reasoning, and rapid review. It also covers neonatal assessment findings, laboratory interpretation, emergency interventions, and neonatal intensive care management principles.

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Institution
CCPR NNP
Course
CCPR NNP

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CCPR NNP Exam | Atcual Questions with 100% Correct Answers | Verified
Latest Update 2026
Study online at https://quizlet.com/_jjgex8

1. Limited horizontal nystagmus resolves by: c. 3-4 months of age
a. 1-2 months of age
b. 2-3 months of age
c. 3-4 months of age

2. Infants with bronchopulmonary dysplasia have in- b. 20-40%
creased energy needs, often as much as:
a. 10-20%
b. 20-40%
c. 40-60%

3. What are the protein requirements for term infants? b. 3 g/kg/day
a. 2 g/kg/day
b. 3 g/kg/day Preterm may require 3.5-4
c. 4 g/kg/day g/kg/day. Minimum is 2
g/kg/day

4. A normal blood finding in the term neonate on day b. a hemoglobin level of
one of life is: 18 g/dL
a. a hematocrit of 65%
b. a hemoglobin level of 18 g/dL
c. erythrocyte count of 3 million

5. The principle action of volume expanders during re- c. maintain cardiac output
suscitation is to: and blood pressure
a. address myocardial decompensation
b. facilitate peripheral vasoconstriction
c. maintain cardiac output and blood pressure

6. A two day old neonate has an abdominal mass. The b. polycystic kidney
most likely cause is:
a. adrenal hemorrhage Renal is the most frequent


, CCPR NNP Exam | Atcual Questions with 100% Correct Answers | Verified
Latest Update 2026
Study online at https://quizlet.com/_jjgex8
b. polycystic kidney cause of abdominal mass-
c. volvulus es in newborns.

7. There is an increased risk of hypochloremia in c. have been over-treated
neonates who: with diuretics
a. are asphyxiated at birth
b. had prolonged diarrhea
c. have been over-treated with diuretics

8. A decision to provide morphine to a dying infant is b. nonmaleficence
framed by the principle of:
a. autonomy justice = equal opportuni-
b. nonmaleficence ty to all
c. justice autonomy = allowed to
take direction in accor-
dance to own/best self in-
terest

9. The first sign of hypothermia in a critically ill neonate c. skin
is a drop in which temperature?
a. axillary
b. rectal
c. skin

10. A preterm infant is born with cutaneous pinkish-gray b. listeria monocytogenes
granulomas. This finding is characteristic of infection
with:
a. candida albicans
b. listeria monocytogenes
c. toxoplasma gondii

11.



, CCPR NNP Exam | Atcual Questions with 100% Correct Answers | Verified
Latest Update 2026
Study online at https://quizlet.com/_jjgex8
Rib fractures are noted on routine chest x-ray on a 3 b. inadequate calcium and
month old premature infant. The most likely cause of phosphorus intake
this finding is:
a. congenital hypoparathyroidism
b. inadequate calcium and phosphorus intake
c. vitamin D deficiency due to malabsorption

12. The drug of choice when treating opioid withdrawal b. oral morphine
is:
a. diazepam
b. oral morphine
c. pheobarbital

13. A neonate with acute renal failure requires short act- a. fentanyl
ing narcotic analgesic. The best drug to use in this
situation is:
a. fentanyl
b. morphine
c. sufentanil

14. A term neonate who was born to an HBsAg positive b. six months
mother is being discharged three months after birth
following surgery for a cardiac condition. The mother
asks when the next Hep b immunization should be
given. The NP should advise that it be given at:
a. four months
b. six months
c. twelve months

15. A term, small for gestational age neonate at 4 hours of a. hyperviscosity
life is tachypneic, plethoric, lethargic, and has a blood
sugar of 53 mg/dL and a central hematrocrit of 70%.


, CCPR NNP Exam | Atcual Questions with 100% Correct Answers | Verified
Latest Update 2026
Study online at https://quizlet.com/_jjgex8
The most likely diagnosis is:
a. hyperviscosity
b. hypocalcemia
c. hypoglycemia

16. A factor that would result in increased insensible wa- b. phototherapy
ter loss in neonates is:
a. hypothermia
b. phototherapy
c. postmaturity

17. A neonate has a flat reddish birthmark with sharply c. port wine stain
delineated edges on the nape of the neck. When pres-
sure is applied to the birthmark, there is minimal nevus simplex does
blanching. This finding is consistent with: blanch.
a. infantile hemangioma
b. nevus simplex
c. port wine stain

18. A neonate is born to a mother with a positive TB test b. no special evaluation or
but no signs of active disease. Management of this therapy
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

19. The standard of care for neonatal nursing is judged b. nationally
according to the standard of care:
a. locally
b. nationally
c. regionally

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Institution
CCPR NNP
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CCPR NNP

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Uploaded on
May 23, 2026
Number of pages
33
Written in
2025/2026
Type
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