CCPR (19) EXAM
QUESTIONS AND
ANSWERS 2024
,Limited horizontal nystagmus resolves by:
a. 1-2 months of age
b. 2-3 months of age
c. 3-4 months of age - CORRECT ANSWERS-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% - CORRECT ANSWERS-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 - CORRECT ANSWERS-b. 3 g/kg/day
Preterm may require 3.5-4 g/kg/day. Minimum is 2 g/kg/day
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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-b. polycystic kidney
Renal is the most frequent cause of abdominal masses in newborns.
There is an increased risk of hypochloremia in neonates who:
a. are asphyxiated at birth
b. had prolonged diarrhea
c. have been over-treated with diuretics - CORRECT ANSWERS-c. have been over-
treated with diuretics
A decision to provide morphine to a dying infant is framed by the principle of:
a. autonomy
, b. nonmaleficence
c. justice - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-b. listeria monocytogenes
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. vitamin D deficiency due to malabsorption - CORRECT ANSWERS-b. inadequate
calcium and phosphorus intake
The drug of choice when treating opioid withdrawal is:
a. diazepam
b. oral morphine
c. pheobarbital - CORRECT ANSWERS-b. oral morphine
A neonate with acute renal failure requires short acting narcotic analgesic. The best
drug to use in this situation is:
a. fentanyl
b. morphine
c. sufentanil - CORRECT ANSWERS-a. fentanyl
A term neonate who was born to an HBsAg positive mother is being discharged three
months after birth following surgery for a cardiac condition. The mother asks 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 - CORRECT ANSWERS-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
QUESTIONS AND
ANSWERS 2024
,Limited horizontal nystagmus resolves by:
a. 1-2 months of age
b. 2-3 months of age
c. 3-4 months of age - CORRECT ANSWERS-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% - CORRECT ANSWERS-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 - CORRECT ANSWERS-b. 3 g/kg/day
Preterm may require 3.5-4 g/kg/day. Minimum is 2 g/kg/day
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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-b. polycystic kidney
Renal is the most frequent cause of abdominal masses in newborns.
There is an increased risk of hypochloremia in neonates who:
a. are asphyxiated at birth
b. had prolonged diarrhea
c. have been over-treated with diuretics - CORRECT ANSWERS-c. have been over-
treated with diuretics
A decision to provide morphine to a dying infant is framed by the principle of:
a. autonomy
, b. nonmaleficence
c. justice - CORRECT ANSWERS-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 - CORRECT ANSWERS-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 - CORRECT ANSWERS-b. listeria monocytogenes
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. vitamin D deficiency due to malabsorption - CORRECT ANSWERS-b. inadequate
calcium and phosphorus intake
The drug of choice when treating opioid withdrawal is:
a. diazepam
b. oral morphine
c. pheobarbital - CORRECT ANSWERS-b. oral morphine
A neonate with acute renal failure requires short acting narcotic analgesic. The best
drug to use in this situation is:
a. fentanyl
b. morphine
c. sufentanil - CORRECT ANSWERS-a. fentanyl
A term neonate who was born to an HBsAg positive mother is being discharged three
months after birth following surgery for a cardiac condition. The mother asks 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 - CORRECT ANSWERS-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
