BOARD REVIEW NNP FINAL EXAM
NEWEST 2026 ACTUAL EXAM|
COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+| NNP EXAM REVIEW 2026
(NEW
1. IncreasedmICPmwhichmsuturesmopen?m-mCORRECTmANSWERmSagittal
2. Whatmtomcombinemativanmwith?m-mCORRECTmANSWERmMorphine
3. Bestmmedicationmtomcombinemwithmvecuronium?m-mCORRECTmANSWERmFentanyl
4. Descriptionmofmanminfantmwithmgoodmtonemincludes?m-
mCORRECTmANSWERmFlexionmofmhipsmandmknees,melbowsmwithmgoodmrecoil,mpullmtomsit,mco
mpletemmoro,mandmgrasps
5. whatmwouldmyoumfindmonmamballardmofmam41mweekminfant?m-
mCORRECTmANSWERmDorsiflexionmofm0mdegrees,mscarfmsignmatmmidmaxillary,msquaremwindo
wmofm45mdegrees
6. Subduralmhemorrhagemismoftenmcausedmby?m-
mCORRECTmANSWERmTraumamasminmvacuummassistedmdelivery
7. Whatmismerbsmpalsy?m-
mCORRECTmANSWERmamnervemplexusminjurymthatmoccursmmostmcommonlyminmambreechmdeli
verymfrommexcessivemlateralmtractionmonmthemneckmandmarm
,8. Whatmismthemmostmcommonmcausemofmneuralmtubemdefects?m-
mCORRECTmANSWERmMultifactorial,m
9. mothermtakingmvalproicmacid.mValproicmacidmcrossesmthemplacentamcausingmneuralmtube
10. defects.mItmismamcategorymDmdrugmandmshouldmnevermbemtakenmduringmpregnancy.
11. Ifmsuturesmaremnotedmtombemclosedmprematurely,myoumshouldmdomwhat?m-
mCORRECTmANSWERmObtainmanmxraymtomconfirmmdiagnosismofmcraniosynostosis
12. Basedmonmgestationalmage,mwhatmstatemismtheminfantmbestmassessedmin?m-
mCORRECTmANSWERmQuietmalertmstate
13. Methadonemwithdrawalminmnewbornsmsigns?m-
mCORRECTmANSWERmTakesmlongermtomseemthanmwithmheroinmandmthemeffectsmaremmoremse
vere
14. Cocainemwithdrawal?m-
mCORRECTmANSWERmhasmnompatternmofmsymptomsmandmcanmbemgonemfrommthemurineminm2
4mhours
15. Myelinationmoccursmfastestmwhen?m-mCORRECTmANSWERmInmperiodmofmbirthmtomtwomyears
16. Pretermmbabymwhomismasphyxiatedmshouldmyoumrestrictmfluids?m-
mCORRECTmANSWERmYesmyoumalwaysmrestrictmfluidsminmasphyxiatedmbabies.m40-
60ml/kg/day
17. Wheremdoesmcaputmoccur?m-
mCORRECTmANSWERmabovemperiosteummandmCrossesmsuturemlines
,18. Wheremdoesmcephalohematomamoccur?m-
mCORRECTmANSWERmBeneathmthemperiosteummandmdoesmnotmcrossmsuturemlines
19. Wheremismbloodmflowmdirectedmduringmseveremasphyxia?m-
mCORRECTmANSWERmtowardmthembrainmstem
20. Whichmreflexmismlastmtomgomaway?m-mCORRECTmANSWERmBabinski,m1myearmofmage
21. Tonicmneck,m7mmonths
22. Moro,m6mmonths
23. palmarmgrasp,m2mmonths
24. Whatmismthembestmwaymtommonitormformventriculomegaly?m-mCORRECTmANSWERmUS
25. WhatmismthemmostmimportantmpartmofmanmIVH?m-
mCORRECTmANSWERmVentricularmdilationmbecausemitmputsmpressuremonmthemsurroundingmt
issue
26. Whatmaremsubtlemseizures?m-
mCORRECTmANSWERmbabymblinkingmeyesmrepeatedlymormlipmsmacking
27. WhatmismPVLmlinkedmto?m-mCORRECTmANSWERmspasticmDiplegiam(lowermlimbs)
28. Whatmismthemmostmcommonmcausemofmhydrocephalus?m-
mCORRECTmANSWERmCSFmflowmobstruction-maquaductalmflowmobstruction
, 29. Howmdomyoumdiagnosemamskullmfracture?m-mCORRECTmANSWERmXRAY
30. Whatmismmorbiditymandmmortalitymofmmeningitismassociatedmwith?m-
mCORRECTmANSWERmTimemofmonset
31. Whatmdoesmthembrainmhavemwhenmlackingmoxygen?m-mCORRECTmANSWERmATP
32. Whichmofmthemfollowingmwouldmprovidemthemweakestmevidencemformpractice?
A. Casemstudy
B. Case-controlmstudy
C. Quasi-experimentalmstudym-mCORRECTmANSWERmA.mCasemstudy
33. AnminitialmsignmofmhyperkalemiamonmanmEKGmis
A. PeakedmTmwaves
B. SlurringmofmthemQRS
C. Ventricularmfibrillationm-mCORRECTmANSWERmA.mPeakedmTmwaves
34. ThemHenderson-
Hasselebalchmequationmismamnegativemlogarithmmthatmcalculatesmthemlevelmof
A. Bicarbonatemions
B. Dioxidemions
C. Hydrogenmionsm-mCORRECTmANSWERmC.mHydrogenmions
35. Themneonatalmnursempractitionerm(NNP)mknowsmthatmamserummpeakmlevelmofmamdrugmismgen
erallymreflectivemofmtheminfants:
A. Excretionmofmmetabolites
B. Digestionmofmthemdrug
C. Volumemofmdistributionm-mCORRECTmANSWERmC.mVolumemofmdistribution
36. Pharmacokineticsmismthemprocessmofmdrug
NEWEST 2026 ACTUAL EXAM|
COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+| NNP EXAM REVIEW 2026
(NEW
1. IncreasedmICPmwhichmsuturesmopen?m-mCORRECTmANSWERmSagittal
2. Whatmtomcombinemativanmwith?m-mCORRECTmANSWERmMorphine
3. Bestmmedicationmtomcombinemwithmvecuronium?m-mCORRECTmANSWERmFentanyl
4. Descriptionmofmanminfantmwithmgoodmtonemincludes?m-
mCORRECTmANSWERmFlexionmofmhipsmandmknees,melbowsmwithmgoodmrecoil,mpullmtomsit,mco
mpletemmoro,mandmgrasps
5. whatmwouldmyoumfindmonmamballardmofmam41mweekminfant?m-
mCORRECTmANSWERmDorsiflexionmofm0mdegrees,mscarfmsignmatmmidmaxillary,msquaremwindo
wmofm45mdegrees
6. Subduralmhemorrhagemismoftenmcausedmby?m-
mCORRECTmANSWERmTraumamasminmvacuummassistedmdelivery
7. Whatmismerbsmpalsy?m-
mCORRECTmANSWERmamnervemplexusminjurymthatmoccursmmostmcommonlyminmambreechmdeli
verymfrommexcessivemlateralmtractionmonmthemneckmandmarm
,8. Whatmismthemmostmcommonmcausemofmneuralmtubemdefects?m-
mCORRECTmANSWERmMultifactorial,m
9. mothermtakingmvalproicmacid.mValproicmacidmcrossesmthemplacentamcausingmneuralmtube
10. defects.mItmismamcategorymDmdrugmandmshouldmnevermbemtakenmduringmpregnancy.
11. Ifmsuturesmaremnotedmtombemclosedmprematurely,myoumshouldmdomwhat?m-
mCORRECTmANSWERmObtainmanmxraymtomconfirmmdiagnosismofmcraniosynostosis
12. Basedmonmgestationalmage,mwhatmstatemismtheminfantmbestmassessedmin?m-
mCORRECTmANSWERmQuietmalertmstate
13. Methadonemwithdrawalminmnewbornsmsigns?m-
mCORRECTmANSWERmTakesmlongermtomseemthanmwithmheroinmandmthemeffectsmaremmoremse
vere
14. Cocainemwithdrawal?m-
mCORRECTmANSWERmhasmnompatternmofmsymptomsmandmcanmbemgonemfrommthemurineminm2
4mhours
15. Myelinationmoccursmfastestmwhen?m-mCORRECTmANSWERmInmperiodmofmbirthmtomtwomyears
16. Pretermmbabymwhomismasphyxiatedmshouldmyoumrestrictmfluids?m-
mCORRECTmANSWERmYesmyoumalwaysmrestrictmfluidsminmasphyxiatedmbabies.m40-
60ml/kg/day
17. Wheremdoesmcaputmoccur?m-
mCORRECTmANSWERmabovemperiosteummandmCrossesmsuturemlines
,18. Wheremdoesmcephalohematomamoccur?m-
mCORRECTmANSWERmBeneathmthemperiosteummandmdoesmnotmcrossmsuturemlines
19. Wheremismbloodmflowmdirectedmduringmseveremasphyxia?m-
mCORRECTmANSWERmtowardmthembrainmstem
20. Whichmreflexmismlastmtomgomaway?m-mCORRECTmANSWERmBabinski,m1myearmofmage
21. Tonicmneck,m7mmonths
22. Moro,m6mmonths
23. palmarmgrasp,m2mmonths
24. Whatmismthembestmwaymtommonitormformventriculomegaly?m-mCORRECTmANSWERmUS
25. WhatmismthemmostmimportantmpartmofmanmIVH?m-
mCORRECTmANSWERmVentricularmdilationmbecausemitmputsmpressuremonmthemsurroundingmt
issue
26. Whatmaremsubtlemseizures?m-
mCORRECTmANSWERmbabymblinkingmeyesmrepeatedlymormlipmsmacking
27. WhatmismPVLmlinkedmto?m-mCORRECTmANSWERmspasticmDiplegiam(lowermlimbs)
28. Whatmismthemmostmcommonmcausemofmhydrocephalus?m-
mCORRECTmANSWERmCSFmflowmobstruction-maquaductalmflowmobstruction
, 29. Howmdomyoumdiagnosemamskullmfracture?m-mCORRECTmANSWERmXRAY
30. Whatmismmorbiditymandmmortalitymofmmeningitismassociatedmwith?m-
mCORRECTmANSWERmTimemofmonset
31. Whatmdoesmthembrainmhavemwhenmlackingmoxygen?m-mCORRECTmANSWERmATP
32. Whichmofmthemfollowingmwouldmprovidemthemweakestmevidencemformpractice?
A. Casemstudy
B. Case-controlmstudy
C. Quasi-experimentalmstudym-mCORRECTmANSWERmA.mCasemstudy
33. AnminitialmsignmofmhyperkalemiamonmanmEKGmis
A. PeakedmTmwaves
B. SlurringmofmthemQRS
C. Ventricularmfibrillationm-mCORRECTmANSWERmA.mPeakedmTmwaves
34. ThemHenderson-
Hasselebalchmequationmismamnegativemlogarithmmthatmcalculatesmthemlevelmof
A. Bicarbonatemions
B. Dioxidemions
C. Hydrogenmionsm-mCORRECTmANSWERmC.mHydrogenmions
35. Themneonatalmnursempractitionerm(NNP)mknowsmthatmamserummpeakmlevelmofmamdrugmismgen
erallymreflectivemofmtheminfants:
A. Excretionmofmmetabolites
B. Digestionmofmthemdrug
C. Volumemofmdistributionm-mCORRECTmANSWERmC.mVolumemofmdistribution
36. Pharmacokineticsmismthemprocessmofmdrug