NCC EXAM PRACTICE QUESTIONS WITH ACCURATE
ANSWERS
A 2 day old male is persistently bleeding 12 hours post circumcision. The cause of
this bleeding is most likely correct answer factor VIII deficiency
A 2 day old neonate has an abdominal mass. The most likely cause is correct
answer Polycystic kidney
A 3 day old neonate has hematuria, decreased urine output and a platelet count
of 60,000. Which of the following is the most likely diagnosis? correct answer
Renal vein thrombosis
A 5 day old infant develops a watery eye discharge that progresses rapidly to
purulent exudate. Chlamydia trachomatis conjunctivitis is diagnosed. The NNP
should be aware that correct answer therapy of choice if oral erythromycin for 14
days
A 5 day old neonate becomes irritable, cyanotic and tachypneic. The nurse
practitioner notices that when the infant cries, the cyanosis becomes more
pronounced. The most likely origin of these symptoms is correct answer cardiac
A 10 day old small for gestational age infant presents with abdominal distention,
diarrhea, and nonbilious emesis. A palpable mass is noted on physical
examination. The most likely diagnosis is correct answer lactobezoar
A 12 hour old male infant appears hypotonic with generalized muscle weakness
and absent deep tendon refluxes. There is no family history of neuromuscular
,diseases. Which of the following would be the first step in diagnostic evaluation?
correct answer Creatine Phosphokinase (CPK) level
A 27 week gestation infant presents with bounding pulses, tachypnea, increased
O2 requirement, and a Grade II holosystolic murmur on day 2 of life. Blood
shunting through the PDA is most likely being shunted which direction? correct
answer left to right
A 32 week gestation infant with decreased renal function develops systematic
candidiasis. The best choice of anti-fungal therapy for this baby is correct answer
amphotericin B lipid complex
A 32 week gestational age male neonate has a 4 cm nontender mass in the right
testicle. Differential diagnosis can be faciliated by correct answer
transillumination
A 33 week gestation infant displays the following characteristics at one minute of
age:
HR 90
No respiratory effort
Some flexion of extremities
Weak reflex irritability
Blue and pale correct answer 3
A 780 gm infant has a bilirubin level of 17 at 24 hours age. The treatment of
choice is correct answer exchange transfusion and phototherapy
,A 900 gram infant is receiving NS flushes of 1mL every 4 hours. How many
meq/kg/day of Na+ is the infant receiving from flushes? correct answer 1
meq/kg/day
A 2000 g, 35 week gestational age neonate is being treated for seven days with
ampicillin and gentamicin for clinical sepsis. After the second dose of gentamicin,
the trough level is 1.8 mcg/mL. What would be the most appropriate next action?
correct answer Maintain current therapy
A baby presents with thrombocytopenia related to maternal isoimmune
thrombocytopenia. Which of the following is true about the thrombocytopenia
found in these infants? correct answer the treatment of choice is washed
irradiated maternal platelets
A barrel-shaped chest is a finding commonly seen infants with: correct answer
transient tachypnea
A benefit of habituation is correct answer protection from overstimulation
A biophysical profile score of 6 is considered what? correct answer equivocal
A BPP score of what is concerning? correct answer <6
A characteristic that differentiates gastroschisis from omphalocele is correct
answer edematous and herniated bowel
, A characteristic that is common in infants with Trisomy 13, 18, and 21 is correct
answer cardiac defects
A characteristic that is present in both oomphalocele and gastroschisis is correct
answer non-rotation of the intestine
A clinical sign that appears in the neonate with congenital heart disease that
reflects development of pulmonary edema is correct answer tachypnea
A common cause of neonatal renal vein thrombosis is correct answer birth
asphyxia
A common complication of percutaneous central lines include correct answer
extravasation
A complication of rapid infusion of volume expansion in the preterm infant is
correct answer intraventricular hemorrhage
A cranial suture line of a neonate reveals an immovable bony prominence which
is even and smooth bilaterally. This neonate should be evaluated for correct
answer increased intracranial pressure
A CXR of a neonate shows low lung volumes and a fine reticulogranular pattern of
air density. This is consistent with correct answer immature lungs
A decision to provide morphine to a dying infant is framed by the principle of
correct answer nonmaleficence
ANSWERS
A 2 day old male is persistently bleeding 12 hours post circumcision. The cause of
this bleeding is most likely correct answer factor VIII deficiency
A 2 day old neonate has an abdominal mass. The most likely cause is correct
answer Polycystic kidney
A 3 day old neonate has hematuria, decreased urine output and a platelet count
of 60,000. Which of the following is the most likely diagnosis? correct answer
Renal vein thrombosis
A 5 day old infant develops a watery eye discharge that progresses rapidly to
purulent exudate. Chlamydia trachomatis conjunctivitis is diagnosed. The NNP
should be aware that correct answer therapy of choice if oral erythromycin for 14
days
A 5 day old neonate becomes irritable, cyanotic and tachypneic. The nurse
practitioner notices that when the infant cries, the cyanosis becomes more
pronounced. The most likely origin of these symptoms is correct answer cardiac
A 10 day old small for gestational age infant presents with abdominal distention,
diarrhea, and nonbilious emesis. A palpable mass is noted on physical
examination. The most likely diagnosis is correct answer lactobezoar
A 12 hour old male infant appears hypotonic with generalized muscle weakness
and absent deep tendon refluxes. There is no family history of neuromuscular
,diseases. Which of the following would be the first step in diagnostic evaluation?
correct answer Creatine Phosphokinase (CPK) level
A 27 week gestation infant presents with bounding pulses, tachypnea, increased
O2 requirement, and a Grade II holosystolic murmur on day 2 of life. Blood
shunting through the PDA is most likely being shunted which direction? correct
answer left to right
A 32 week gestation infant with decreased renal function develops systematic
candidiasis. The best choice of anti-fungal therapy for this baby is correct answer
amphotericin B lipid complex
A 32 week gestational age male neonate has a 4 cm nontender mass in the right
testicle. Differential diagnosis can be faciliated by correct answer
transillumination
A 33 week gestation infant displays the following characteristics at one minute of
age:
HR 90
No respiratory effort
Some flexion of extremities
Weak reflex irritability
Blue and pale correct answer 3
A 780 gm infant has a bilirubin level of 17 at 24 hours age. The treatment of
choice is correct answer exchange transfusion and phototherapy
,A 900 gram infant is receiving NS flushes of 1mL every 4 hours. How many
meq/kg/day of Na+ is the infant receiving from flushes? correct answer 1
meq/kg/day
A 2000 g, 35 week gestational age neonate is being treated for seven days with
ampicillin and gentamicin for clinical sepsis. After the second dose of gentamicin,
the trough level is 1.8 mcg/mL. What would be the most appropriate next action?
correct answer Maintain current therapy
A baby presents with thrombocytopenia related to maternal isoimmune
thrombocytopenia. Which of the following is true about the thrombocytopenia
found in these infants? correct answer the treatment of choice is washed
irradiated maternal platelets
A barrel-shaped chest is a finding commonly seen infants with: correct answer
transient tachypnea
A benefit of habituation is correct answer protection from overstimulation
A biophysical profile score of 6 is considered what? correct answer equivocal
A BPP score of what is concerning? correct answer <6
A characteristic that differentiates gastroschisis from omphalocele is correct
answer edematous and herniated bowel
, A characteristic that is common in infants with Trisomy 13, 18, and 21 is correct
answer cardiac defects
A characteristic that is present in both oomphalocele and gastroschisis is correct
answer non-rotation of the intestine
A clinical sign that appears in the neonate with congenital heart disease that
reflects development of pulmonary edema is correct answer tachypnea
A common cause of neonatal renal vein thrombosis is correct answer birth
asphyxia
A common complication of percutaneous central lines include correct answer
extravasation
A complication of rapid infusion of volume expansion in the preterm infant is
correct answer intraventricular hemorrhage
A cranial suture line of a neonate reveals an immovable bony prominence which
is even and smooth bilaterally. This neonate should be evaluated for correct
answer increased intracranial pressure
A CXR of a neonate shows low lung volumes and a fine reticulogranular pattern of
air density. This is consistent with correct answer immature lungs
A decision to provide morphine to a dying infant is framed by the principle of
correct answer nonmaleficence
