NNP Practice Exam (CCPR)

NNP Practice Exam (CCPR) Indication of a plugged endotracheal tube is a. condensation in the endotracheal tube b. sudden decrease in chest wall movement c. tachycardia - b. sudden decrease in chest wall movement A neonate has a low T4 and elevated TSH. The appropriate next step would be a. begin thyroid hormone replacement therapy b. monitor the infant for lethargy, hypotonia and feeding difficulties c. recheck T4 and TSH levels at two months of age - a. begin thyroid hormone replacement therapy A 32 week gestational age male neonate has a 4 cm nontender mass in the right testicle. Differential diagnosis can be faciliated by a. palpation b. transillumination c. ultrasound evaluation - b. transillumination A neonate who has been in the NICU for two weeks is demonstrating habituation in response to environmental stimuli. Habituation is best defined as a. decreasing responsivity to external stimuli b. increasing attention to a new stimulus c. reacting vigorously to repeated stimuli - a. decreasing responsivity to external stimuli Which sense becomes the neurodevelopmental interface between the infant and the world at birth? a. Auditory b. Tactile c. Visual - b. Tactile A newborn with respiratory distress has a chest x-ray that reveals unilateral or bilateral streaky densities and confluent mottled, opacified areas. The nurse should anticipate that initial intervention should be a. initiation of antibiotics b. sepsis workup c. surfactant administration - b. sepsis workup A neonate born to a mother given Demerol three hours prior to delivery is apneic and cyanotic with heart rate of 74 at one hour after birth. The initial intervention should be a. administration of naloxone 0.1mg/kg b. bag and mask ventilation c. placement of endotracheal tube - b. bag and mask ventilation The best recommendation for treatment of intraventricular hemorrhage is a. management of ensuing problems b. fluid restriction c. Dopamine for blood pressure support - a. management of ensuing problems Which congenital heart defect is suspected when a systolic murmur is heard at the location noted on the diagram? a. Atrial septal defect b. Pulmonary valve stenosis c. Ventricular septal defect - c. Ventricular septal defect A two day old neonate has an abdominal mass. The most likely cause is a. adrenal hemorrhage b. polycystic kidney c. volvulur - b. polycystic kidney Nasal septum dislocation can be differentiated from normal variant of a misshapened nose by performing a. a compression test b. sinus transillumination c. x-ray - a. a compression test Orotracheal intubation is preferable to nasotracheal intubation during acute neonatal resuscitation because a. a smaller size endotracheal tube can be utilized b. it can be performed without additional equipment c. the endotracheal tube is easier to stabilize - b.