©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NNP Practice Exam (CCPR) Questions
and Answers 100% Solved
Indication of a plugged endotracheal tube is
a. condensation in the endotracheal tube
b. sudden decrease in chest wall movement
c. tachycardia - ✔✔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. recheck T4 and TSH levels at two months of age - ✔✔a. begin thyroid
hormone replacement therapy
A 32 week gestational age male neonate has a 4 cm nontender mass in the
right testicle. Differential diagnosis can be faciliated by
a. palpation
b. transillumination
c. ultrasound evaluation - ✔✔b. transillumination
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
A neonate who has been in the NICU for two weeks is demonstrating
habituation in response to environmental stimuli. Habituation is best
defined as
a. decreasing responsivity to external stimuli
b. increasing attention to a new stimulus
c. reacting vigorously to repeated stimuli - ✔✔a. decreasing responsivity to
external stimuli
Which sense becomes the neurodevelopmental interface between the
infant and the world at birth?
a. Auditory
b. Tactile
c. Visual - ✔✔b. Tactile
A newborn with respiratory distress has a chest x-ray that reveals unilateral
or bilateral streaky densities and confluent mottled, opacified areas. The
nurse should anticipate that initial intervention should be
a. initiation of antibiotics
b. sepsis workup
c. surfactant administration - ✔✔b. sepsis workup
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
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 - ✔✔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 - ✔✔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 - ✔✔c. Ventricular septal defect
A two day old neonate has an abdominal mass. The most likely cause is
a. adrenal hemorrhage
b. polycystic kidney
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
c. volvulur - ✔✔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 - ✔✔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 - ✔✔b. it can be performed
without additional equipment
Following a traumatic delivery, a neonate's arm falls motionless along the
side of the body and is rotated inwards. Extension of the forearm is present
but there is no limitation on the movement of the hand. Once localized
edema and pain diminished, the neonate should be referred for
a. casting of the affected limb
b. physical therapy
c. surgical repair - ✔✔b. physical therapy
NNP Practice Exam (CCPR) Questions
and Answers 100% Solved
Indication of a plugged endotracheal tube is
a. condensation in the endotracheal tube
b. sudden decrease in chest wall movement
c. tachycardia - ✔✔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. recheck T4 and TSH levels at two months of age - ✔✔a. begin thyroid
hormone replacement therapy
A 32 week gestational age male neonate has a 4 cm nontender mass in the
right testicle. Differential diagnosis can be faciliated by
a. palpation
b. transillumination
c. ultrasound evaluation - ✔✔b. transillumination
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
A neonate who has been in the NICU for two weeks is demonstrating
habituation in response to environmental stimuli. Habituation is best
defined as
a. decreasing responsivity to external stimuli
b. increasing attention to a new stimulus
c. reacting vigorously to repeated stimuli - ✔✔a. decreasing responsivity to
external stimuli
Which sense becomes the neurodevelopmental interface between the
infant and the world at birth?
a. Auditory
b. Tactile
c. Visual - ✔✔b. Tactile
A newborn with respiratory distress has a chest x-ray that reveals unilateral
or bilateral streaky densities and confluent mottled, opacified areas. The
nurse should anticipate that initial intervention should be
a. initiation of antibiotics
b. sepsis workup
c. surfactant administration - ✔✔b. sepsis workup
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
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 - ✔✔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 - ✔✔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 - ✔✔c. Ventricular septal defect
A two day old neonate has an abdominal mass. The most likely cause is
a. adrenal hemorrhage
b. polycystic kidney
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
c. volvulur - ✔✔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 - ✔✔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 - ✔✔b. it can be performed
without additional equipment
Following a traumatic delivery, a neonate's arm falls motionless along the
side of the body and is rotated inwards. Extension of the forearm is present
but there is no limitation on the movement of the hand. Once localized
edema and pain diminished, the neonate should be referred for
a. casting of the affected limb
b. physical therapy
c. surgical repair - ✔✔b. physical therapy
