CCPR 2024 NNP Test Questions And 100%
Correct Answers
A normal blood finding in the term neonate on day one of life is:
a. a hematocrit of 65%
b. a hemoglobin level of 18 g/dL
c. erythrocyte count of 3 million - ANSWER b. a hemoglobin level of 18 g/dL
The principle action of volume expanders during resuscitation is to:
a. address myocardial decompensation
b. facilitate peripheral vasoconstriction
c. maintain cardiac output and blood pressure - ANSWER c. maintain cardiac output and
blood pressure
A two day old neonate has an abdominal mass. The most likely cause is:
a. adrenal hemorrhage
b. polycystic kidney
c. volvulus - ANSWER b. polycystic kidney
Renal is the most common cause of abdominal masses in newborn period.
Neonates have a heightened risk of hypochloremia if they :
a. were asphyxiated during birth
b. had protracted diarrhoea
c. have been overtreated with diuretics - ANSWER c. have been overtreated with
diuretics
,A decision to provide morphine to a dying infant is framed by the principle of:
a. autonomy
b. nonmaleficence
c. justice - ANSWER b. nonmaleficence
justice = equal opportunity to all
autonomy = allowed to take direction in accordance to own/best self interest
The first sign of hypothermia in a critically ill neonate is a drop in which temperature?
a. axillary
b. rectal
c. skin - ANSWER c. skin
A preterm infant is born with cutaneous pinkish-gray granulomas. This finding is
characteristic of infection with:
a. candida albicans
b. listeria monocytogenes
c. toxoplasma gondii - ANSWER b. listeria monocytogenes
Limited horizontal nystagmus resolves by:
a. 1-2 months of age
b. 2-3 months of age
c. 3-4 months of age - ANSWER c. 3-4 months of age
Infants with bronchopulmonary dysplasia have increased energy needs, often as much
as:
a. 10-20%
,b. 20-40%
c. 40-60% - ANSWER b. 20-40%
What are the protein requirements for term infants?
a. 2 g/kg/day
b. 3 g/kg/day
c. 4 g/kg/day - ANSWER b. 3 g/kg/day
Preterm may require 3.5-4 g/kg/day. Minimum is 2 g/kg/day
Rib fractures are noted on routine chest x-ray on a 3 month old premature infant. The
most likely cause of this finding is:
a. congenital hypoparathyroidism
b. inadequate calcium and phosphorus intake
c. malabsorption-induced vitamin D deficiency - ANSWER b. dietary deficiencies of
calcium and phosphorus
Drug of choice in the treatment of opioid withdrawal:
a. diazepam
b. oral morphine
c. pheobarbital - ANSWER b. oral morphine
A neonate in acute renal failure needs to receive a short acting narcotic analgesic. The
agent of choice is :
a. fentanyl
b. morphine
c. sufentanil - ANSWER a. fentanyl
, A term neonate born to an HBsAg positive mother is being discharged three months
after birth following surgery for a cardiac condition. Mother requests when the next Hep
b immunization should be given. The NP should advise that it be given at:
a. four months
b. six months
c. twelve months - ANSWER b. six months
A term, small for gestational age neonate at 4 hours of life is tachypneic, plethoric,
lethargic, and has a blood sugar of 53 mg/dL and a central hematrocrit of 70%. The most
likely diagnosis is:
a. hyperviscosity
b. hypocalcemia
c. hypoglycemia - ANSWER a. hyperviscosity
A factor that would result in increased insensible water loss in neonates is:
a. hypothermia
b. phototherapy
c. postmaturity - ANSWER b. phototherapy
A neonate has a flat reddish birthmark with sharply delineated edges on the nape of the
neck. If pressure is applied to the birthmark, there is minimum blanching. This finding is
consistent with:
a. infantile hemangioma
b. nevus simplex
c. port wine stain - ANSWER c. port wine stain
nevus simplex does blanch.
A newborn is delivered to a mother with a positive TB test but who has no manifestations
of the active disease. Care for this newborn would include:
Correct Answers
A normal blood finding in the term neonate on day one of life is:
a. a hematocrit of 65%
b. a hemoglobin level of 18 g/dL
c. erythrocyte count of 3 million - ANSWER b. a hemoglobin level of 18 g/dL
The principle action of volume expanders during resuscitation is to:
a. address myocardial decompensation
b. facilitate peripheral vasoconstriction
c. maintain cardiac output and blood pressure - ANSWER c. maintain cardiac output and
blood pressure
A two day old neonate has an abdominal mass. The most likely cause is:
a. adrenal hemorrhage
b. polycystic kidney
c. volvulus - ANSWER b. polycystic kidney
Renal is the most common cause of abdominal masses in newborn period.
Neonates have a heightened risk of hypochloremia if they :
a. were asphyxiated during birth
b. had protracted diarrhoea
c. have been overtreated with diuretics - ANSWER c. have been overtreated with
diuretics
,A decision to provide morphine to a dying infant is framed by the principle of:
a. autonomy
b. nonmaleficence
c. justice - ANSWER b. nonmaleficence
justice = equal opportunity to all
autonomy = allowed to take direction in accordance to own/best self interest
The first sign of hypothermia in a critically ill neonate is a drop in which temperature?
a. axillary
b. rectal
c. skin - ANSWER c. skin
A preterm infant is born with cutaneous pinkish-gray granulomas. This finding is
characteristic of infection with:
a. candida albicans
b. listeria monocytogenes
c. toxoplasma gondii - ANSWER b. listeria monocytogenes
Limited horizontal nystagmus resolves by:
a. 1-2 months of age
b. 2-3 months of age
c. 3-4 months of age - ANSWER c. 3-4 months of age
Infants with bronchopulmonary dysplasia have increased energy needs, often as much
as:
a. 10-20%
,b. 20-40%
c. 40-60% - ANSWER b. 20-40%
What are the protein requirements for term infants?
a. 2 g/kg/day
b. 3 g/kg/day
c. 4 g/kg/day - ANSWER b. 3 g/kg/day
Preterm may require 3.5-4 g/kg/day. Minimum is 2 g/kg/day
Rib fractures are noted on routine chest x-ray on a 3 month old premature infant. The
most likely cause of this finding is:
a. congenital hypoparathyroidism
b. inadequate calcium and phosphorus intake
c. malabsorption-induced vitamin D deficiency - ANSWER b. dietary deficiencies of
calcium and phosphorus
Drug of choice in the treatment of opioid withdrawal:
a. diazepam
b. oral morphine
c. pheobarbital - ANSWER b. oral morphine
A neonate in acute renal failure needs to receive a short acting narcotic analgesic. The
agent of choice is :
a. fentanyl
b. morphine
c. sufentanil - ANSWER a. fentanyl
, A term neonate born to an HBsAg positive mother is being discharged three months
after birth following surgery for a cardiac condition. Mother requests when the next Hep
b immunization should be given. The NP should advise that it be given at:
a. four months
b. six months
c. twelve months - ANSWER b. six months
A term, small for gestational age neonate at 4 hours of life is tachypneic, plethoric,
lethargic, and has a blood sugar of 53 mg/dL and a central hematrocrit of 70%. The most
likely diagnosis is:
a. hyperviscosity
b. hypocalcemia
c. hypoglycemia - ANSWER a. hyperviscosity
A factor that would result in increased insensible water loss in neonates is:
a. hypothermia
b. phototherapy
c. postmaturity - ANSWER b. phototherapy
A neonate has a flat reddish birthmark with sharply delineated edges on the nape of the
neck. If pressure is applied to the birthmark, there is minimum blanching. This finding is
consistent with:
a. infantile hemangioma
b. nevus simplex
c. port wine stain - ANSWER c. port wine stain
nevus simplex does blanch.
A newborn is delivered to a mother with a positive TB test but who has no manifestations
of the active disease. Care for this newborn would include:
