©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NNP Board Exam Tidbits Questions and
Answers 100% Solved
asphyxia (management) - ✔✔fluid restriction; crystalloids over colloids (NS
versus blood or albumin)
crystalloids over colloids - ✔✔decreased morbidity (NS versus blood or
albumin)
NS bolus - ✔✔management of cord accidents (velamentous insertion)
severe asphyxia - ✔✔preferential blood flow is diverted to the blood stem
APGAR - ✔✔appearance, pulse, grimace, activity, respiration
renal agenesis/lung hypoplasia - ✔✔oligohydramnios, Potter's facies, limb
deformities
apical pulse - ✔✔can be heard at the 5th ICS early in life because of right
ventricular dominance, slowly moves to 4th ICS, midclavicular line
liver - ✔✔can be palpated 1-2 cm below the R sternal border; should be
smooth
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
neck hyperextension - ✔✔flaccid upper arm and lower extremities can be
caused by...
Scalded Skin Syndrome (SSS) - ✔✔Staphylococcus aureus
hyper metabolic state - ✔✔increased heart rate, increase respiratory rate,
decreased oxygen saturation
Biophysical Profile (BPP) - ✔✔assessment of five variables in the fetus that
help to evaluate fetal risk: breathing movement, body movement, tone,
amniotic fluid volume, and fetal heart rate reactivity; best indicator of
asphyxia
5-10% - ✔✔expected term weight loss
10-15% - ✔✔expected preterm weight loss
acrocyanosis - ✔✔normal within first 48 hours related to immature
vascumotor tone
hard nodules/calcium deposits - ✔✔subcutaneous necrosis
Babinski reflex - ✔✔reflex in which a newborn fans out the toes when the
sole of the foot is touched; last reflex to disappear
Pull to sit - ✔✔normal for head to fall forward
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
cephalohematoma - ✔✔collection of blood between the periosteum and
skull bone; does not cross suture lines
caput succedaneum - ✔✔edematous swelling and ecchymosis of the
presenting part of the head caused by birth trauma (vaccum, etc); crosses
sutures lines
maternal sickle cell - ✔✔chronic hypoxia in baby and IUGR is related to...
decreased pulmonary markings on CXR - ✔✔pulmonary atresia and other
lesions with obstructive blood flow to the lungs (HLHS, PS, Tetrology,
Tricuspid Atresia)
PDA - ✔✔left to right shunt with white-out on CXR
right to left; left to right - ✔✔early in life, PDA is ________ until SVR
increases and PVR decreases, after that point it is ________
asphyxia/hypoxia - ✔✔can cause TR
long P - ✔✔right ventricular enlargement
prolonged PR, peaked T waves and wide QRS - ✔✔hyperkalemia
prolonged QT - ✔✔hypocalcemia
SVT - ✔✔adenosine is the drug of choice
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
coarctation - ✔✔constriction, stenosis, particularly of the aorta; R radial
pressure is > UAC pressure
PPS - ✔✔heart murmur heard in axilla and back
S1 - ✔✔the first heart sound, heard when the atrioventricular (mitral and
tricuspid) valves close
S2 - ✔✔the second heart sound, heard when the semilunar (aortic and
pulmonic) valves close
systolic click - ✔✔abnormal systolic sound created by aortic valve stenosis
VSD - ✔✔may be asymptomatic early in life, as PVR drops and SVR
increase, the L to R shunt increases and CHF develops
PDA murmur - ✔✔best auscultated in the LUSB (left upper sternal border)
acidemia - ✔✔most ominous ABG in infant with CHD
endocardial cushions - ✔✔neural crest ectoderm; involved in
atrioventricular separation
Tetrology of Fallot - ✔✔overriding aorta, VSD, right ventricular hypertrophy,
pulmonary stenosis (decreased pulmonary blood flow)
BPD - ✔✔causes signs and symptoms of right heart failure; right ventricle
pumping against increased resistance to lungs
NNP Board Exam Tidbits Questions and
Answers 100% Solved
asphyxia (management) - ✔✔fluid restriction; crystalloids over colloids (NS
versus blood or albumin)
crystalloids over colloids - ✔✔decreased morbidity (NS versus blood or
albumin)
NS bolus - ✔✔management of cord accidents (velamentous insertion)
severe asphyxia - ✔✔preferential blood flow is diverted to the blood stem
APGAR - ✔✔appearance, pulse, grimace, activity, respiration
renal agenesis/lung hypoplasia - ✔✔oligohydramnios, Potter's facies, limb
deformities
apical pulse - ✔✔can be heard at the 5th ICS early in life because of right
ventricular dominance, slowly moves to 4th ICS, midclavicular line
liver - ✔✔can be palpated 1-2 cm below the R sternal border; should be
smooth
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
neck hyperextension - ✔✔flaccid upper arm and lower extremities can be
caused by...
Scalded Skin Syndrome (SSS) - ✔✔Staphylococcus aureus
hyper metabolic state - ✔✔increased heart rate, increase respiratory rate,
decreased oxygen saturation
Biophysical Profile (BPP) - ✔✔assessment of five variables in the fetus that
help to evaluate fetal risk: breathing movement, body movement, tone,
amniotic fluid volume, and fetal heart rate reactivity; best indicator of
asphyxia
5-10% - ✔✔expected term weight loss
10-15% - ✔✔expected preterm weight loss
acrocyanosis - ✔✔normal within first 48 hours related to immature
vascumotor tone
hard nodules/calcium deposits - ✔✔subcutaneous necrosis
Babinski reflex - ✔✔reflex in which a newborn fans out the toes when the
sole of the foot is touched; last reflex to disappear
Pull to sit - ✔✔normal for head to fall forward
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
cephalohematoma - ✔✔collection of blood between the periosteum and
skull bone; does not cross suture lines
caput succedaneum - ✔✔edematous swelling and ecchymosis of the
presenting part of the head caused by birth trauma (vaccum, etc); crosses
sutures lines
maternal sickle cell - ✔✔chronic hypoxia in baby and IUGR is related to...
decreased pulmonary markings on CXR - ✔✔pulmonary atresia and other
lesions with obstructive blood flow to the lungs (HLHS, PS, Tetrology,
Tricuspid Atresia)
PDA - ✔✔left to right shunt with white-out on CXR
right to left; left to right - ✔✔early in life, PDA is ________ until SVR
increases and PVR decreases, after that point it is ________
asphyxia/hypoxia - ✔✔can cause TR
long P - ✔✔right ventricular enlargement
prolonged PR, peaked T waves and wide QRS - ✔✔hyperkalemia
prolonged QT - ✔✔hypocalcemia
SVT - ✔✔adenosine is the drug of choice
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
coarctation - ✔✔constriction, stenosis, particularly of the aorta; R radial
pressure is > UAC pressure
PPS - ✔✔heart murmur heard in axilla and back
S1 - ✔✔the first heart sound, heard when the atrioventricular (mitral and
tricuspid) valves close
S2 - ✔✔the second heart sound, heard when the semilunar (aortic and
pulmonic) valves close
systolic click - ✔✔abnormal systolic sound created by aortic valve stenosis
VSD - ✔✔may be asymptomatic early in life, as PVR drops and SVR
increase, the L to R shunt increases and CHF develops
PDA murmur - ✔✔best auscultated in the LUSB (left upper sternal border)
acidemia - ✔✔most ominous ABG in infant with CHD
endocardial cushions - ✔✔neural crest ectoderm; involved in
atrioventricular separation
Tetrology of Fallot - ✔✔overriding aorta, VSD, right ventricular hypertrophy,
pulmonary stenosis (decreased pulmonary blood flow)
BPD - ✔✔causes signs and symptoms of right heart failure; right ventricle
pumping against increased resistance to lungs
