CCRN Neonatal Exam Questions
with 100% Correct Answers
Which of the following is the greatest fear of parents whose newborn is in a high risk
care setting? - Answer-Newborn experiencing painful procedures
Which of the following is the MOST significant risk factor for opioid withdrawal? -
Answer-Overall dose administered higher total dose and longer infusion duration
Which of the following is NOT one of the seven core measures of neuroprotective
family-centered developmental care? - Answer-Artificial schedules
Which of the following neonatal behaviors is MOST indicative of pain? - Answer-Brow
bulge and eye squeeze Facial activity is the most specific indicator of pain; Immediate
behavioral responses include changes in facial and body movements
Which of the following opioids causes less histamine release and may be more
appropriate for newborns with hypovolemia or hemodynamic instability? - Answer-
Fentanyl
Which of the following promotes positive feeding experiences in the high risk newborn?
- Answer-Familiarizing the newborn with the odor of breastmilk or formula
Which of the following statements about the subsystems of the Synactive Theory of
Development are TRUE? - Answer-Organization is critical for energy consumption,
caloric requirements, and growth.
Which pain scoring tool was researched in preterm and full-term infants who required
capillary, venous, or arterial punctures and is useful for newborns who are NOT on
cardiorespiratory monitoring? - Answer-NIPS (Neonatal Infant Pain Scales)
Within hours of birth, the neonate signals to the mother that they are hearing her voice
by - Answer-sucking faster on a pacifier. turn eyes and head toward the mothers voice
and sucking faster on a pacifier
All of the following neonatal pain scoring tools have been tested on newborns EXCEPT
- Answer-PIPP (Premature Infant Pain Profile), NIPS (Neonatal Infant Pain Scales),
,CRIES (Crying, Required Oxygen, Increased Vital Signs, Expression, Sleeplessness)
have been used
Benefits of skin-to-skin (kangaroo) care include - Answer-improved thermoregulation
and cardio function, decreased incidence/severity of infections, increased weight gain,
non pharmacologic intervention, enhanced physiologic organization, improved
breastfeeding outcomes, increased alertness and exploration of the environment
A preterm birth may delay the following steps of attachment from occurring EXCEPT -
Answer-accepting the pregnancy.
A sign that parents are experiencing acute stress disorder includes - Answer-having
flashbacks of the trauma.
Evidence that the psychological task of acknowledging guilt about the birth of a 26-week
gestational age neonate has become pathologic includes - Answer-not responding to
the neonate's progress because the infant represents failure.
In the nine steps of attachment, "confirming the pregnancy" refers to the - Answer-
beginning of the mother's psychological acceptance that she is pregnant.
Interventions for the family in crisis include which of the following? - Answer-Holding
discussions when the mother and father are together
NICU nurses who experience secondary traumatic stress may benefit from - Answer-
participating in a case review or debriefing.
Predictors of negative parenting outcomes include which of the following? - Answer-
Infrequent visits that are for short periods of time
Predictors of positive parenting outcomes include which of the following? - Answer-
Asking meaningful questions about the infant
The birth of a infant with congenital anomalies is a situational crisis that may be used to
- Answer-maximize a family's adaptation and reorganization.
The birth or death of a sick or preterm neonate may place families in a state of crisis,
defined as - Answer-a temporary disequilibrium caused by events so stressful that
customary coping skills are ineffective.
The nurse should recognize that the mother is experiencing signs of grief when she -
Answer-is preoccupied with the image of her lost baby.
The psychological task of anticipatory grieving involves - Answer-parental
acknowledgement that the infant is at risk for death while hoping for survival.
, The single, teenage father may have additional difficulties when he attempts to be a
parent because he - Answer-may not be recognized as having any parental rights.
When providing interventions for families experiencing perinatal loss, the nurse should -
Answer-be an active listener and provide information regarding support groups.
A communicating hydrocephalus results from damage to the - Answer-arachnoid
granulations. arachnoid granulations over the surface of the brain
According to the AAP, intubation attempts should be limited to ______seconds. -
Answer-30 seconds
An underpenetrated x-ray may result in over diagnosis of - Answer-respiratory distress
syndrome.
Chlorhexidine should be used with caution in infants less than what age? - Answer-2
months
Damage to the calcaneus is more likely when a heel stick is performed using what part
of the foot? - Answer-End of the heel
Extravasation injury is more common when IV solutions containing _________ are
infused. - Answer-calcium
Of the following veins, which would be the best choice for inserting a peripheral IV? -
Answer-Dorsum of the hand
Positioning the tip of an umbilical catheter in the heart increases the risk of - Answer-
arrhythmia.
Prior to intubation, an anticholinergic drug may be given to reduce the incidence of -
Answer-bradycardia.
The appropriate depth for an endotracheal tube can be calculated by measuring the
distance from the nasal septum to the tragus of the ear and adding ___ cm? - Answer-1
cm
The depth of insertion for an orogastric tube is determined by measuring the distance
from the mouth to ear and then to the bottom of the - Answer-xiphoid process.
The optimal item to use when securing a PIV is - Answer-a transparent dressing.
The tip of an appropriately positioned endotracheal tube should be how far above the
carina? - Answer-1 cm
with 100% Correct Answers
Which of the following is the greatest fear of parents whose newborn is in a high risk
care setting? - Answer-Newborn experiencing painful procedures
Which of the following is the MOST significant risk factor for opioid withdrawal? -
Answer-Overall dose administered higher total dose and longer infusion duration
Which of the following is NOT one of the seven core measures of neuroprotective
family-centered developmental care? - Answer-Artificial schedules
Which of the following neonatal behaviors is MOST indicative of pain? - Answer-Brow
bulge and eye squeeze Facial activity is the most specific indicator of pain; Immediate
behavioral responses include changes in facial and body movements
Which of the following opioids causes less histamine release and may be more
appropriate for newborns with hypovolemia or hemodynamic instability? - Answer-
Fentanyl
Which of the following promotes positive feeding experiences in the high risk newborn?
- Answer-Familiarizing the newborn with the odor of breastmilk or formula
Which of the following statements about the subsystems of the Synactive Theory of
Development are TRUE? - Answer-Organization is critical for energy consumption,
caloric requirements, and growth.
Which pain scoring tool was researched in preterm and full-term infants who required
capillary, venous, or arterial punctures and is useful for newborns who are NOT on
cardiorespiratory monitoring? - Answer-NIPS (Neonatal Infant Pain Scales)
Within hours of birth, the neonate signals to the mother that they are hearing her voice
by - Answer-sucking faster on a pacifier. turn eyes and head toward the mothers voice
and sucking faster on a pacifier
All of the following neonatal pain scoring tools have been tested on newborns EXCEPT
- Answer-PIPP (Premature Infant Pain Profile), NIPS (Neonatal Infant Pain Scales),
,CRIES (Crying, Required Oxygen, Increased Vital Signs, Expression, Sleeplessness)
have been used
Benefits of skin-to-skin (kangaroo) care include - Answer-improved thermoregulation
and cardio function, decreased incidence/severity of infections, increased weight gain,
non pharmacologic intervention, enhanced physiologic organization, improved
breastfeeding outcomes, increased alertness and exploration of the environment
A preterm birth may delay the following steps of attachment from occurring EXCEPT -
Answer-accepting the pregnancy.
A sign that parents are experiencing acute stress disorder includes - Answer-having
flashbacks of the trauma.
Evidence that the psychological task of acknowledging guilt about the birth of a 26-week
gestational age neonate has become pathologic includes - Answer-not responding to
the neonate's progress because the infant represents failure.
In the nine steps of attachment, "confirming the pregnancy" refers to the - Answer-
beginning of the mother's psychological acceptance that she is pregnant.
Interventions for the family in crisis include which of the following? - Answer-Holding
discussions when the mother and father are together
NICU nurses who experience secondary traumatic stress may benefit from - Answer-
participating in a case review or debriefing.
Predictors of negative parenting outcomes include which of the following? - Answer-
Infrequent visits that are for short periods of time
Predictors of positive parenting outcomes include which of the following? - Answer-
Asking meaningful questions about the infant
The birth of a infant with congenital anomalies is a situational crisis that may be used to
- Answer-maximize a family's adaptation and reorganization.
The birth or death of a sick or preterm neonate may place families in a state of crisis,
defined as - Answer-a temporary disequilibrium caused by events so stressful that
customary coping skills are ineffective.
The nurse should recognize that the mother is experiencing signs of grief when she -
Answer-is preoccupied with the image of her lost baby.
The psychological task of anticipatory grieving involves - Answer-parental
acknowledgement that the infant is at risk for death while hoping for survival.
, The single, teenage father may have additional difficulties when he attempts to be a
parent because he - Answer-may not be recognized as having any parental rights.
When providing interventions for families experiencing perinatal loss, the nurse should -
Answer-be an active listener and provide information regarding support groups.
A communicating hydrocephalus results from damage to the - Answer-arachnoid
granulations. arachnoid granulations over the surface of the brain
According to the AAP, intubation attempts should be limited to ______seconds. -
Answer-30 seconds
An underpenetrated x-ray may result in over diagnosis of - Answer-respiratory distress
syndrome.
Chlorhexidine should be used with caution in infants less than what age? - Answer-2
months
Damage to the calcaneus is more likely when a heel stick is performed using what part
of the foot? - Answer-End of the heel
Extravasation injury is more common when IV solutions containing _________ are
infused. - Answer-calcium
Of the following veins, which would be the best choice for inserting a peripheral IV? -
Answer-Dorsum of the hand
Positioning the tip of an umbilical catheter in the heart increases the risk of - Answer-
arrhythmia.
Prior to intubation, an anticholinergic drug may be given to reduce the incidence of -
Answer-bradycardia.
The appropriate depth for an endotracheal tube can be calculated by measuring the
distance from the nasal septum to the tragus of the ear and adding ___ cm? - Answer-1
cm
The depth of insertion for an orogastric tube is determined by measuring the distance
from the mouth to ear and then to the bottom of the - Answer-xiphoid process.
The optimal item to use when securing a PIV is - Answer-a transparent dressing.
The tip of an appropriately positioned endotracheal tube should be how far above the
carina? - Answer-1 cm
