NNP Practice Exam Test Questions with 100% Verified Answers
Graded A+
A 32 week gestation infant with decreased renal c. pelvic ultrasound - ANSWERS - a. blood
function develops systemic candidiasis. The best electrolytes
choice of antifungal therapy for this baby is
CAH is most common cause of ambiguous
a. amphotericin B lipid complex genitalia and adrenal crisis, or insufficiency is a
b. fluconazole complication that can develop
c. flucytosine - ANSWERS - a.
amphotericin B lipid complex
amphotericin B is chosen for tx for all candida 4. Plethora can be seen in infants who are
infections because of its efficacy, safety, a. overfed
decreased cost and better renal penetrance. b. overheated
c. stimulated - ANSWERS - b. overheated
This baby need ampho B with a lipid complex bc
it is less nephrotoxic. environmental hyperthermia can cause
flushing/ruddy appearance with vasodilation
fluconazole is used in many NICUs as candida
prophylaxis and should not be used for systemic
fungal infections
Neonatal manifestation of systemic lupus
erythematosus is attributed to
Increased bowel sounds are indicative of a. interference with protein synthesis
a. Ileus b. maternal deficiency of autoantibodies and
b. Malrotation immune complexes
c. Starvation - ANSWERS - b. Malrotation c. placental transfer of antibodies to the fetus -
ANSWERS - c. placental transfer of
antibodies to the fetus
Infants with Beckwith-Wiedemann syndrome
have a high risk for which anomaly?
In a 26 week gestational age neonate, the
a. Microglossia expected physical findings would include a
b. Omphalocele
c. Volvulus - ANSWERS - b. Omphalocele a. barely apparent Moro reflex
b. no resistance to heel to ear maneuver
c. weak finger grasp - ANSWERS - b. no
resistance to heel to ear maneuver
A term neonate is found to have ambiguous
genitalia. The anticipated immediate action
would include obtaining
A female neonate was delivered at 28 weeks
a. blood electrolytes gestation. The amniotic fluid was meconium
b. intravenous pyelogram stained. Physical examination shows a
,NNP Practice Exam Test Questions with 100% Verified Answers
Graded A+
erythematores rash with small, pale papules. Assessment of a term neonate is as follows:
Tone is poor and the infant has had several IUGR, microcephaly, congenital cataracts,
episodes of apnea. Infection is suspected. The hepatosplenomegaly, and jaundice. Based on
organism most likely responsible for this these findings, the most likely diagnosis is
neonate's symptoms is congenital
a. Escherichia coli a. cytomegalovirus
b. Group B streptococcus b. rubella
c. Listeria monocytogenes - ANSWERS - c. c. toxoplasmosis - ANSWERS - b. rubella
Listeria monocytogenes
Rubella's classic s/s (pda, cataracts, hearing
Small (2- to 3-mm) cutaneous pinkish-gray loss)
granulomas, termed granulomatosis
infantisepticum, are characteristic of severe jaundice, HSM, BBMR
newborn infection.
fetal diarrhea, premature infants don't pass
meconium in utero Infants born to mothers with myasthenia gravis
a. are at risk for aspiration
b. will present with symptoms within first 12 hours
of life.
A neonate is receiving a calcium infusion for c. transient myasthenia gravis will resolve
treatment of hypocalcemia. The nurse should spontaneously around 6 months of age. -
a. monitor for oxygen saturation changes ANSWERS - a. are at risk for aspiration
b. obtain an EKG before and after the infusion
c. place the infant on a cardiac monitor -
ANSWERS - c. place the infant on a
cardiac monitor Based on the intrauterine growth chart shown,
this neonate would be classified as (38wks, 25th
percentile)
a. post-term, SGA
Patients with respiratory distress syndrome b. term, AGA
exhibit prominent retractions with respiratory c. term, SGA - ANSWERS - b. term, AGA
effort. This is due to the work required to
a. generate high intrathoracic pressures
b. overcome the negative intrapleural pressure Continued posturing of a limb is characteristic of
generated by contraction of the diaphragm and a. clonic seizures
the respiratory muscles b. myoclonic seizures
c. trap alveolar air and maintain functional c. tonic seizures - ANSWERS - c. tonic
residual capacity - ANSWERS - a. generate seizures
high intrathoracic pressures
, NNP Practice Exam Test Questions with 100% Verified Answers
Graded A+
A disadvantage of continuous renal replacement 2 of life. The nurse should recognize that this
therapy with hemofiltration in the treatment of finding is
acute renal failure is that a. benign
a. constant heparinization during therapy is b. due to an irritant
required c. indicative of infection - ANSWERS - c.
b. it causes rapid solute and fluid shifts indicative of infection
c. the patient must be hemodynamically stable
prior to therapy - ANSWERS - a. constant
heparinization during therapy is required
A neonate is apneic at birth and positive-pressure
ventilation with 21% oxygen is initiated. After 30
seconds the neonate's heart rate is 50. What is
The hallmark finding of pneumatosis intestinalis the next step in resuscitation of this neonate?
is a. Administer epinephrine 0.1-0.3 ml/kg
a. air within the wall of the intestine b. Begin chest compressions
b. local bowel edema c. Increase oxygen to 50% - ANSWERS - b.
c. perforation of the bowel wall - Begin chest compressions
ANSWERS - a. air within the wall of the
intestine
When developing a plan for a preterm neonate to
transition to oral feedings, the nurse should
A neonate is born to a mother with a positive consider that
tuberculin test but no signs of active disease. a. breast feeding requires more energy than
Management of this neonate should include bottle feeding in all infants
a. initiate medication therapy on mother and b. coordination of suck-swallow reflex and
infant breathing is developed by 34 weeks
b. no special evaluation or therapy postconceptual age
c. separate mother and neonate until status can c. vigorous non-nutritive sucking is a predictor for
be confirmed - ANSWERS - b. no special oral feeding readiness - ANSWERS - b.
evaluation or therapy coordination of suck-swallow reflex and breathing
is developed by 34 weeks postconceptual age
An unexpected occurrence involving death or
serious physical or psychological injury is called Ideally antiretroviral prophylaxis is initated and
a. a sentinel event administered in the HIV exposed neonate within
b. an incident a. 12 hours of birth
c. malpractice - ANSWERS - a. a sentinel b. 24 hours of birth
event c. 48 hours of birth - ANSWERS - a. 12
hours of birth
Bullous lesions appear on an infant's skin on day
Graded A+
A 32 week gestation infant with decreased renal c. pelvic ultrasound - ANSWERS - a. blood
function develops systemic candidiasis. The best electrolytes
choice of antifungal therapy for this baby is
CAH is most common cause of ambiguous
a. amphotericin B lipid complex genitalia and adrenal crisis, or insufficiency is a
b. fluconazole complication that can develop
c. flucytosine - ANSWERS - a.
amphotericin B lipid complex
amphotericin B is chosen for tx for all candida 4. Plethora can be seen in infants who are
infections because of its efficacy, safety, a. overfed
decreased cost and better renal penetrance. b. overheated
c. stimulated - ANSWERS - b. overheated
This baby need ampho B with a lipid complex bc
it is less nephrotoxic. environmental hyperthermia can cause
flushing/ruddy appearance with vasodilation
fluconazole is used in many NICUs as candida
prophylaxis and should not be used for systemic
fungal infections
Neonatal manifestation of systemic lupus
erythematosus is attributed to
Increased bowel sounds are indicative of a. interference with protein synthesis
a. Ileus b. maternal deficiency of autoantibodies and
b. Malrotation immune complexes
c. Starvation - ANSWERS - b. Malrotation c. placental transfer of antibodies to the fetus -
ANSWERS - c. placental transfer of
antibodies to the fetus
Infants with Beckwith-Wiedemann syndrome
have a high risk for which anomaly?
In a 26 week gestational age neonate, the
a. Microglossia expected physical findings would include a
b. Omphalocele
c. Volvulus - ANSWERS - b. Omphalocele a. barely apparent Moro reflex
b. no resistance to heel to ear maneuver
c. weak finger grasp - ANSWERS - b. no
resistance to heel to ear maneuver
A term neonate is found to have ambiguous
genitalia. The anticipated immediate action
would include obtaining
A female neonate was delivered at 28 weeks
a. blood electrolytes gestation. The amniotic fluid was meconium
b. intravenous pyelogram stained. Physical examination shows a
,NNP Practice Exam Test Questions with 100% Verified Answers
Graded A+
erythematores rash with small, pale papules. Assessment of a term neonate is as follows:
Tone is poor and the infant has had several IUGR, microcephaly, congenital cataracts,
episodes of apnea. Infection is suspected. The hepatosplenomegaly, and jaundice. Based on
organism most likely responsible for this these findings, the most likely diagnosis is
neonate's symptoms is congenital
a. Escherichia coli a. cytomegalovirus
b. Group B streptococcus b. rubella
c. Listeria monocytogenes - ANSWERS - c. c. toxoplasmosis - ANSWERS - b. rubella
Listeria monocytogenes
Rubella's classic s/s (pda, cataracts, hearing
Small (2- to 3-mm) cutaneous pinkish-gray loss)
granulomas, termed granulomatosis
infantisepticum, are characteristic of severe jaundice, HSM, BBMR
newborn infection.
fetal diarrhea, premature infants don't pass
meconium in utero Infants born to mothers with myasthenia gravis
a. are at risk for aspiration
b. will present with symptoms within first 12 hours
of life.
A neonate is receiving a calcium infusion for c. transient myasthenia gravis will resolve
treatment of hypocalcemia. The nurse should spontaneously around 6 months of age. -
a. monitor for oxygen saturation changes ANSWERS - a. are at risk for aspiration
b. obtain an EKG before and after the infusion
c. place the infant on a cardiac monitor -
ANSWERS - c. place the infant on a
cardiac monitor Based on the intrauterine growth chart shown,
this neonate would be classified as (38wks, 25th
percentile)
a. post-term, SGA
Patients with respiratory distress syndrome b. term, AGA
exhibit prominent retractions with respiratory c. term, SGA - ANSWERS - b. term, AGA
effort. This is due to the work required to
a. generate high intrathoracic pressures
b. overcome the negative intrapleural pressure Continued posturing of a limb is characteristic of
generated by contraction of the diaphragm and a. clonic seizures
the respiratory muscles b. myoclonic seizures
c. trap alveolar air and maintain functional c. tonic seizures - ANSWERS - c. tonic
residual capacity - ANSWERS - a. generate seizures
high intrathoracic pressures
, NNP Practice Exam Test Questions with 100% Verified Answers
Graded A+
A disadvantage of continuous renal replacement 2 of life. The nurse should recognize that this
therapy with hemofiltration in the treatment of finding is
acute renal failure is that a. benign
a. constant heparinization during therapy is b. due to an irritant
required c. indicative of infection - ANSWERS - c.
b. it causes rapid solute and fluid shifts indicative of infection
c. the patient must be hemodynamically stable
prior to therapy - ANSWERS - a. constant
heparinization during therapy is required
A neonate is apneic at birth and positive-pressure
ventilation with 21% oxygen is initiated. After 30
seconds the neonate's heart rate is 50. What is
The hallmark finding of pneumatosis intestinalis the next step in resuscitation of this neonate?
is a. Administer epinephrine 0.1-0.3 ml/kg
a. air within the wall of the intestine b. Begin chest compressions
b. local bowel edema c. Increase oxygen to 50% - ANSWERS - b.
c. perforation of the bowel wall - Begin chest compressions
ANSWERS - a. air within the wall of the
intestine
When developing a plan for a preterm neonate to
transition to oral feedings, the nurse should
A neonate is born to a mother with a positive consider that
tuberculin test but no signs of active disease. a. breast feeding requires more energy than
Management of this neonate should include bottle feeding in all infants
a. initiate medication therapy on mother and b. coordination of suck-swallow reflex and
infant breathing is developed by 34 weeks
b. no special evaluation or therapy postconceptual age
c. separate mother and neonate until status can c. vigorous non-nutritive sucking is a predictor for
be confirmed - ANSWERS - b. no special oral feeding readiness - ANSWERS - b.
evaluation or therapy coordination of suck-swallow reflex and breathing
is developed by 34 weeks postconceptual age
An unexpected occurrence involving death or
serious physical or psychological injury is called Ideally antiretroviral prophylaxis is initated and
a. a sentinel event administered in the HIV exposed neonate within
b. an incident a. 12 hours of birth
c. malpractice - ANSWERS - a. a sentinel b. 24 hours of birth
event c. 48 hours of birth - ANSWERS - a. 12
hours of birth
Bullous lesions appear on an infant's skin on day
