1|Page
NNP 2 FINAL EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| NNP EXAM REVIEW 2025
(NEW!!)
The primary pathophysiology of meconium ileus is:
a. ganglionic deficiency
b. immaturity of gut motility
c. pancreatic insufficiency - Correct Answer - c. pancreatic insufficiency
A neonate can be assured to be at an advanced gestational age if
neuromuscular development demonstrated increased:
a. hip flexion and adduction
b. popliteal angle
c. square window angle measurement - Correct Answer - c. square
window angle measurement
A premature infant demonstrates findings consistent with cholestasis. A
primary risk factor developing this condition is:
a. hypercalcemia
b. long term parenteral nutrition
c. structural renal disease - Correct Answer - b. long term parenteral
nutrition
pg. 1
,2|Page
The likely cause of hypomagnesemia in an asymptomatic twelve-hour
old neonate is:
a. immature renal function
b. maternal hyperparathyroidism
c. placental insufficiency - Correct Answer - c. placental insufficiency
transient tachypnea of the newborn is defined as what ttype of lung
disease?
a. inflammatory
b. obstructive
c. restrictive - Correct Answer - b. obstructive
What medication may be prescribed for a newborn with mild to
moderate ebstien's anomaly to help reduce right ventricular afterload and
improve blood flow across the pulmonary valve?
a. Prostaglandin E1
b. sildenafil
c. verapamil - Correct Answer - b. sildenafil
A 10 day old SGA infant presents with abdominal distention and
nonbilious emesis. A palpable mass is noted on physical exam. The most
likely diagnosis is:
a. gastric perforation
b. lactobezoar
c. pyloric stenosis - Correct Answer - b. lactobezoar
pg. 2
,3|Page
pathological conglomeration of milk and mucus in the stomach of
infants causing an gastric outlet obstruction
In a 1400g neonate, the volume of a IM injection in the anterior thigh
should not exceed:
a. 0.3
b. 0.5
c. 1.0 - Correct Answer - b. 0.5
A neonate has a firm, fluctuant mass over the cranial bone which does
not cross the suture line. This neonate should also be evaluated for:
a. a linear skull fracture
b. increased intracranial pressure
c. subdural hemorrhage - Correct Answer - a. a linear skull fracture
Orotracheal intubation is preferable to nasotracheal intubation during
acute neonatal resuscitation because:
a. a smaller size endotracheal tube can be utilized
b. it can be performed without additional equipment
c. the endotracheal tube is easier to stabilize - Correct Answer - b. it can
be performed without additional equipment
A neonate born at 41 weeks gestation remains cyanotic despite oxygen
administration. A soft murmur can be heard at the upper left sternal
pg. 3
, 4|Page
border. A chest x-ray reveals an increased heart size with decreased
pulmonary vascularity. These findings are consistent with:
a. Arterial septal defect
b. coarctation of the aorta
c. pulmonary atresia - Correct Answer - c. pulmonary atresia
A primary difference between the nutrient composition of human milk
and formula is in the:
a. carbohydrates
b. fats
c. protein - Correct Answer - c. protein
A disadvantage of continuous rental replacement therapy with
hemofiltration in the treatment of acute renal failure is that:
a. constant heparinization during therapy is required
b. it causes rapid solute and fluid shifts
c. the patient must be hemodynamically stable prior to therapy - Correct
Answer - a. constant heparinization during therapy is required
A neonate is born with bilateral dorsiflexion of the feet with limited
plantar flexion and inversion. Exam reveals free mobility of the foot to
passive manipulation. The NP should recognize that:
a. corrective surgery will be required
b. immobilization before three months is recommended
pg. 4
NNP 2 FINAL EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| NNP EXAM REVIEW 2025
(NEW!!)
The primary pathophysiology of meconium ileus is:
a. ganglionic deficiency
b. immaturity of gut motility
c. pancreatic insufficiency - Correct Answer - c. pancreatic insufficiency
A neonate can be assured to be at an advanced gestational age if
neuromuscular development demonstrated increased:
a. hip flexion and adduction
b. popliteal angle
c. square window angle measurement - Correct Answer - c. square
window angle measurement
A premature infant demonstrates findings consistent with cholestasis. A
primary risk factor developing this condition is:
a. hypercalcemia
b. long term parenteral nutrition
c. structural renal disease - Correct Answer - b. long term parenteral
nutrition
pg. 1
,2|Page
The likely cause of hypomagnesemia in an asymptomatic twelve-hour
old neonate is:
a. immature renal function
b. maternal hyperparathyroidism
c. placental insufficiency - Correct Answer - c. placental insufficiency
transient tachypnea of the newborn is defined as what ttype of lung
disease?
a. inflammatory
b. obstructive
c. restrictive - Correct Answer - b. obstructive
What medication may be prescribed for a newborn with mild to
moderate ebstien's anomaly to help reduce right ventricular afterload and
improve blood flow across the pulmonary valve?
a. Prostaglandin E1
b. sildenafil
c. verapamil - Correct Answer - b. sildenafil
A 10 day old SGA infant presents with abdominal distention and
nonbilious emesis. A palpable mass is noted on physical exam. The most
likely diagnosis is:
a. gastric perforation
b. lactobezoar
c. pyloric stenosis - Correct Answer - b. lactobezoar
pg. 2
,3|Page
pathological conglomeration of milk and mucus in the stomach of
infants causing an gastric outlet obstruction
In a 1400g neonate, the volume of a IM injection in the anterior thigh
should not exceed:
a. 0.3
b. 0.5
c. 1.0 - Correct Answer - b. 0.5
A neonate has a firm, fluctuant mass over the cranial bone which does
not cross the suture line. This neonate should also be evaluated for:
a. a linear skull fracture
b. increased intracranial pressure
c. subdural hemorrhage - Correct Answer - a. a linear skull fracture
Orotracheal intubation is preferable to nasotracheal intubation during
acute neonatal resuscitation because:
a. a smaller size endotracheal tube can be utilized
b. it can be performed without additional equipment
c. the endotracheal tube is easier to stabilize - Correct Answer - b. it can
be performed without additional equipment
A neonate born at 41 weeks gestation remains cyanotic despite oxygen
administration. A soft murmur can be heard at the upper left sternal
pg. 3
, 4|Page
border. A chest x-ray reveals an increased heart size with decreased
pulmonary vascularity. These findings are consistent with:
a. Arterial septal defect
b. coarctation of the aorta
c. pulmonary atresia - Correct Answer - c. pulmonary atresia
A primary difference between the nutrient composition of human milk
and formula is in the:
a. carbohydrates
b. fats
c. protein - Correct Answer - c. protein
A disadvantage of continuous rental replacement therapy with
hemofiltration in the treatment of acute renal failure is that:
a. constant heparinization during therapy is required
b. it causes rapid solute and fluid shifts
c. the patient must be hemodynamically stable prior to therapy - Correct
Answer - a. constant heparinization during therapy is required
A neonate is born with bilateral dorsiflexion of the feet with limited
plantar flexion and inversion. Exam reveals free mobility of the foot to
passive manipulation. The NP should recognize that:
a. corrective surgery will be required
b. immobilization before three months is recommended
pg. 4
