NNP Practice Exam Questions and Answers Updated this Year

NNP Practice Exam Questions and
Answers Updated this Year
AM32MweekMgestationMinfantMwithMdecreasedMrenalMfunctionMdevelopsMsystemicMcandidi
asis.MTheMbestMchoiceMofMantifungalMtherapyMforMthisMbabyMis



a.MamphotericinMBMlipidMcomplex

b.Mfluconazole

c.MflucytosineM-MAnswerMa.MamphotericinMBMlipidMcomplex



amphotericinMBMisMchosenMforMtxMforMallMcandidaMinfectionsMbecauseMofMitsMefficacy,
Msafety,MdecreasedMcostMandMbetterMrenalMpenetrance.M



ThisMbabyMneedMamphoMBMwithMaMlipidMcomplexMbcMitMisMlessMnephrotoxic.M



fluconazoleMisMusedMinMmanyMNICUsMasMcandidaMprophylaxisMandMshouldMnotMbeMuse
dMforMsystemicMfungalMinfections



IncreasedMbowelMsoundsMareMindicativeMof

a.MIleus

b.MMalrotation

c.MStarvationM-MAnswerMb.MMalrotation



InfantsMwithMBeckwith-WiedemannMsyndromeMhaveMaMhighMriskMforMwhichManomaly?



a.MMicroglossia

b.MOmphalocele

c.MVolvulusM-MAnswerMb.MOmphalocele



AMtermMneonateMisMfoundMtoMhaveMambiguousMgenitalia.MTheManticipatedMimmediateM
actionMwouldMincludeMobtaining



a.MbloodMelectrolytes

,b.MintravenousMpyelogram

c.MpelvicMultrasoundM-MAnswerMa.MbloodMelectrolytes



CAHMisMmostMcommonMcauseMofMambiguousMgenitaliaMandMadrenalMcrisis,MorMinsufficie
ncyMisMaMcomplicationMthatMcanMdevelop



4.MPlethoraMcanMbeMseenMinMinfantsMwhoMare

a.Moverfed

b.Moverheated

c.MstimulatedM-MAnswerMb.Moverheated



environmentalMhyperthermiaMcanMcauseMflushing/ruddyMappearanceMwithMvasodilation



NeonatalMmanifestationMofMsystemicMlupusMerythematosusMisMattributedMto



a.MinterferenceMwithMproteinMsynthesis

b.MmaternalMdeficiencyMofMautoantibodiesMandMimmuneMcomplexes

c.MplacentalMtransferMofMantibodiesMtoMtheMfetusM-
MAnswerMc.MplacentalMtransferMofMantibodiesMtoMtheMfetus



InMaM26MweekMgestationalMageMneonate,MtheMexpectedMphysicalMfindingsMwouldMinclud
eMaM



a.MbarelyMapparentMMoroMreflex

b.MnoMresistanceMtoMheelMtoMearMmaneuver

c.MweakMfingerMgraspM-MAnswerMb.MnoMresistanceMtoMheelMtoMearMmaneuver



AMfemaleMneonateMwasMdeliveredMatM28MweeksMgestation.MTheMamnioticMfluidMwasMm
econiumMstained.MPhysicalMexaminationMshowsMaMerythematoresMrashMwithMsmall,Mpale
Mpapules.MToneMisMpoorMandMtheMinfantMhasMhadMseveralMepisodesMofMapnea.MInfecti
onMisMsuspected.MTheMorganismMmostMlikelyMresponsibleMforMthisMneonate'sMsymptoms
Mis

,a.MEscherichiaMcoli

b.MGroupMBMstreptococcus

c.MListeriaMmonocytogenesM-MAnswerMc.MListeriaMmonocytogenes



SmallM(2-MtoM3-mm)McutaneousMpinkish-
grayMgranulomas,MtermedMgranulomatosisMinfantisepticum,MareMcharacteristicMofMsevereM
newbornMinfection.



fetalMdiarrhea,MprematureMinfantsMdon'tMpassMmeconiumMinMutero



AMneonateMisMreceivingMaMcalciumMinfusionMforMtreatmentMofMhypocalcemia.MTheMnurs
eMshould

a.MmonitorMforMoxygenMsaturationMchanges

b.MobtainManMEKGMbeforeMandMafterMtheMinfusion

c.MplaceMtheMinfantMonMaMcardiacMmonitorM-
MAnswerMc.MplaceMtheMinfantMonMaMcardiacMmonitor



PatientsMwithMrespiratoryMdistressMsyndromeMexhibitMprominentMretractionsMwithMrespirat
oryMeffort.MThisMisMdueMtoMtheMworkMrequiredMto



a.MgenerateMhighMintrathoracicMpressures

b.MovercomeMtheMnegativeMintrapleuralMpressureMgeneratedMbyMcontractionMofMtheMdia
phragmMandMtheMrespiratoryMmuscles

c.MtrapMalveolarMairMandMmaintainMfunctionalMresidualMcapacityM-
MAnswerMa.MgenerateMhighMintrathoracicMpressures



AssessmentMofMaMtermMneonateMisMasMfollows:MIUGR,Mmicrocephaly,McongenitalMcatarac
ts,Mhepatosplenomegaly,MandMjaundice.MBasedMonMtheseMfindings,MtheMmostMlikelyMdiag
nosisMisMcongenital



a.Mcytomegalovirus

b.Mrubella

c.MtoxoplasmosisM-MAnswerMb.Mrubella

, Rubella'sMclassicMs/sM(pda,Mcataracts,MhearingMloss)



jaundice,MHSM,MBBMR



InfantsMbornMtoMmothersMwithMmyastheniaMgravis

a.MareMatMriskMforMaspiration

b.MwillMpresentMwithMsymptomsMwithinMfirstM12MhoursMofMlife.

c.MtransientMmyastheniaMgravisMwillMresolveMspontaneouslyMaroundM6MmonthsMofMage.
M-MAnswerMa.MareMatMriskMforMaspiration



BasedMonMtheMintrauterineMgrowthMchartMshown,MthisMneonateMwouldMbeMclassifiedMas
M(38wks,M25thMpercentile)

a.Mpost-term,MSGA

b.Mterm,MAGA

c.Mterm,MSGAM-MAnswerMb.Mterm,MAGA



ContinuedMposturingMofMaMlimbMisMcharacteristicMof

a.MclonicMseizures

b.MmyoclonicMseizures

c.MtonicMseizuresM-MAnswerMc.MtonicMseizures



AMdisadvantageMofMcontinuousMrenalMreplacementMtherapyMwithMhemofiltrationMinMtheM
treatmentMofMacuteMrenalMfailureMisMthat

a.MconstantMheparinizationMduringMtherapyMisMrequired

b.MitMcausesMrapidMsoluteMandMfluidMshifts

c.MtheMpatientMmustMbeMhemodynamicallyMstableMpriorMtoMtherapyM-
MAnswerMa.MconstantMheparinizationMduringMtherapyMisMrequired



TheMhallmarkMfindingMofMpneumatosisMintestinalisMis

a.MairMwithinMtheMwallMofMtheMintestine

b.MlocalMbowelMedema

c.MperforationMofMtheMbowelMwallM-MAnswerMa.MairMwithinMtheMwallMofMtheMintestine