©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NNP 21 Practice Exam Questions with
100% Correct Answers
A neonate is on a ventilator for RDS. settings are
PIP: 26
PEEP: 5
FiO2: 1.0
Rate: 20
SaO2 90
The neonate is given surfactant and 18 hours later the ventilator settings
are
PIP: 18
PEEP: 4
FiO2: 0.21
Rate: 20
SaO2 95
the NP should recognize that:
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
a. the FiO2 should be increased
b. the neonate should be extubated to CPAP
c. the settings are appropriate and will assist weaning - ✔✔b. the neonate
should be extubated to CPAP
Assessment of a term infant is as follows: IUGR, microcephaly, congenital
cataracts, hepatosplenomegaly and jaundice. Based on these findings, the
most likely diagnosis is congenital:
a. CMV
b. rubella
c. toxoplasmosis - ✔✔b. rubella
A giant nevus is the most concerning of the congenital pigment nevi
because:
a. it is often associated with hearing loss
b. of increased risk of malignant transformation
c. ulceration and bleeding are common - ✔✔b. of increased risk of
malignant transformation
Infants who "refer" on a second hearing screen should have a full scale
auditory diagnostic evaluation at:
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a. 2 months old
b. 3 months old
c. 6 months old - ✔✔b. 3 months old
A major characteristic of autosomal recessive disorders is:
a. 50% risk for each offspring
b. multiple generations are affected
c. possible consanguinity - ✔✔possible consanguinity
Most safety initiatives are successful when:
a. a change in the culture of the institution
b. determination of individual continuing education needs
c. identification of those who make the most mistakes - ✔✔a. A change in
the culture of the institution
A cranial suture line of a neonate reveals an immovable bony prominence
which is even and smooth bilaterally. This neonate should be evaluated for
:
a. a linear skull fracture
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
b. increased intracranial pressure
c. seizure activity - ✔✔b. increased intracranial pressure
Of the following, the most common environmental trigger for PDA is:
a. amphetamines
b. Phenytoin
c. Prozac - ✔✔a. amphetamines
A neonate is 48 hours old post-surgery secondary to NEC and is on a
ventilator. The neonate is grimacing and eyes are tightly shut. The heart
rate is increased and the neonate is breathing over the ventilator. The most
appropriate intervention would be to obtain an order for:
a. arterial blood gas
b. pain medication
c. sedation to calm the infant - ✔✔b. pain medication
Absence of the ileocecal valve in the neonate with SBS can lead to:
a. bacterial overgrowth in the small intestine
b. nutritional deficiencies and cholestasis
NNP 21 Practice Exam Questions with
100% Correct Answers
A neonate is on a ventilator for RDS. settings are
PIP: 26
PEEP: 5
FiO2: 1.0
Rate: 20
SaO2 90
The neonate is given surfactant and 18 hours later the ventilator settings
are
PIP: 18
PEEP: 4
FiO2: 0.21
Rate: 20
SaO2 95
the NP should recognize that:
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
a. the FiO2 should be increased
b. the neonate should be extubated to CPAP
c. the settings are appropriate and will assist weaning - ✔✔b. the neonate
should be extubated to CPAP
Assessment of a term infant is as follows: IUGR, microcephaly, congenital
cataracts, hepatosplenomegaly and jaundice. Based on these findings, the
most likely diagnosis is congenital:
a. CMV
b. rubella
c. toxoplasmosis - ✔✔b. rubella
A giant nevus is the most concerning of the congenital pigment nevi
because:
a. it is often associated with hearing loss
b. of increased risk of malignant transformation
c. ulceration and bleeding are common - ✔✔b. of increased risk of
malignant transformation
Infants who "refer" on a second hearing screen should have a full scale
auditory diagnostic evaluation at:
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
a. 2 months old
b. 3 months old
c. 6 months old - ✔✔b. 3 months old
A major characteristic of autosomal recessive disorders is:
a. 50% risk for each offspring
b. multiple generations are affected
c. possible consanguinity - ✔✔possible consanguinity
Most safety initiatives are successful when:
a. a change in the culture of the institution
b. determination of individual continuing education needs
c. identification of those who make the most mistakes - ✔✔a. A change in
the culture of the institution
A cranial suture line of a neonate reveals an immovable bony prominence
which is even and smooth bilaterally. This neonate should be evaluated for
:
a. a linear skull fracture
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
b. increased intracranial pressure
c. seizure activity - ✔✔b. increased intracranial pressure
Of the following, the most common environmental trigger for PDA is:
a. amphetamines
b. Phenytoin
c. Prozac - ✔✔a. amphetamines
A neonate is 48 hours old post-surgery secondary to NEC and is on a
ventilator. The neonate is grimacing and eyes are tightly shut. The heart
rate is increased and the neonate is breathing over the ventilator. The most
appropriate intervention would be to obtain an order for:
a. arterial blood gas
b. pain medication
c. sedation to calm the infant - ✔✔b. pain medication
Absence of the ileocecal valve in the neonate with SBS can lead to:
a. bacterial overgrowth in the small intestine
b. nutritional deficiencies and cholestasis
