NNP Practice Exam (CCPR 2017)
Study online at https://quizlet.com/_hmzkxb
1. A 32 week gestation infant with decreased renal func- a. amphotericin B lipid
tion develops systemic candidiasis. The best choice of complex
antifungal therapy for this baby is
amphotericin B is chosen
a. amphotericin B lipid complex for tx for all candida in-
b. fluconazole fections because of its ef-
c. flucytosine ficacy, safety, decreased
cost and better renal pen-
etrance.
This baby need ampho B
with a lipid complex bc it is
less nephrotoxic.
fluconazole is used in
many NICUs as candi-
da prophylaxis and should
not be used for systemic
fungal infections
2. Increased bowel sounds are indicative of b. Malrotation
a. Ileus
b. Malrotation
c. Starvation
3. Infants with Beckwith-Wiedemann syndrome have a b. Omphalocele
high risk for which anomaly?
a. Microglossia
b. Omphalocele
c. Volvulus
4.
, NNP Practice Exam (CCPR 2017)
Study online at https://quizlet.com/_hmzkxb
A term neonate is found to have ambiguous genitalia. a. blood electrolytes
The anticipated immediate action would include ob-
taining CAH is most common
cause of ambiguous gen-
a. blood electrolytes italia and adrenal crisis, or
b. intravenous pyelogram insufficiency is a compli-
c. pelvic ultrasound cation that can develop
5. 4. Plethora can be seen in infants who are b. overheated
a. overfed
b. overheated environmental hyperther-
c. stimulated mia can cause flush-
ing/ruddy appearance
with vasodilation
6. Neonatal manifestation of systemic lupus erythe- c. placental transfer of an-
matosus is attributed to tibodies to the fetus
a. interference with protein synthesis
b. maternal deficiency of autoantibodies and immune
complexes
c. placental transfer of antibodies to the fetus
7. In a 26 week gestational age neonate, the expected b. no resistance to heel to
physical findings would include a ear maneuver
a. barely apparent Moro reflex
b. no resistance to heel to ear maneuver
c. weak finger grasp
8. A female neonate was delivered at 28 weeks gesta- c. Listeria monocyto-
tion. The amniotic fluid was meconium stained. Phys- genes
ical examination shows a erythematores rash with
Small (2- to 3-mm) cuta-
, NNP Practice Exam (CCPR 2017)
Study online at https://quizlet.com/_hmzkxb
small, pale papules. Tone is poor and the infant has neous pinkish-gray gran-
had several episodes of apnea. Infection is suspect- ulomas, termed granu-
ed. The organism most likely responsible for this lomatosis infantisepticum,
neonate's symptoms is are characteristic of severe
newborn infection.
a. Escherichia coli
b. Group B streptococcus fetal diarrhea, premature
c. Listeria monocytogenes infants don't pass meconi-
um in utero
9. A neonate is receiving a calcium infusion for treat- c. place the infant on a car-
ment of hypocalcemia. The nurse should diac monitor
a. monitor for oxygen saturation changes
b. obtain an EKG before and after the infusion
c. place the infant on a cardiac monitor
10. Patients with respiratory distress syndrome exhibit a. generate high intratho-
prominent retractions with respiratory effort. This is racic pressures
due to the work required to
a. generate high intrathoracic pressures
b. overcome the negative intrapleural pressure gener-
ated by contraction of the diaphragm and the respira-
tory muscles
c. trap alveolar air and maintain functional residual
capacity
11. Assessment of a term neonate is as fol- b. rubella
lows: IUGR, microcephaly, congenital cataracts, he-
patosplenomegaly, and jaundice. Based on these find- Rubella's classic s/s (pda,
ings, the most likely diagnosis is congenital cataracts, hearing loss)
a. cytomegalovirus jaundice, HSM, BBMR
, NNP Practice Exam (CCPR 2017)
Study online at https://quizlet.com/_hmzkxb
b. rubella
c. toxoplasmosis
12. Infants born to mothers with myasthenia gravis a. are at risk for aspiration
a. are at risk for aspiration
b. will present with symptoms within first 12 hours of
life.
c. transient myasthenia gravis will resolve sponta-
neously around 6 months of age.
13. Based on the intrauterine growth chart shown, this b. term, AGA
neonate would be classified as (38wks, 25th per-
centile)
a. post-term, SGA
b. term, AGA
c. term, SGA
14. Continued posturing of a limb is characteristic of c. tonic seizures
a. clonic seizures
b. myoclonic seizures
c. tonic seizures
15. A disadvantage of continuous renal replacement ther- a. constant heparinization
apy with hemofiltration in the treatment of acute renal during therapy is required
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
16. The hallmark finding of pneumatosis intestinalis is a. air within the wall of the
a. air within the wall of the intestine intestine
Study online at https://quizlet.com/_hmzkxb
1. A 32 week gestation infant with decreased renal func- a. amphotericin B lipid
tion develops systemic candidiasis. The best choice of complex
antifungal therapy for this baby is
amphotericin B is chosen
a. amphotericin B lipid complex for tx for all candida in-
b. fluconazole fections because of its ef-
c. flucytosine ficacy, safety, decreased
cost and better renal pen-
etrance.
This baby need ampho B
with a lipid complex bc it is
less nephrotoxic.
fluconazole is used in
many NICUs as candi-
da prophylaxis and should
not be used for systemic
fungal infections
2. Increased bowel sounds are indicative of b. Malrotation
a. Ileus
b. Malrotation
c. Starvation
3. Infants with Beckwith-Wiedemann syndrome have a b. Omphalocele
high risk for which anomaly?
a. Microglossia
b. Omphalocele
c. Volvulus
4.
, NNP Practice Exam (CCPR 2017)
Study online at https://quizlet.com/_hmzkxb
A term neonate is found to have ambiguous genitalia. a. blood electrolytes
The anticipated immediate action would include ob-
taining CAH is most common
cause of ambiguous gen-
a. blood electrolytes italia and adrenal crisis, or
b. intravenous pyelogram insufficiency is a compli-
c. pelvic ultrasound cation that can develop
5. 4. Plethora can be seen in infants who are b. overheated
a. overfed
b. overheated environmental hyperther-
c. stimulated mia can cause flush-
ing/ruddy appearance
with vasodilation
6. Neonatal manifestation of systemic lupus erythe- c. placental transfer of an-
matosus is attributed to tibodies to the fetus
a. interference with protein synthesis
b. maternal deficiency of autoantibodies and immune
complexes
c. placental transfer of antibodies to the fetus
7. In a 26 week gestational age neonate, the expected b. no resistance to heel to
physical findings would include a ear maneuver
a. barely apparent Moro reflex
b. no resistance to heel to ear maneuver
c. weak finger grasp
8. A female neonate was delivered at 28 weeks gesta- c. Listeria monocyto-
tion. The amniotic fluid was meconium stained. Phys- genes
ical examination shows a erythematores rash with
Small (2- to 3-mm) cuta-
, NNP Practice Exam (CCPR 2017)
Study online at https://quizlet.com/_hmzkxb
small, pale papules. Tone is poor and the infant has neous pinkish-gray gran-
had several episodes of apnea. Infection is suspect- ulomas, termed granu-
ed. The organism most likely responsible for this lomatosis infantisepticum,
neonate's symptoms is are characteristic of severe
newborn infection.
a. Escherichia coli
b. Group B streptococcus fetal diarrhea, premature
c. Listeria monocytogenes infants don't pass meconi-
um in utero
9. A neonate is receiving a calcium infusion for treat- c. place the infant on a car-
ment of hypocalcemia. The nurse should diac monitor
a. monitor for oxygen saturation changes
b. obtain an EKG before and after the infusion
c. place the infant on a cardiac monitor
10. Patients with respiratory distress syndrome exhibit a. generate high intratho-
prominent retractions with respiratory effort. This is racic pressures
due to the work required to
a. generate high intrathoracic pressures
b. overcome the negative intrapleural pressure gener-
ated by contraction of the diaphragm and the respira-
tory muscles
c. trap alveolar air and maintain functional residual
capacity
11. Assessment of a term neonate is as fol- b. rubella
lows: IUGR, microcephaly, congenital cataracts, he-
patosplenomegaly, and jaundice. Based on these find- Rubella's classic s/s (pda,
ings, the most likely diagnosis is congenital cataracts, hearing loss)
a. cytomegalovirus jaundice, HSM, BBMR
, NNP Practice Exam (CCPR 2017)
Study online at https://quizlet.com/_hmzkxb
b. rubella
c. toxoplasmosis
12. Infants born to mothers with myasthenia gravis a. are at risk for aspiration
a. are at risk for aspiration
b. will present with symptoms within first 12 hours of
life.
c. transient myasthenia gravis will resolve sponta-
neously around 6 months of age.
13. Based on the intrauterine growth chart shown, this b. term, AGA
neonate would be classified as (38wks, 25th per-
centile)
a. post-term, SGA
b. term, AGA
c. term, SGA
14. Continued posturing of a limb is characteristic of c. tonic seizures
a. clonic seizures
b. myoclonic seizures
c. tonic seizures
15. A disadvantage of continuous renal replacement ther- a. constant heparinization
apy with hemofiltration in the treatment of acute renal during therapy is required
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
16. The hallmark finding of pneumatosis intestinalis is a. air within the wall of the
a. air within the wall of the intestine intestine
