CCRN NEONATAL CERTIFICATION PRACTICE TEST
2025-2026 WITH 300 REAL EXAM PRACTICE
QUESTIONS WITH 100% CORRECT ANSWERS/
CCRN CERTIFICATION EXAM (NEONATAL)
Which of the following statements is MOST accurate when describing the availability of albumin
binding sites to bilirubin? - CORRECT ANSWER-Availability of bilirubin binding sites may be affected
by poor nutrition, medications, or intralipids.
Which of the following treatments may be used to decrease the need for exchange transfusion in
the newborn with extreme or critical hyperbilirubinemia? - CORRECT ANSWER-Intravenous
immunoglobulin
Which statement best supports organizational recommendations for prevention of kernicterus or
extreme hyperbilirubinemia? - CORRECT ANSWER-Provide follow up care based on the risk
assessment at the time of discharge. promote and support bf, measure tcb w in 24 hours, measure
all bili levels according to age in hours...
Which type of phototherapy unit provides higher than with traditional fluorescent bulbs? - CORRECT
ANSWER-LED banks and pads
Which white blood cell is MOST effective in the destruction of parasites in neonates with a parasitic
infection? - CORRECT ANSWER-Eosinophil
You have initiated phototherapy for a two day old preterm newborn with hyperbilirubinemia. After
six hours of phototherapy, the total serum bilirubin level is unchanged. What are your thoughts? -
CORRECT ANSWER-Irradiance level should be checked and skin exposure maximized.
Symptoms of Polycthemia - CORRECT ANSWER-Tachypnea, plethora, prolonged cap refill time
Symptoms of Anemia - CORRECT ANSWER-Pallor tachycardia tachypnea
Symptoms of Thrombocytopenia - CORRECT ANSWER-Petechiae, bleeding from IV site, bruising
,Function of granulocyte - CORRECT ANSWER-infection response
Function of thrombocyte - CORRECT ANSWER-hemostasis
Function of hemoglobin - CORRECT ANSWER-oxygen carrying protein
Function of erythrocyte - CORRECT ANSWER-transports oxygen and carbon dioxide
Function of T cell - CORRECT ANSWER-cellular immunity
Function of immunoglobulin - CORRECT ANSWER-specific antibody-mediated response
Risk factors for hyperbilirubinemia - CORRECT ANSWER-prematurity, exclusive breastfeeding,
infection, hemoglobinopathies, isoimmunization, polycythemia, delayed meconium passage,
cephalohematoma
The MOST common signs of pyloric stenosis include - CORRECT ANSWER-non-bilious emesis that
becomes frequent and projectile.
The standard for diagnosing gastroesophageal reflux disorder includes which of the following? -
CORRECT ANSWER-pH probe test
The clinical presentation of esophageal atresia and tracheoesophageal fistula includes all of the
following EXCEPT - CORRECT ANSWER-history of oligohydramnios.
The etiology of necrotizing enterocolitis includes all of the following EXCEPT - CORRECT ANSWER-
breast milk feedings.
Maturation of the gastrointestinal tract is MOST influenced by - CORRECT ANSWER-initiation of
feeding.
, Routine postoperative care of an infant with a repair of a tracheoesophageal fistula includes which
of the following? - CORRECT ANSWER-If the orogastric tube is dislodged, call the surgical staff to
replace it.
Duodenal atresia is strongly suggested when the abdominal x-ray shows - CORRECT ANSWER-
double-bubble sign.
The purpose of minimal enteral feedings is to - CORRECT ANSWER-prevent the intestinal mucosa
from atrophying.
Nursing care for the infant with surgical repair of an abdominal wall defect would include - CORRECT
ANSWER-observing for signs of increased intra-abdominal pressure.
Gastroesophageal reflux is associated with - CORRECT ANSWER-delayed gastric emptying.
The most common finding when a neonate presents with gastroschisis is a(n) - CORRECT ANSWER-
intestinal malrotation.
Which of the following is an isolated defect and is NOT associated with other anomalies,
associations, or syndromes? - CORRECT ANSWER-Gastroschesis
By which gestational age does the fetus develop the esophageal sphincter and limited motility in the
gut? - CORRECT ANSWER-28 weeks
A GI series may reveal a "transition zone" in which of the following clinical conditions? - CORRECT
ANSWER-Hirschprung's disease
The neonate with a complicated meconium ileus will MOST often present with which of the
following signs? - CORRECT ANSWER-Respiratory distress and sepsis
A meconium plug is associated with of the following conditions? - CORRECT ANSWER-Uncontrolled
maternal diabetes
The standard for diagnosing necrotizing enterocolitis is which of the following? - CORRECT ANSWER-
abdominal xray
2025-2026 WITH 300 REAL EXAM PRACTICE
QUESTIONS WITH 100% CORRECT ANSWERS/
CCRN CERTIFICATION EXAM (NEONATAL)
Which of the following statements is MOST accurate when describing the availability of albumin
binding sites to bilirubin? - CORRECT ANSWER-Availability of bilirubin binding sites may be affected
by poor nutrition, medications, or intralipids.
Which of the following treatments may be used to decrease the need for exchange transfusion in
the newborn with extreme or critical hyperbilirubinemia? - CORRECT ANSWER-Intravenous
immunoglobulin
Which statement best supports organizational recommendations for prevention of kernicterus or
extreme hyperbilirubinemia? - CORRECT ANSWER-Provide follow up care based on the risk
assessment at the time of discharge. promote and support bf, measure tcb w in 24 hours, measure
all bili levels according to age in hours...
Which type of phototherapy unit provides higher than with traditional fluorescent bulbs? - CORRECT
ANSWER-LED banks and pads
Which white blood cell is MOST effective in the destruction of parasites in neonates with a parasitic
infection? - CORRECT ANSWER-Eosinophil
You have initiated phototherapy for a two day old preterm newborn with hyperbilirubinemia. After
six hours of phototherapy, the total serum bilirubin level is unchanged. What are your thoughts? -
CORRECT ANSWER-Irradiance level should be checked and skin exposure maximized.
Symptoms of Polycthemia - CORRECT ANSWER-Tachypnea, plethora, prolonged cap refill time
Symptoms of Anemia - CORRECT ANSWER-Pallor tachycardia tachypnea
Symptoms of Thrombocytopenia - CORRECT ANSWER-Petechiae, bleeding from IV site, bruising
,Function of granulocyte - CORRECT ANSWER-infection response
Function of thrombocyte - CORRECT ANSWER-hemostasis
Function of hemoglobin - CORRECT ANSWER-oxygen carrying protein
Function of erythrocyte - CORRECT ANSWER-transports oxygen and carbon dioxide
Function of T cell - CORRECT ANSWER-cellular immunity
Function of immunoglobulin - CORRECT ANSWER-specific antibody-mediated response
Risk factors for hyperbilirubinemia - CORRECT ANSWER-prematurity, exclusive breastfeeding,
infection, hemoglobinopathies, isoimmunization, polycythemia, delayed meconium passage,
cephalohematoma
The MOST common signs of pyloric stenosis include - CORRECT ANSWER-non-bilious emesis that
becomes frequent and projectile.
The standard for diagnosing gastroesophageal reflux disorder includes which of the following? -
CORRECT ANSWER-pH probe test
The clinical presentation of esophageal atresia and tracheoesophageal fistula includes all of the
following EXCEPT - CORRECT ANSWER-history of oligohydramnios.
The etiology of necrotizing enterocolitis includes all of the following EXCEPT - CORRECT ANSWER-
breast milk feedings.
Maturation of the gastrointestinal tract is MOST influenced by - CORRECT ANSWER-initiation of
feeding.
, Routine postoperative care of an infant with a repair of a tracheoesophageal fistula includes which
of the following? - CORRECT ANSWER-If the orogastric tube is dislodged, call the surgical staff to
replace it.
Duodenal atresia is strongly suggested when the abdominal x-ray shows - CORRECT ANSWER-
double-bubble sign.
The purpose of minimal enteral feedings is to - CORRECT ANSWER-prevent the intestinal mucosa
from atrophying.
Nursing care for the infant with surgical repair of an abdominal wall defect would include - CORRECT
ANSWER-observing for signs of increased intra-abdominal pressure.
Gastroesophageal reflux is associated with - CORRECT ANSWER-delayed gastric emptying.
The most common finding when a neonate presents with gastroschisis is a(n) - CORRECT ANSWER-
intestinal malrotation.
Which of the following is an isolated defect and is NOT associated with other anomalies,
associations, or syndromes? - CORRECT ANSWER-Gastroschesis
By which gestational age does the fetus develop the esophageal sphincter and limited motility in the
gut? - CORRECT ANSWER-28 weeks
A GI series may reveal a "transition zone" in which of the following clinical conditions? - CORRECT
ANSWER-Hirschprung's disease
The neonate with a complicated meconium ileus will MOST often present with which of the
following signs? - CORRECT ANSWER-Respiratory distress and sepsis
A meconium plug is associated with of the following conditions? - CORRECT ANSWER-Uncontrolled
maternal diabetes
The standard for diagnosing necrotizing enterocolitis is which of the following? - CORRECT ANSWER-
abdominal xray
