CCRN-Neo Test Prep UPDATED ACTUAL
Exam Questions and CORRECT Answers
Infant's responses to pain - CORRECT ANSWER - Affected by gestational age, frequency
of prior painful procedures, and use of analgesics during the hospital stay.
Monitoring of urine output - CORRECT ANSWER - while use continuous positive
pressure ventilation (PPV) is warranted.
Canalicular phase: - CORRECT ANSWER - The distal pulmonary vasculature and
capillary networks develop.
Turner syndrome: - CORRECT ANSWER - (1:2500) results in widely spread nipples, a
short webbed neck, and edema of the hands and feet.
Epinephrine: - CORRECT ANSWER - A cardiac stimulant that increases the heart rate
and the strength of contractions, causes peripheral vasoconstriction, and increases the blood flow
through the coronary arteries and the brain.
MOC on Mag Sulfate: - CORRECT ANSWER - Infant is at risk of lethargy, hypotonia,
and apnea.
Coarctation of the aorta: - CORRECT ANSWER - The symptoms of hepatomegaly,
tachycardia, tachypnea and the gallop rhythm suggest this infant is in congestive heart failure. A
classic finding of coarc of the aorta is diminished pulses in the lower extremities. So is a split
>15 mmHg in systolic pressures between the UE and LE's.
PPHN: - CORRECT ANSWER - Generally presents within 12 hours of life with resp
distress, systolic murmur, and a single heart sound. UE and LE's pressures are usually the same.
, PICC/UVC Placement: - CORRECT ANSWER - The correct tip position of the PICC is in
the lower third of the vena cava, or approximately between T3-T5. UVC: The tip of the UVC
should be placed in the inferior vena cava just below the vena cava and the right atrium, which is
T8 → T9
Meconium aspiration: - CORRECT ANSWER - On radiograph (xray) characterized by
bilateral asymmetry, with areas of atelectasis and a patchy appearance. The initial intervention is
to administer O2.
Pulmonary interstitial emphysema (PIE): - CORRECT ANSWER - appears as (xray)
distinct rounded or linear thoracic lucencies that may be unilateral or bilateral
APGAR scores: - CORRECT ANSWER - Are influenced by interventions and gestational
age.
Elevated alkaline phosphatase level in ex-24 week infant: - CORRECT ANSWER -
Findings suggest metabolic bone disease. Handling the infant as carefully as possible is an
important nursing consideration.
SGA and hypoglycemia: - CORRECT ANSWER - The incidence of hypoglycemia in
SGA infants is 15%. SGA infants lack the glycogen stores necessary for maintaining blood
glucose levels after birth.
Tube thoracotomy (chest tube) following a chylothorax: - CORRECT ANSWER - The
nurse should monitor the infant for infection. The pleural fluid draining from a chylothorax
contains large amounts of lymphocytes. Without these, the infant is placed at greater risk of
infection. (Chylothorax is a type of pleural effusion containing lymph fluid).
Macrosomia (LGA): - CORRECT ANSWER - Presumed causes include maternal insulin
resistance, hyperglycemia, and hyperaminoacidemia.
Exam Questions and CORRECT Answers
Infant's responses to pain - CORRECT ANSWER - Affected by gestational age, frequency
of prior painful procedures, and use of analgesics during the hospital stay.
Monitoring of urine output - CORRECT ANSWER - while use continuous positive
pressure ventilation (PPV) is warranted.
Canalicular phase: - CORRECT ANSWER - The distal pulmonary vasculature and
capillary networks develop.
Turner syndrome: - CORRECT ANSWER - (1:2500) results in widely spread nipples, a
short webbed neck, and edema of the hands and feet.
Epinephrine: - CORRECT ANSWER - A cardiac stimulant that increases the heart rate
and the strength of contractions, causes peripheral vasoconstriction, and increases the blood flow
through the coronary arteries and the brain.
MOC on Mag Sulfate: - CORRECT ANSWER - Infant is at risk of lethargy, hypotonia,
and apnea.
Coarctation of the aorta: - CORRECT ANSWER - The symptoms of hepatomegaly,
tachycardia, tachypnea and the gallop rhythm suggest this infant is in congestive heart failure. A
classic finding of coarc of the aorta is diminished pulses in the lower extremities. So is a split
>15 mmHg in systolic pressures between the UE and LE's.
PPHN: - CORRECT ANSWER - Generally presents within 12 hours of life with resp
distress, systolic murmur, and a single heart sound. UE and LE's pressures are usually the same.
, PICC/UVC Placement: - CORRECT ANSWER - The correct tip position of the PICC is in
the lower third of the vena cava, or approximately between T3-T5. UVC: The tip of the UVC
should be placed in the inferior vena cava just below the vena cava and the right atrium, which is
T8 → T9
Meconium aspiration: - CORRECT ANSWER - On radiograph (xray) characterized by
bilateral asymmetry, with areas of atelectasis and a patchy appearance. The initial intervention is
to administer O2.
Pulmonary interstitial emphysema (PIE): - CORRECT ANSWER - appears as (xray)
distinct rounded or linear thoracic lucencies that may be unilateral or bilateral
APGAR scores: - CORRECT ANSWER - Are influenced by interventions and gestational
age.
Elevated alkaline phosphatase level in ex-24 week infant: - CORRECT ANSWER -
Findings suggest metabolic bone disease. Handling the infant as carefully as possible is an
important nursing consideration.
SGA and hypoglycemia: - CORRECT ANSWER - The incidence of hypoglycemia in
SGA infants is 15%. SGA infants lack the glycogen stores necessary for maintaining blood
glucose levels after birth.
Tube thoracotomy (chest tube) following a chylothorax: - CORRECT ANSWER - The
nurse should monitor the infant for infection. The pleural fluid draining from a chylothorax
contains large amounts of lymphocytes. Without these, the infant is placed at greater risk of
infection. (Chylothorax is a type of pleural effusion containing lymph fluid).
Macrosomia (LGA): - CORRECT ANSWER - Presumed causes include maternal insulin
resistance, hyperglycemia, and hyperaminoacidemia.
