CPNR 2019 NNP Certification Exam Actual Questions &
Answers (2025 Updated Edition) | Verified Q&A | Graded
A+ | Complete Test Prep
Limited horizontal nystagmus resolves by:
a. 1-2 months of age
b. 2-3 months of age
c. 3-4 months of age - ✔✔c. 3-4 months of age
Infants with bronchopulmonary dysplasia have increased energy needs, often as much as:
a. 10-20%
b. 20-40%
c. 40-60% - ✔✔b. 20-40%
What are the protein requirements for term infants?
a. 2 g/kg/day
b. 3 g/kg/day
c. 4 g/kg/day - ✔✔b. 3 g/kg/day
Preterm may require 3.5-4 g/kg/day. Minimum is 2 g/kg/day
A normal blood finding in the term neonate on day one of life is:
a. a hematocrit of 65%
b. a hemoglobin level of 18 g/dL
c. erythrocyte count of 3 million - ✔✔b. a hemoglobin level of 18 g/dL
The principle action of volume expanders during resuscitation is to:
a. address myocardial decompensation
b. facilitate peripheral vasoconstriction
,c. maintain cardiac output and blood pressure - ✔✔c. maintain cardiac output and blood pressure
A two day old neonate has an abdominal mass. The most likely cause is:
a. adrenal hemorrhage
b. polycystic kidney
c. volvulus - ✔✔b. polycystic kidney
Renal is the most frequent cause of abdominal masses in newborns.
There is an increased risk of hypochloremia in neonates who:
a. are asphyxiated at birth
b. had prolonged diarrhea
c. have been over-treated with diuretics - ✔✔c. have been over-treated with diuretics
A decision to provide morphine to a dying infant is framed by the principle of:
a. autonomy
b. nonmaleficence
c. justice - ✔✔b. nonmaleficence
justice = equal opportunity to all
autonomy = allowed to take direction in accordance to own/best self interest
The first sign of hypothermia in a critically ill neonate is a drop in which temperature?
a. axillary
b. rectal
c. skin - ✔✔c. skin
A preterm infant is born with cutaneous pinkish-gray granulomas. This finding is characteristic of
infection with:
,a. candida albicans
b. listeria monocytogenes
c. toxoplasma gondii - ✔✔b. listeria monocytogenes
Rib fractures are noted on routine chest x-ray on a 3 month old premature infant. The most likely cause
of this finding is:
a. congenital hypoparathyroidism
b. inadequate calcium and phosphorus intake
c. vitamin D deficiency due to malabsorption - ✔✔b. inadequate calcium and phosphorus intake
The drug of choice when treating opioid withdrawal is:
a. diazepam
b. oral morphine
c. pheobarbital - ✔✔b. oral morphine
A neonate with acute renal failure requires short acting narcotic analgesic. The best drug to use in this
situation is:
a. fentanyl
b. morphine
c. sufentanil - ✔✔a. fentanyl
A term neonate who was born to an HBsAg positive mother is being discharged three months after birth
following surgery for a cardiac condition. The mother asks when the next Hep b immunization should be
given. The NP should advise that it be given at:
a. four months
b. six months
c. twelve months - ✔✔b. six months
A term, small for gestational age neonate at 4 hours of life is tachypneic, plethoric, lethargic, and has a
blood sugar of 53 mg/dL and a central hematrocrit of 70%. The most likely diagnosis is:
, a. hyperviscosity
b. hypocalcemia
c. hypoglycemia - ✔✔a. hyperviscosity
A factor that would result in increased insensible water loss in neonates is:
a. hypothermia
b. phototherapy
c. postmaturity - ✔✔b. phototherapy
A neonate has a flat reddish birthmark with sharply delineated edges on the nape of the neck. When
pressure is applied to the birthmark, there is minimal blanching. This finding is consistent with:
a. infantile hemangioma
b. nevus simplex
c. port wine stain - ✔✔c. port wine stain
nevus simplex does blanch.
A neonate is born to a mother with a positive TB test but no signs of active disease. Management of this
neonate should include:
a. initiate medication therapy on mother and infant
b. no special evaluation or therapy
c. separate mother and neonate until status can be confirmed - ✔✔b. no special evaluation or therapy
The standard of care for neonatal nursing is judged according to the standard of care:
a. locally
b. nationally
c. regionally - ✔✔b. nationally
Which of the following is a contraindication to breastfeeding?
Answers (2025 Updated Edition) | Verified Q&A | Graded
A+ | Complete Test Prep
Limited horizontal nystagmus resolves by:
a. 1-2 months of age
b. 2-3 months of age
c. 3-4 months of age - ✔✔c. 3-4 months of age
Infants with bronchopulmonary dysplasia have increased energy needs, often as much as:
a. 10-20%
b. 20-40%
c. 40-60% - ✔✔b. 20-40%
What are the protein requirements for term infants?
a. 2 g/kg/day
b. 3 g/kg/day
c. 4 g/kg/day - ✔✔b. 3 g/kg/day
Preterm may require 3.5-4 g/kg/day. Minimum is 2 g/kg/day
A normal blood finding in the term neonate on day one of life is:
a. a hematocrit of 65%
b. a hemoglobin level of 18 g/dL
c. erythrocyte count of 3 million - ✔✔b. a hemoglobin level of 18 g/dL
The principle action of volume expanders during resuscitation is to:
a. address myocardial decompensation
b. facilitate peripheral vasoconstriction
,c. maintain cardiac output and blood pressure - ✔✔c. maintain cardiac output and blood pressure
A two day old neonate has an abdominal mass. The most likely cause is:
a. adrenal hemorrhage
b. polycystic kidney
c. volvulus - ✔✔b. polycystic kidney
Renal is the most frequent cause of abdominal masses in newborns.
There is an increased risk of hypochloremia in neonates who:
a. are asphyxiated at birth
b. had prolonged diarrhea
c. have been over-treated with diuretics - ✔✔c. have been over-treated with diuretics
A decision to provide morphine to a dying infant is framed by the principle of:
a. autonomy
b. nonmaleficence
c. justice - ✔✔b. nonmaleficence
justice = equal opportunity to all
autonomy = allowed to take direction in accordance to own/best self interest
The first sign of hypothermia in a critically ill neonate is a drop in which temperature?
a. axillary
b. rectal
c. skin - ✔✔c. skin
A preterm infant is born with cutaneous pinkish-gray granulomas. This finding is characteristic of
infection with:
,a. candida albicans
b. listeria monocytogenes
c. toxoplasma gondii - ✔✔b. listeria monocytogenes
Rib fractures are noted on routine chest x-ray on a 3 month old premature infant. The most likely cause
of this finding is:
a. congenital hypoparathyroidism
b. inadequate calcium and phosphorus intake
c. vitamin D deficiency due to malabsorption - ✔✔b. inadequate calcium and phosphorus intake
The drug of choice when treating opioid withdrawal is:
a. diazepam
b. oral morphine
c. pheobarbital - ✔✔b. oral morphine
A neonate with acute renal failure requires short acting narcotic analgesic. The best drug to use in this
situation is:
a. fentanyl
b. morphine
c. sufentanil - ✔✔a. fentanyl
A term neonate who was born to an HBsAg positive mother is being discharged three months after birth
following surgery for a cardiac condition. The mother asks when the next Hep b immunization should be
given. The NP should advise that it be given at:
a. four months
b. six months
c. twelve months - ✔✔b. six months
A term, small for gestational age neonate at 4 hours of life is tachypneic, plethoric, lethargic, and has a
blood sugar of 53 mg/dL and a central hematrocrit of 70%. The most likely diagnosis is:
, a. hyperviscosity
b. hypocalcemia
c. hypoglycemia - ✔✔a. hyperviscosity
A factor that would result in increased insensible water loss in neonates is:
a. hypothermia
b. phototherapy
c. postmaturity - ✔✔b. phototherapy
A neonate has a flat reddish birthmark with sharply delineated edges on the nape of the neck. When
pressure is applied to the birthmark, there is minimal blanching. This finding is consistent with:
a. infantile hemangioma
b. nevus simplex
c. port wine stain - ✔✔c. port wine stain
nevus simplex does blanch.
A neonate is born to a mother with a positive TB test but no signs of active disease. Management of this
neonate should include:
a. initiate medication therapy on mother and infant
b. no special evaluation or therapy
c. separate mother and neonate until status can be confirmed - ✔✔b. no special evaluation or therapy
The standard of care for neonatal nursing is judged according to the standard of care:
a. locally
b. nationally
c. regionally - ✔✔b. nationally
Which of the following is a contraindication to breastfeeding?
