Critical Care Nursing (Neonatal) (CCN(C) P
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ractice Exam Questions And Correct Answ
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ers (Verified Answers) Plus Rationales 202
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6|2027 Q&A | Instant Download Pdf
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1. A term neonate is apneic at birth. First step in neonatal resuscitation is
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:
a. Chest compressions
v
b. Endotracheal intubation v
c. Provide positive-pressure ventilation (PPV)
v v v
d. Administer epinephrine
v
Answer: c. Provide positive-pressure ventilation (PPV)
v v v v v
, Rationale: PPV is indicated when the neonate is apneic or has inadequa
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te respirations to establish effective ventilation.
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2. Initial oxygen concentration for PPV in term newborns should be:
v v v v v v v v v
a. 100%
b. 21–30%
c. 40–60%
d. 80–100%
Answer: b. 21–30% v v
Rationale: Start low for term infants and titrate by pulse oximetry to av
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oid hyperoxia.
v
3. Heart rate after birth guides resuscitation. If HR <60 bpm despite e
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ffective ventilation, next step is:
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a. Continue ventilation only v v
b. Begin chest compressions and coordinate with ventilation
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c. Give surfactantv
d. Start cooling v
Answer: b. Begin chest compressions and coordinate with ventilation
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Rationale: Compress at a 3:1 ratio with ventilations when HR remains
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<60 bpm despite adequate ventilation.
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4. Surfactant therapy is most appropriate for neonates with:
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a. Transient tachypnea of the newborn v v v v
b. Respiratory distress syndrome (RDS) from surfactant deficiency
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c. Meconium aspiration without RDS v v v
, d. Bronchiolitis
Answer: b. Respiratory distress syndrome (RDS) from surfactant deficie
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ncy
Rationale: Exogenous surfactant reduces alveolar surface tension in pr
v v v v v v v v
eterm RDS and improves oxygenation.
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5. Optimal target preductal oxygen saturation at 5 minutes of life is a
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pproximately:
a. 45%
b. 60%
c. 80–85%
d. 95%
Answer: c. 80–85% v v
Rationale: Normal transitional SpO2 values rise gradually; targets guid
v v v v v v v v
e oxygen titration during resuscitation.
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6. For thermoregulation, a very low birth weight infant should be placed in
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:
a. Open crib at room temperature
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b. Bassinet with warm blankets v v v
c. Radiant warmer or incubator with servo control and plastic wrap f
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or delivery
v
d. On the mother’s chest only
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Answer: c. Radiant warmer or incubator with servo control and pl
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astic wrap for delivery
v v v
, Rationale: Preterm and VLBW infants lose heat rapidly; servo-
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controlled devices and plastic wrap reduce heat loss.
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7. Umbilical arterial catheter placement is indicated primarily to:
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a. Deliver enteral feedings v v
b. Monitor arterial blood pressure and obtain blood gases
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c. Give high-volume parenteral nutrition
v v v
d. Remove excess air from abdomen v v v v
Answer: b. Monitor arterial blood pressure and obtain blood gases Rati
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onale: UACs provide reliable arterial access for continuous BP monitori
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ng and blood sampling.
v v v
8. Central line-associated bloodstream infection prevention includes:
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a. Routine line changes every 24 hoursv v v v v
b. Strict aseptic insertion technique and line maintenance bundles
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c. Using an umbilical catheter indefinitely
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d. Frequent dressing removal to inspect site daily
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Answer: b. Strict aseptic insertion technique and line maintenance bun
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dles
Rationale: Bundles (hand hygiene, maximal barriers, chlorhexidine, ste
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rile dressing) reduce CLABSI rates.
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9. Neonatal hypoglycemia is commonly defined as blood glucose below:
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a. 3.0 mmol/L (54 mg/dL) for all ages
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b. 2.6 mmol/L (47 mg/dL) in the first 48 hours
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c. 1.0 mmol/L (18 mg/dL) at any time
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v v v v v
ractice Exam Questions And Correct Answ
v v v v v
ers (Verified Answers) Plus Rationales 202
v v v v v
6|2027 Q&A | Instant Download Pdf
v v v v v
1. A term neonate is apneic at birth. First step in neonatal resuscitation is
v v v v v v v v v v v v v
:
a. Chest compressions
v
b. Endotracheal intubation v
c. Provide positive-pressure ventilation (PPV)
v v v
d. Administer epinephrine
v
Answer: c. Provide positive-pressure ventilation (PPV)
v v v v v
, Rationale: PPV is indicated when the neonate is apneic or has inadequa
v v v v v v v v v v v
te respirations to establish effective ventilation.
v v v v v
2. Initial oxygen concentration for PPV in term newborns should be:
v v v v v v v v v
a. 100%
b. 21–30%
c. 40–60%
d. 80–100%
Answer: b. 21–30% v v
Rationale: Start low for term infants and titrate by pulse oximetry to av
v v v v v v v v v v v v
oid hyperoxia.
v
3. Heart rate after birth guides resuscitation. If HR <60 bpm despite e
v v v v v v v v v v v
ffective ventilation, next step is:
v v v v
a. Continue ventilation only v v
b. Begin chest compressions and coordinate with ventilation
v v v v v v
c. Give surfactantv
d. Start cooling v
Answer: b. Begin chest compressions and coordinate with ventilation
v v v v v v v v
Rationale: Compress at a 3:1 ratio with ventilations when HR remains
v v v v v v v v v v
<60 bpm despite adequate ventilation.
v v v v
4. Surfactant therapy is most appropriate for neonates with:
v v v v v v v
a. Transient tachypnea of the newborn v v v v
b. Respiratory distress syndrome (RDS) from surfactant deficiency
v v v v v v
c. Meconium aspiration without RDS v v v
, d. Bronchiolitis
Answer: b. Respiratory distress syndrome (RDS) from surfactant deficie
v v v v v v v v
ncy
Rationale: Exogenous surfactant reduces alveolar surface tension in pr
v v v v v v v v
eterm RDS and improves oxygenation.
v v v v
5. Optimal target preductal oxygen saturation at 5 minutes of life is a
v v v v v v v v v v v
pproximately:
a. 45%
b. 60%
c. 80–85%
d. 95%
Answer: c. 80–85% v v
Rationale: Normal transitional SpO2 values rise gradually; targets guid
v v v v v v v v
e oxygen titration during resuscitation.
v v v v
6. For thermoregulation, a very low birth weight infant should be placed in
v v v v v v v v v v v
:
a. Open crib at room temperature
v v v v
b. Bassinet with warm blankets v v v
c. Radiant warmer or incubator with servo control and plastic wrap f
v v v v v v v v v v
or delivery
v
d. On the mother’s chest only
v v v v
Answer: c. Radiant warmer or incubator with servo control and pl
v v v v v v v v v v
astic wrap for delivery
v v v
, Rationale: Preterm and VLBW infants lose heat rapidly; servo-
v v v v v v v v
controlled devices and plastic wrap reduce heat loss.
v v v v v v v
7. Umbilical arterial catheter placement is indicated primarily to:
v v v v v v v
a. Deliver enteral feedings v v
b. Monitor arterial blood pressure and obtain blood gases
v v v v v v v
c. Give high-volume parenteral nutrition
v v v
d. Remove excess air from abdomen v v v v
Answer: b. Monitor arterial blood pressure and obtain blood gases Rati
v v v v v v v v v v
onale: UACs provide reliable arterial access for continuous BP monitori
v v v v v v v v v
ng and blood sampling.
v v v
8. Central line-associated bloodstream infection prevention includes:
v v v v v
a. Routine line changes every 24 hoursv v v v v
b. Strict aseptic insertion technique and line maintenance bundles
v v v v v v v
c. Using an umbilical catheter indefinitely
v v v v
d. Frequent dressing removal to inspect site daily
v v v v v v
Answer: b. Strict aseptic insertion technique and line maintenance bun
v v v v v v v v v
dles
Rationale: Bundles (hand hygiene, maximal barriers, chlorhexidine, ste
v v v v v v v
rile dressing) reduce CLABSI rates.
v v v v
9. Neonatal hypoglycemia is commonly defined as blood glucose below:
v v v v v v v v
a. 3.0 mmol/L (54 mg/dL) for all ages
v v v v v v
b. 2.6 mmol/L (47 mg/dL) in the first 48 hours
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c. 1.0 mmol/L (18 mg/dL) at any time
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