Board review NNP Exam with Accurate
Solutions
100.A 1-day-old African American infant on examination has a rash of distinctive
variation. Some vesiculopustules are superficial and some show collarettes of scale or
scale crust surrounding the hyperpigmented macule. The neonatal nurse practitioner
(NNP) recognizes this condition as
A.
Erythema toxicum
B.
Herpetic skin lesions
C.
Pustular melanosis - ANSWER-C.
Pustular melanosis
101.An infant is noted to have a flat, reddish-purple lesion on his face along with
ophthalmologic abnormalities. The infant began having clinically obvious seizures at
approximately 12 hr of age. The combination of findings leads the neonatal nurse
practitioner (NNP) to raise suspicion for a diagnosis of
A.
Blau Sweets syndrome
B.
Peeling skin syndrome
C.
Sturge-Weber syndrome - ANSWER-C.
Sturge-Weber syndrome
102.As part of an evaluation for metabolic/endocrine disease, an important question to
ask the parents regarding the family history is
A.
Does anyone in your family have recurrent hypoglycemia?
B.
Have you had other children or relatives die in infancy?
C.
How many relatives take any kind of nutritional supplements? - ANSWER-B.
Have you had other children or relatives die in infancy?
103.The neonatal nurse practitioner (NNP) admits a 2-day-old term male with lethargy,
poor feeding, and mild tachypnea after initially feeding well. An arterial blood gas, blood
culture, complete blood count, and a blood sugar level are ordered. A result that may be
consistent with a metabolic disorder is
,A.
A decreased white blood cell count
B.
An elevated carbon dioxide level
C.
A profound metabolic acidosis - ANSWER-C.
A profound metabolic acidosis
104.The neonatal nurse practitioner (NNP) admits a 3-day-old female term infant who
presented with seizures and obtundation. The initial laboratory examination has
revealed a normal complete blood count, hypoglycemia, metabolic acidosis, and a
normal MRI study. The laboratory exam to next consider is a
A.
Plasma ammonia level
B.
Skin puncture biopsy
C.
Vitamin B-12 level - ANSWER-A.
Plasma ammonia level
105.The organ that may fail more commonly with metabolic or endocrine disorders is
the
A.
Brain
B.
Liver
C.
Spleen - ANSWER-B. Liver
106.The goal of acute management of suspected metabolic or endocrine disorders is to
A.
Provide optimal vitamin supplementation to the neonate
B.
Refer to geneticist for evaluation, and parent/family counseling
C.
Stop buildup of toxic metabolites and provide necessary substances - ANSWER-C.
Stop buildup of toxic metabolites and provide necessary substances
107.A holistic integrated framework to optimize the life of a patient despite the presence
of a life-threatening condition is
A.
Convalescent care
B.
Palliative care
C.
Terminal care - ANSWER-B. Palliative care
,108.Psychiatric inpatient treatment of maternal depression is deemed necessary when
there is concern for maternal
A.
Harm to self or the infant
B.
Inability to breastfeed
C.
Self-reported well-being - ANSWER-A. Harm to self or the infant
109.The high rate of maternal noncompliance with medication prescribed for depression
during pregnancy is often related to concerns about
A.
Amount in breastmilk
B.
Effects on daily lives
C.
Fetal exposure to drug - ANSWER-C. Fetal exposure to drug
110.A preterm infant develops bilateral grade 4 intraventricular hemorrhages at 3 days
of age. The medical team coordinates a family care conference to discuss the poor
prognosis and possible discontinuation of support. The person(s) who can make the
final decision about continuation of care is the
A.
Attending neonatologist
B.
Hospital ethics committee
C.
Parents of the infant - ANSWER-C. Parents of the infant
111.The hypothesis: In middle-aged men taking beta-blockers, the incidence of
myocardial infarction will be reduced. This hypothesis is an example of
A.
Directional one-way hypothesis
B.
Nondirectional hypothesis
C.
Null hypothesis - ANSWER-A.
Directional one-way hypothesis
112.When performing a qualitative study, the researcher
A.
Continuously examines and interprets the data
B.
Evaluates all data at the conclusion of the study
C.
, Shares data with others to analyze and disseminate - ANSWER-A.
Continuously examines and interprets the data
113.An infant has been receiving ampicillin for 7 days due to early onset GBS sepsis.
The infant's condition worsens dramatically despite treatment. The results of a repeat
CBC show a new left shift, and the preliminary blood culture shows Gram-negative rods.
The neonatal nurse practitioner (NNP) knows the new bacteria growing is most likely
A.
Enterococcus faecalis due to its ability to produce a biofilm
B.
Klebsiella due to its highly motile and transferrable nature
C.
Pseudomonas aeruginosa due to its resistance to common antibiotics - ANSWER-C.
Pseudomonas aeruginosa due to its resistance to common antibiotics
114.An infant presents on day of life 10 with mild eyelid edema, purulent drainage, and
redness. The infant received standard ophthalmic prophylaxis at birth. The neonatal
nurse practitioner (NNP) knows this infection is Ophthalmia neonatorum and is most
likely caused by
A.
Chlamydia trachomatis
B.
Neisseria gonorrhoeae
C.
Treponema pallidum - ANSWER-A.
Chlamydia trachomatis
115.Neonates and young children aged 12-18 months are predisposed to osteomyelitis
due to the
A.
Immature and underdeveloped immune system
B.
Incomplete formation of their cartilage and vasculature
C.
Lack of a formed physis within the bone - ANSWER-C.
Lack of a formed physis within the bone
116.The neonatal nurse practitioner (NNP) understands septic shock to be a type of
shock in which there is
A.
Anaphylactic reaction to a pathogen
B.
Insufficient tissue oxygenation and perfusion
C.
Loss of circulating crystalloids' volumes - ANSWER-B.
Insufficient tissue oxygenation and perfusion
Solutions
100.A 1-day-old African American infant on examination has a rash of distinctive
variation. Some vesiculopustules are superficial and some show collarettes of scale or
scale crust surrounding the hyperpigmented macule. The neonatal nurse practitioner
(NNP) recognizes this condition as
A.
Erythema toxicum
B.
Herpetic skin lesions
C.
Pustular melanosis - ANSWER-C.
Pustular melanosis
101.An infant is noted to have a flat, reddish-purple lesion on his face along with
ophthalmologic abnormalities. The infant began having clinically obvious seizures at
approximately 12 hr of age. The combination of findings leads the neonatal nurse
practitioner (NNP) to raise suspicion for a diagnosis of
A.
Blau Sweets syndrome
B.
Peeling skin syndrome
C.
Sturge-Weber syndrome - ANSWER-C.
Sturge-Weber syndrome
102.As part of an evaluation for metabolic/endocrine disease, an important question to
ask the parents regarding the family history is
A.
Does anyone in your family have recurrent hypoglycemia?
B.
Have you had other children or relatives die in infancy?
C.
How many relatives take any kind of nutritional supplements? - ANSWER-B.
Have you had other children or relatives die in infancy?
103.The neonatal nurse practitioner (NNP) admits a 2-day-old term male with lethargy,
poor feeding, and mild tachypnea after initially feeding well. An arterial blood gas, blood
culture, complete blood count, and a blood sugar level are ordered. A result that may be
consistent with a metabolic disorder is
,A.
A decreased white blood cell count
B.
An elevated carbon dioxide level
C.
A profound metabolic acidosis - ANSWER-C.
A profound metabolic acidosis
104.The neonatal nurse practitioner (NNP) admits a 3-day-old female term infant who
presented with seizures and obtundation. The initial laboratory examination has
revealed a normal complete blood count, hypoglycemia, metabolic acidosis, and a
normal MRI study. The laboratory exam to next consider is a
A.
Plasma ammonia level
B.
Skin puncture biopsy
C.
Vitamin B-12 level - ANSWER-A.
Plasma ammonia level
105.The organ that may fail more commonly with metabolic or endocrine disorders is
the
A.
Brain
B.
Liver
C.
Spleen - ANSWER-B. Liver
106.The goal of acute management of suspected metabolic or endocrine disorders is to
A.
Provide optimal vitamin supplementation to the neonate
B.
Refer to geneticist for evaluation, and parent/family counseling
C.
Stop buildup of toxic metabolites and provide necessary substances - ANSWER-C.
Stop buildup of toxic metabolites and provide necessary substances
107.A holistic integrated framework to optimize the life of a patient despite the presence
of a life-threatening condition is
A.
Convalescent care
B.
Palliative care
C.
Terminal care - ANSWER-B. Palliative care
,108.Psychiatric inpatient treatment of maternal depression is deemed necessary when
there is concern for maternal
A.
Harm to self or the infant
B.
Inability to breastfeed
C.
Self-reported well-being - ANSWER-A. Harm to self or the infant
109.The high rate of maternal noncompliance with medication prescribed for depression
during pregnancy is often related to concerns about
A.
Amount in breastmilk
B.
Effects on daily lives
C.
Fetal exposure to drug - ANSWER-C. Fetal exposure to drug
110.A preterm infant develops bilateral grade 4 intraventricular hemorrhages at 3 days
of age. The medical team coordinates a family care conference to discuss the poor
prognosis and possible discontinuation of support. The person(s) who can make the
final decision about continuation of care is the
A.
Attending neonatologist
B.
Hospital ethics committee
C.
Parents of the infant - ANSWER-C. Parents of the infant
111.The hypothesis: In middle-aged men taking beta-blockers, the incidence of
myocardial infarction will be reduced. This hypothesis is an example of
A.
Directional one-way hypothesis
B.
Nondirectional hypothesis
C.
Null hypothesis - ANSWER-A.
Directional one-way hypothesis
112.When performing a qualitative study, the researcher
A.
Continuously examines and interprets the data
B.
Evaluates all data at the conclusion of the study
C.
, Shares data with others to analyze and disseminate - ANSWER-A.
Continuously examines and interprets the data
113.An infant has been receiving ampicillin for 7 days due to early onset GBS sepsis.
The infant's condition worsens dramatically despite treatment. The results of a repeat
CBC show a new left shift, and the preliminary blood culture shows Gram-negative rods.
The neonatal nurse practitioner (NNP) knows the new bacteria growing is most likely
A.
Enterococcus faecalis due to its ability to produce a biofilm
B.
Klebsiella due to its highly motile and transferrable nature
C.
Pseudomonas aeruginosa due to its resistance to common antibiotics - ANSWER-C.
Pseudomonas aeruginosa due to its resistance to common antibiotics
114.An infant presents on day of life 10 with mild eyelid edema, purulent drainage, and
redness. The infant received standard ophthalmic prophylaxis at birth. The neonatal
nurse practitioner (NNP) knows this infection is Ophthalmia neonatorum and is most
likely caused by
A.
Chlamydia trachomatis
B.
Neisseria gonorrhoeae
C.
Treponema pallidum - ANSWER-A.
Chlamydia trachomatis
115.Neonates and young children aged 12-18 months are predisposed to osteomyelitis
due to the
A.
Immature and underdeveloped immune system
B.
Incomplete formation of their cartilage and vasculature
C.
Lack of a formed physis within the bone - ANSWER-C.
Lack of a formed physis within the bone
116.The neonatal nurse practitioner (NNP) understands septic shock to be a type of
shock in which there is
A.
Anaphylactic reaction to a pathogen
B.
Insufficient tissue oxygenation and perfusion
C.
Loss of circulating crystalloids' volumes - ANSWER-B.
Insufficient tissue oxygenation and perfusion
