CCRN NEONATAL ACTUAL EXAM BANK
NEWEST ACTUAL EXAM WITH COMPLETE 400
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)/ AACN CCRN
NEONATAL PRACTICE QUESTIONS|ALREADY
GRADED A+
A papule is defined as a - CORRECT ANSWER ✔✔- solid, elevated lesion with
distinct borders less than 0.5 cm in size. solid or fluid filled lesions that are
elevated with distinct borders; less than 1 cm in diameter
A fluid accumulation in the dermal layer of the skin would be described as a -
CORRECT ANSWER ✔✔- wheal.
An absence of air flow despite respiratory effort is an example of which apnea
classification? - CORRECT ANSWER ✔✔- Obstructive apnea
Continuous positive airway pressure (CPAP) improves oxygenation by - CORRECT
ANSWER ✔✔- improving the ventilation-perfusion ratio.
The functional residual capacity in a newborn infant should be approximately -
CORRECT ANSWER ✔✔- 30 ml/kg.
Pg. 1
,A 29 week gestation infant who displays symptoms of a pulmonary hemorrhage
should be evaluated for - CORRECT ANSWER ✔✔- patent ductus arteriosus.
A discrepancy greater than 10 mm Hg between the blood pressure in the upper
and lower extremities is indicative of which defect? - CORRECT ANSWER ✔✔-
Coarctation of the aorta
In order to pass a pulse oximetry screening for critical congenital heart disease
(CCHD), which oxygenation and percentage of variance is required in the right
hand and foot? - CORRECT ANSWER ✔✔- Less than 95% O2 saturation and
greater than 3% variance
A neonate at 10 hours of age is found to be cyanotic and without respiratory
distress symptoms. The EKG and chest x-ray are normal. The administration of
oxygen is not relieving the cyanosis. The healthcare provider should have a high
index of suspicion for which of the following defects? - CORRECT ANSWER ✔✔-
Transposition of the great vessels
A right-to-left shunt will be seen with - CORRECT ANSWER ✔✔- pulmonary
stenosis.
A deformation is a(n) - CORRECT ANSWER ✔✔- abnormality caused by unusual
mechanical forces on normal tissue.
A low birth weight infant's temperature increases during skin-to-skin care. This is
an example of heat transfer by - CORRECT ANSWER ✔✔- conduction.
Pg. 2
,The standard for diagnosing necrotizing enterocolitis is which of the following? -
CORRECT ANSWER ✔✔- abdominal xray
The purpose of a silo for abdominal defects is to - CORRECT ANSWER ✔✔-
Gradually reduce the bowel over several days.
A hemorrhage associated with birth trauma that does NOT cross suture lines is
called a - CORRECT ANSWER ✔✔- cephalohematoma.
A subgaleal hemorrhage is treated as a medical emergency because - CORRECT
ANSWER ✔✔- large blood loss may lead to hypovolemic shock.
All of the following may predispose an infant to a subdural hemorrhage EXCEPT -
CORRECT ANSWER ✔✔- prematurity. shoulder dystocia, vaginal breech,
instrument assisted
An infant exhibiting apnea, bradycardia, decreased reflexes, hypotonia, and
unequal pupillary reaction would be diagnosed with which stage of hypoxic
ischemic encephalopathy? - CORRECT ANSWER ✔✔- Stage III
Autoregulation is a process that - CORRECT ANSWER ✔✔- maintains steady-state
cerebral blood flow despite changes in cerebral perfusion pressure. the ability to
maintain steady-state cerebral blood flow despite changes in cerebral perfusion
pressure; allows body to divert blood to where it is most needed;
Baby Eduardo was born with anencephaly, a serious type of neural tube defect
(NTD), and he died in the NICU two days after birth. His grieving parents ask the
nurse if the risk of this birth defect can be reduced in a future pregnancy. Which is
Pg. 3
, the BEST reply? - CORRECT ANSWER ✔✔- "By taking a prescription dose of 4.0
milligrams of folic acid before a future pregnancy, you can reduce the risk of
NTDs."
Clinical presentation of subarachnoid hemorrhage - CORRECT ANSWER ✔✔-
increasing OFC, shock, vacuum-assisted delivery
Clinical presentation of subdural hemorrhage - CORRECT ANSWER ✔✔- increased
ICP, instrumented delivery, coma
Clinical presentation of subgaleal hemorrhage - CORRECT ANSWER ✔✔- sever
asphyxia, birth trauma, often asympotomatic, seizures on 2nd or 3rd day of life
How much folic acid is recommended in the preconception period and in the first
three months of pregnancy for women who have had a prior infant with a neural
tube defect? - CORRECT ANSWER ✔✔- 4,000 mcg 4 mg (4000 mcg) starting at
least one month before conception and through at least 3 months of pregnancy
Management of the neonate with an intraventricular hemorrhage includes -
CORRECT ANSWER ✔✔- preventing wide swings in systemic blood pressure.
Periventricular leukomalacia may be caused by all of the following physiologic
conditions EXCEPT - CORRECT ANSWER ✔✔- treatment with extracorporeal
membrane oxygenation.
Symptoms of subtle seizures include - CORRECT ANSWER ✔✔- rowing, stepping,
or pedaling movements. motor automatisms, buccolingual movements; most
common and account for 1/2 of all seizures; found in preterm and term infants;
Pg. 4
NEWEST ACTUAL EXAM WITH COMPLETE 400
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)/ AACN CCRN
NEONATAL PRACTICE QUESTIONS|ALREADY
GRADED A+
A papule is defined as a - CORRECT ANSWER ✔✔- solid, elevated lesion with
distinct borders less than 0.5 cm in size. solid or fluid filled lesions that are
elevated with distinct borders; less than 1 cm in diameter
A fluid accumulation in the dermal layer of the skin would be described as a -
CORRECT ANSWER ✔✔- wheal.
An absence of air flow despite respiratory effort is an example of which apnea
classification? - CORRECT ANSWER ✔✔- Obstructive apnea
Continuous positive airway pressure (CPAP) improves oxygenation by - CORRECT
ANSWER ✔✔- improving the ventilation-perfusion ratio.
The functional residual capacity in a newborn infant should be approximately -
CORRECT ANSWER ✔✔- 30 ml/kg.
Pg. 1
,A 29 week gestation infant who displays symptoms of a pulmonary hemorrhage
should be evaluated for - CORRECT ANSWER ✔✔- patent ductus arteriosus.
A discrepancy greater than 10 mm Hg between the blood pressure in the upper
and lower extremities is indicative of which defect? - CORRECT ANSWER ✔✔-
Coarctation of the aorta
In order to pass a pulse oximetry screening for critical congenital heart disease
(CCHD), which oxygenation and percentage of variance is required in the right
hand and foot? - CORRECT ANSWER ✔✔- Less than 95% O2 saturation and
greater than 3% variance
A neonate at 10 hours of age is found to be cyanotic and without respiratory
distress symptoms. The EKG and chest x-ray are normal. The administration of
oxygen is not relieving the cyanosis. The healthcare provider should have a high
index of suspicion for which of the following defects? - CORRECT ANSWER ✔✔-
Transposition of the great vessels
A right-to-left shunt will be seen with - CORRECT ANSWER ✔✔- pulmonary
stenosis.
A deformation is a(n) - CORRECT ANSWER ✔✔- abnormality caused by unusual
mechanical forces on normal tissue.
A low birth weight infant's temperature increases during skin-to-skin care. This is
an example of heat transfer by - CORRECT ANSWER ✔✔- conduction.
Pg. 2
,The standard for diagnosing necrotizing enterocolitis is which of the following? -
CORRECT ANSWER ✔✔- abdominal xray
The purpose of a silo for abdominal defects is to - CORRECT ANSWER ✔✔-
Gradually reduce the bowel over several days.
A hemorrhage associated with birth trauma that does NOT cross suture lines is
called a - CORRECT ANSWER ✔✔- cephalohematoma.
A subgaleal hemorrhage is treated as a medical emergency because - CORRECT
ANSWER ✔✔- large blood loss may lead to hypovolemic shock.
All of the following may predispose an infant to a subdural hemorrhage EXCEPT -
CORRECT ANSWER ✔✔- prematurity. shoulder dystocia, vaginal breech,
instrument assisted
An infant exhibiting apnea, bradycardia, decreased reflexes, hypotonia, and
unequal pupillary reaction would be diagnosed with which stage of hypoxic
ischemic encephalopathy? - CORRECT ANSWER ✔✔- Stage III
Autoregulation is a process that - CORRECT ANSWER ✔✔- maintains steady-state
cerebral blood flow despite changes in cerebral perfusion pressure. the ability to
maintain steady-state cerebral blood flow despite changes in cerebral perfusion
pressure; allows body to divert blood to where it is most needed;
Baby Eduardo was born with anencephaly, a serious type of neural tube defect
(NTD), and he died in the NICU two days after birth. His grieving parents ask the
nurse if the risk of this birth defect can be reduced in a future pregnancy. Which is
Pg. 3
, the BEST reply? - CORRECT ANSWER ✔✔- "By taking a prescription dose of 4.0
milligrams of folic acid before a future pregnancy, you can reduce the risk of
NTDs."
Clinical presentation of subarachnoid hemorrhage - CORRECT ANSWER ✔✔-
increasing OFC, shock, vacuum-assisted delivery
Clinical presentation of subdural hemorrhage - CORRECT ANSWER ✔✔- increased
ICP, instrumented delivery, coma
Clinical presentation of subgaleal hemorrhage - CORRECT ANSWER ✔✔- sever
asphyxia, birth trauma, often asympotomatic, seizures on 2nd or 3rd day of life
How much folic acid is recommended in the preconception period and in the first
three months of pregnancy for women who have had a prior infant with a neural
tube defect? - CORRECT ANSWER ✔✔- 4,000 mcg 4 mg (4000 mcg) starting at
least one month before conception and through at least 3 months of pregnancy
Management of the neonate with an intraventricular hemorrhage includes -
CORRECT ANSWER ✔✔- preventing wide swings in systemic blood pressure.
Periventricular leukomalacia may be caused by all of the following physiologic
conditions EXCEPT - CORRECT ANSWER ✔✔- treatment with extracorporeal
membrane oxygenation.
Symptoms of subtle seizures include - CORRECT ANSWER ✔✔- rowing, stepping,
or pedaling movements. motor automatisms, buccolingual movements; most
common and account for 1/2 of all seizures; found in preterm and term infants;
Pg. 4
