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NNP CCPR Exam Question Bank & Practice Exam | Neonatal Nurse Practitioner | 2026–2027 | Actual Exam Questions with Verified Detailed Answers

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This comprehensive question bank is designed for the NNP CCPR (Neonatal Nurse Practitioner – Comprehensive Care & Practice Review) exam and includes actual exam-style questions updated for the 2026–2027 testing cycle. It features hundreds of clinically focused questions with verified correct answers and in-depth rationales, covering neonatal resuscitation, cardiopulmonary disorders, neurologic conditions, infectious diseases, pharmacology, nutrition, ethics, and advanced neonatal assessment. Ideal for NNP students and practicing clinicians preparing for certification or recertification, this resource mirrors real exam complexity and supports confident, high-level clinical decision-making.

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1 | Page




NNP CCPR EXAM QUESTION BANK AND
PRACTICE EXAM 2026-2027 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERED ALREADY GRADED A+ NNP
PRACTICE EXAM (CCPR) | BRAND NEW!



A term neonate has a brief history of lethargy and poor feeding.
Upon examination, the neonate is noted to be pale, mottled and
diaphoretic. Palpation reveals strong pulses in the upper
extremities and diminished pulses in the lower extremities. The
following data are obtained: Axillary temperature: 36.6°C (97.8°F);
Heart rate: 176 b/p/m; Respiratory rate: 84 breaths per minute;
Capillary refill: 5 seconds; Urine output: 0.2 mL/kg/hour. A
diagnostic step that is useful is
a. assessing for the presence of diastolic murmur
b. drawing serial blood gases in room air and 100% oxygen
c. obtaining blood pressures in all four extremities - ✔✔✔ Correct
Answer > c. obtaining blood pressures in all four extremities




A neonate is born to a mother with a positive tuberculin test but
no signs of active disease. Management of this neonate should
include
a. initiate medication therapy on mother and infant

,2 | Page




b. no special evaluation or therapy
c. separate mother and neonate until status can be confirmed -
✔✔✔ Correct Answer > b. no special evaluation or therapy




When developing a plan for a preterm neonate to transition to
oral feedings, the nurse should consider that
a. breast feeding requires more energy than bottle feeding in
all infants
b. coordination of suck-swallow reflex and breathing is
developed by 34 weeks postconceptual age
c. vigorous non-nutritive sucking is a predictor for oral
feeding readiness - ✔✔✔ Correct Answer > b. coordination of suck-
swallow reflex and breathing is developed by 34 weeks
postconceptual age


The difference in human milk from mothers of premature infants
when compared to that of mature human milk is a lower
concentration of
a. calcium
b. protein

c. lipids - ✔✔✔ Correct Answer > a. calcium

,3 | Page




An unexpected occurrence involving death or serious physical or
psychological injury is called
a. a sentinel event
b. an incident
c. malpractice - ✔✔✔ Correct Answer > a. a sentinel event


Bullous lesions appear on an infant's skin on day 2 of life. The
nurse should recognize that this finding is
a. benign
b. due to an irritant
c. indicative of infection - ✔✔✔ Correct Answer > c. indicative of
infection


A neonate is apneic at birth and positive-pressure ventilation
with 21% oxygen is initiated. After 30 seconds the neonate's heart
rate is 50. What is the next step in resuscitation of this neonate?
a. Administer epinephrine 0.1-0.3 ml/kg
b. Begin chest compressions
c. Increase oxygen to 50% - ✔✔✔ Correct Answer > b. Begin chest
compressions

, 4 | Page




When developing a plan for a preterm neonate to transition to
oral feedings, the nurse should consider that
a. breast feeding requires more energy than bottle feeding in
all infants
b. coordination of suck-swallow reflex and breathing is
developed by 34 weeks postconceptual age
c. vigorous non-nutritive sucking is a predictor for oral
feeding readiness - ✔✔✔ Correct Answer > b. coordination of suck-
swallow reflex and breathing is developed by 34 weeks
postconceptual age


Ideally antiretroviral prophylaxis is initated and administered in
the HIV exposed neonate within
a. 12 hours of birth
b. 24 hours of birth
c. 48 hours of birth - ✔✔✔ Correct Answer > a. 12 hours of birth


A 5 day old infant develops a very watery eye discharge that
progressed rapidly to purulent exudate. Chlamydia trachomatis
conjunctivitis is diagnosed. The nurse should be aware that
a. gentle pressure over nasolacrimial sac results in
mucopurulent drainage

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