NNP Practice Exam (CCPR) Questions And 100%
Correct Answers 2024-2025
Indication of a plugged endotracheal tube is
a. condensation in the endotracheal tube
b. sudden decrease in chest wall movement
c. tachycardia - ANSWER b. sudden decrease in chest wall movement
A neonate has a low T4 and elevated TSH. The appropriate next step would be
a. begin thyroid hormone replacement therapy
b. monitor the infant for lethargy, hypotonia and feeding difficulties
c. repeat T4 and TSH levels at two months of age - ANSWER a. institute thyroid hormone
replacement therapy
A male neonate born at 32 weeks gestation has a nontender mass in the right testicle
measuring 4 cm. All of the following can facilitate differential diagnosis EXCEPT
a. palpation
b. transillumination
c. ultrasound evaluation - ANSWER b. transillumination
A two-week-old neonate who has been in the NICU is demonstrating habituation to
environmental stimuli. Habituation is best defined as
a. responsivity to external stimuli is diminishing
b. attention to a new stimulus is becoming more intense
c. forceful response to repeated stimuli - ANSWER a. responsivity to external stimuli is
diminishing
,At birth, which of the following senses becomes the neurodevelopmental interface
between the baby and the environment?
a. Auditory
b. Tactile
c. Visual - ANSWER b. Tactile
A newborn in respiratory distress has a chest x-ray showing unilateral or bilateral
streaky densities and confluent mottled, opacified areas. The nurse would anticipate the
initial intervention to be
a. institution of antibiotics
b. sepsis workup
c. surfactant administration - ANSWER b. sepsis workup
A neonate born to a mother given Demerol three hours prior to delivery is apneic and
cyanotic with heart rate of 74 at one hour after birth. The initial intervention should be
a. administration of naloxone 0.1mg/kg
b. bag and mask ventilation
c. placement of endotracheal tube - ANSWER b. bag and mask ventilation
The best recommendation for treatment of intraventricular hemorrhage is
a. management of ensuing problems
b. fluid restriction
c. Dopamine for blood pressure support - ANSWER a. management of ensuing problems
Which congenital heart defect is suspected when a systolic murmur is heard at the
location noted on the diagram?
a. Atrial septal defect
b. Pulmonary valve stenosis
c. Ventricular septal defect - ANSWER c. Ventricular septal defect
,A two day old neonate has an abdominal mass. The most likely cause is
a. adrenal hemorrhage
b. polycystic kidney
c. volvulur - ANSWER b. polycystic kidney
Nasal septum dislocation can be differentiated from normal variant of a misshapened
nose by performing
a. a compression test
b. sinus transillumination
c. x-ray - ANSWER a. a compression test
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 - ANSWER b. it can be performed without
additional equipment
After a traumatic delivery an infant's arm hangs limp by the side of the body and is
internally rotated. The forearm is extended but movement of the hand is not restricted.
After swelling and pain have subsided, the infant should be referred for
a. casting of the affected limb
b. physical therapy
c. surgical repair - ANSWER b. physical therapy
On physical examination of a 4100 gm male neonate, a firm scrotal mass is palpated.
The next step in the evaluation is
a. transillumination
, b. ultrasound
c. x-ray - ANSWER a. transillumination
The absence of which reflex distinguishes total brachial plexus palsy from Erb's palsy?
a. Grasp
b. Moro
c. Radical - ANSWER a. Grasp
A Neuromuscular development characteristic of prematurity includes increased
a. heel to ear resistance
b. hip flexion and adduction
c. popliteal angle - ANSWER c. popliteal angle
An infant is noted to have vertebral anomalies, a single umbilical artery, and a
tracheoesophageal fistula. What studies should you consider obtaining?
a. echocardiogram
b. eye exam
c. renal ultrasound - ANSWER c. renal ultrasound
The decreased ability of the preterm neonate to produce heat to maintain normal body
temperature is most related to
a. smaller numbers of thermal receptors in the skin
b. large skin surface area relative to mass
c. limited subcutaneous tissue and brown fat stores - ANWER c. limited subcutaneous
tissue and brown fat stores
The nurse should recognize that NICU auditory sounds are detrimental to a neonate's
neurobehavioral development and that most of the noise is produced by
a. machinery
Correct Answers 2024-2025
Indication of a plugged endotracheal tube is
a. condensation in the endotracheal tube
b. sudden decrease in chest wall movement
c. tachycardia - ANSWER b. sudden decrease in chest wall movement
A neonate has a low T4 and elevated TSH. The appropriate next step would be
a. begin thyroid hormone replacement therapy
b. monitor the infant for lethargy, hypotonia and feeding difficulties
c. repeat T4 and TSH levels at two months of age - ANSWER a. institute thyroid hormone
replacement therapy
A male neonate born at 32 weeks gestation has a nontender mass in the right testicle
measuring 4 cm. All of the following can facilitate differential diagnosis EXCEPT
a. palpation
b. transillumination
c. ultrasound evaluation - ANSWER b. transillumination
A two-week-old neonate who has been in the NICU is demonstrating habituation to
environmental stimuli. Habituation is best defined as
a. responsivity to external stimuli is diminishing
b. attention to a new stimulus is becoming more intense
c. forceful response to repeated stimuli - ANSWER a. responsivity to external stimuli is
diminishing
,At birth, which of the following senses becomes the neurodevelopmental interface
between the baby and the environment?
a. Auditory
b. Tactile
c. Visual - ANSWER b. Tactile
A newborn in respiratory distress has a chest x-ray showing unilateral or bilateral
streaky densities and confluent mottled, opacified areas. The nurse would anticipate the
initial intervention to be
a. institution of antibiotics
b. sepsis workup
c. surfactant administration - ANSWER b. sepsis workup
A neonate born to a mother given Demerol three hours prior to delivery is apneic and
cyanotic with heart rate of 74 at one hour after birth. The initial intervention should be
a. administration of naloxone 0.1mg/kg
b. bag and mask ventilation
c. placement of endotracheal tube - ANSWER b. bag and mask ventilation
The best recommendation for treatment of intraventricular hemorrhage is
a. management of ensuing problems
b. fluid restriction
c. Dopamine for blood pressure support - ANSWER a. management of ensuing problems
Which congenital heart defect is suspected when a systolic murmur is heard at the
location noted on the diagram?
a. Atrial septal defect
b. Pulmonary valve stenosis
c. Ventricular septal defect - ANSWER c. Ventricular septal defect
,A two day old neonate has an abdominal mass. The most likely cause is
a. adrenal hemorrhage
b. polycystic kidney
c. volvulur - ANSWER b. polycystic kidney
Nasal septum dislocation can be differentiated from normal variant of a misshapened
nose by performing
a. a compression test
b. sinus transillumination
c. x-ray - ANSWER a. a compression test
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 - ANSWER b. it can be performed without
additional equipment
After a traumatic delivery an infant's arm hangs limp by the side of the body and is
internally rotated. The forearm is extended but movement of the hand is not restricted.
After swelling and pain have subsided, the infant should be referred for
a. casting of the affected limb
b. physical therapy
c. surgical repair - ANSWER b. physical therapy
On physical examination of a 4100 gm male neonate, a firm scrotal mass is palpated.
The next step in the evaluation is
a. transillumination
, b. ultrasound
c. x-ray - ANSWER a. transillumination
The absence of which reflex distinguishes total brachial plexus palsy from Erb's palsy?
a. Grasp
b. Moro
c. Radical - ANSWER a. Grasp
A Neuromuscular development characteristic of prematurity includes increased
a. heel to ear resistance
b. hip flexion and adduction
c. popliteal angle - ANSWER c. popliteal angle
An infant is noted to have vertebral anomalies, a single umbilical artery, and a
tracheoesophageal fistula. What studies should you consider obtaining?
a. echocardiogram
b. eye exam
c. renal ultrasound - ANSWER c. renal ultrasound
The decreased ability of the preterm neonate to produce heat to maintain normal body
temperature is most related to
a. smaller numbers of thermal receptors in the skin
b. large skin surface area relative to mass
c. limited subcutaneous tissue and brown fat stores - ANWER c. limited subcutaneous
tissue and brown fat stores
The nurse should recognize that NICU auditory sounds are detrimental to a neonate's
neurobehavioral development and that most of the noise is produced by
a. machinery
