Page 1 of 45
CCRN Neonatal EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
A deformation is a(n) - 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 - ANSWER-conduction.
At the onset of labor the release of catecholamines stimulates - ANSWER-
increased absorption of lung fluid.
An edematous, bruised lesion on the right anterior scalp where the vacuum was
applied. This lesion has clearly demarcated edges, is firm to touch, and does not
cross the suture line. This is best described as a - ANSWER-cephalohematoma.
An infant born at 40 5/7 weeks gestation and weighed 5 lbs 2oz (2,360 grams). In
completing a gestational age assessment on this infant, you would identify her
as - ANSWER-term, small for gestational age.
During fetal life, the ductus arteriosus - ANSWER-diverts blood flow from the
pulmonary artery to the descending aorta.
Expected findings in a neonate born to a mother who received magnesium
sulfate in labor include - ANSWER-hypotonia.
,Page 2 of 45
Eye prophylaxis with a single-use dose of sterile ophthalmic ointment containing
1% tetracycline or 0.5% erythromycin is usually administered within the first few
hours of birth to prevent an eye infection caused by - ANSWER-gonorrhea.
Following a birth complicated by shoulder dystocia, the neonate should be
assessed for - ANSWER-Erb's palsy.
Preeclampsia may result in all of the following fetal conditions - ANSWER-
growth restriction, hypoxia/neurological injury, prematurity.
Hyperthermia is defined as an axillary temperature greater than 99.5ºF (37.5ºC).
The MOST common cause of hyperthermia in the newborn is - ANSWER-
environmental.
In the immediate newborn transition period, the ability to maintain functional
residual lung capacity is most dependent upon - ANSWER-an adequate amount
of alveolar surfactant.
Neonates at risk of hypoglycemia should have their glucose levels evaluated
within 2 hours of life because - ANSWER-blood glucose levels reach their lowest
point within one to two hours after delivery.
Polycythemia in the immediate newborn period is often associated with -
ANSWER-infant of a diabetic mother.
,Page 3 of 45
Symptoms of mild perinatal asphyxia include - ANSWER-hyperalert state and
jitteriness.
The condition in which the newborn's immature hypothalamus does not
regulate peripheral blood vessels, resulting in a vasoconstriction on one side of
the body with a vasodilation on the opposite side of the body is called -
ANSWER-harlequin phenomena.
The following conditions may all lead to metabolic acidosis - ANSWER-loss of
HCO3/excess acid load d/t prematurity, renal tubular necrosis, severe diarrhea,
hypoxia, hypoperfusion, inborn errors of metabolism, caloric deprivation,
intolerance of cow's milk protein.
The full newborn cardiovascular assessment includes auscultation, inspection,
and palpation. The point of maximum impulse is usually palpable and can be
auscultated in the - ANSWER-third to fourth intercostal space and left of the
midclavicular line.
The neonate born to a mother with uncontrolled diabetes mellitus should be
evaluated for - ANSWER-congenital malformations.
You are the nurse caring for a 38 weeks gestation, female infant, who was born
one hour ago in the parking lot of the emergency room. On admission to the
nursery, the neonate's rectal temperature was 95ºF (35ºC). You recognize that
cold stress may predispose the infant to - ANSWER-increased oxygen
consumption and hypoxia.
, Page 4 of 45
A full term neonate who presents at six hours of age with increasingly labile
oxygenation that appears disproportionate to the pulmonary disease should be
evaluated for - ANSWER-pulmonary hypertension of the newborn.
The development of pneumonia in chronically ventilated infants is most
commonly associated with which of the following organisms? - ANSWER-
Ureaplasma urealyticum
Antenatal steroids enhance lung maturation by - ANSWER-increasing the
number of type II pneumocytes in the lung.
Mean airway pressure is defined as the - ANSWER-pressure transmitted to the
lung throughout the respiratory cycle.
Many infants with the diagnosis of persistent pulmonary hypertension (PPHN)
will have pharmacologic support. Identify the medication that is a direct-acting
vasodilator and acts by relaxing pulmonary vessel musculature. - ANSWER-
Nitric oxide
The following arterial blood gas results: pH 7.28, PaO2 74, PaCO2 55, HCO3- 21
and base deficit -4 indicate - ANSWER-respiratory acidosis.
Nastassia is a one-hour-old neonate, born at 39 weeks gestation by primary
cesarean birth for fetal bradycardia. She was hypotonic at birth with gasping
respirations and a heart rate of 80. She was provided bulb suctioning and bag
mask ventilation and recovered by five minutes of life. On admission to the
NICU, her temperature was 36° C. After admission to the NICU, her arterial
CCRN Neonatal EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
A deformation is a(n) - 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 - ANSWER-conduction.
At the onset of labor the release of catecholamines stimulates - ANSWER-
increased absorption of lung fluid.
An edematous, bruised lesion on the right anterior scalp where the vacuum was
applied. This lesion has clearly demarcated edges, is firm to touch, and does not
cross the suture line. This is best described as a - ANSWER-cephalohematoma.
An infant born at 40 5/7 weeks gestation and weighed 5 lbs 2oz (2,360 grams). In
completing a gestational age assessment on this infant, you would identify her
as - ANSWER-term, small for gestational age.
During fetal life, the ductus arteriosus - ANSWER-diverts blood flow from the
pulmonary artery to the descending aorta.
Expected findings in a neonate born to a mother who received magnesium
sulfate in labor include - ANSWER-hypotonia.
,Page 2 of 45
Eye prophylaxis with a single-use dose of sterile ophthalmic ointment containing
1% tetracycline or 0.5% erythromycin is usually administered within the first few
hours of birth to prevent an eye infection caused by - ANSWER-gonorrhea.
Following a birth complicated by shoulder dystocia, the neonate should be
assessed for - ANSWER-Erb's palsy.
Preeclampsia may result in all of the following fetal conditions - ANSWER-
growth restriction, hypoxia/neurological injury, prematurity.
Hyperthermia is defined as an axillary temperature greater than 99.5ºF (37.5ºC).
The MOST common cause of hyperthermia in the newborn is - ANSWER-
environmental.
In the immediate newborn transition period, the ability to maintain functional
residual lung capacity is most dependent upon - ANSWER-an adequate amount
of alveolar surfactant.
Neonates at risk of hypoglycemia should have their glucose levels evaluated
within 2 hours of life because - ANSWER-blood glucose levels reach their lowest
point within one to two hours after delivery.
Polycythemia in the immediate newborn period is often associated with -
ANSWER-infant of a diabetic mother.
,Page 3 of 45
Symptoms of mild perinatal asphyxia include - ANSWER-hyperalert state and
jitteriness.
The condition in which the newborn's immature hypothalamus does not
regulate peripheral blood vessels, resulting in a vasoconstriction on one side of
the body with a vasodilation on the opposite side of the body is called -
ANSWER-harlequin phenomena.
The following conditions may all lead to metabolic acidosis - ANSWER-loss of
HCO3/excess acid load d/t prematurity, renal tubular necrosis, severe diarrhea,
hypoxia, hypoperfusion, inborn errors of metabolism, caloric deprivation,
intolerance of cow's milk protein.
The full newborn cardiovascular assessment includes auscultation, inspection,
and palpation. The point of maximum impulse is usually palpable and can be
auscultated in the - ANSWER-third to fourth intercostal space and left of the
midclavicular line.
The neonate born to a mother with uncontrolled diabetes mellitus should be
evaluated for - ANSWER-congenital malformations.
You are the nurse caring for a 38 weeks gestation, female infant, who was born
one hour ago in the parking lot of the emergency room. On admission to the
nursery, the neonate's rectal temperature was 95ºF (35ºC). You recognize that
cold stress may predispose the infant to - ANSWER-increased oxygen
consumption and hypoxia.
, Page 4 of 45
A full term neonate who presents at six hours of age with increasingly labile
oxygenation that appears disproportionate to the pulmonary disease should be
evaluated for - ANSWER-pulmonary hypertension of the newborn.
The development of pneumonia in chronically ventilated infants is most
commonly associated with which of the following organisms? - ANSWER-
Ureaplasma urealyticum
Antenatal steroids enhance lung maturation by - ANSWER-increasing the
number of type II pneumocytes in the lung.
Mean airway pressure is defined as the - ANSWER-pressure transmitted to the
lung throughout the respiratory cycle.
Many infants with the diagnosis of persistent pulmonary hypertension (PPHN)
will have pharmacologic support. Identify the medication that is a direct-acting
vasodilator and acts by relaxing pulmonary vessel musculature. - ANSWER-
Nitric oxide
The following arterial blood gas results: pH 7.28, PaO2 74, PaCO2 55, HCO3- 21
and base deficit -4 indicate - ANSWER-respiratory acidosis.
Nastassia is a one-hour-old neonate, born at 39 weeks gestation by primary
cesarean birth for fetal bradycardia. She was hypotonic at birth with gasping
respirations and a heart rate of 80. She was provided bulb suctioning and bag
mask ventilation and recovered by five minutes of life. On admission to the
NICU, her temperature was 36° C. After admission to the NICU, her arterial
