NNP Practice Exam (CCPR)

NNP Practice Exam (CCPR) A 32 week gestation infant with decreased renal function develops systemic candidiasis. The best choice of antifungal therapy for this baby is a. amphotericin B lipid complex b. fluconazole c. flucytosine - a. amphotericin B lipid complex Increased bowel sounds are indicative of a. Ileus b. Malrotation c. Starvation - b. Malrotation Infants with Beckwith-Wiedemann syndrome have a high risk for which anomaly? a. Microglossia b. Omphalocele c. Volvulus - b. Omphalocele A term neonate is found to have ambiguous genitalia. The anticipated immediate action would include obtaining a. blood electrolytes b. intravenous pyelogram c. pelvic ultrasound - a. blood electrolytes 4. Plethora can be seen in infants who are a. overfed b. overheated c. stimulated - b. overheated 5. Neonatal manifestation of systemic lupus erythematosus is attributed to a. interference with protein synthesis b. maternal deficiency of autoantibodies and immune complexes c. placental transfer of antibodies to the fetus - c. placental transfer of antibodies to the fetus In a 26 week gestational age neonate, the expected physical findings would include a a. barely apparent Moro reflex b. no resistance to heel to ear maneuver c. weak finger grasp - b. no resistance to heel to ear maneuver 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