NNP FANNP Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
The recommended protein intake for a term infant is _____ and for a preterm infant is _____:
A. 2-2.5 mg/kg/day and 3-4 mg/kg/day
B. 3 g/kg/day and 5 g/kg/day
C. 2-2.5 g/kg/day and 3-4 g/kg/day - CORRECT ANSWER c. 2-2.5 g/kg/day and 3-4 g/kg/day
Intralipids help prevent what type of deficiency in the infant?
A. Fatty acid deficiency
B. Protein deficiency
C. Caloric deficiency - CORRECT ANSWER a. Fatty acid deficiency
Baby Girl Pink is advancing on her intalipid infusion. What percentage of intralipids should you use
for the best clearance from circulation?
A. 25%, cholesterol level, 200 mg/dl b. 20%, triglyceride level, 75 mg/dl c. 20% - CORRECT
ANSWER c. 20%
What lab should you routinely follow as you advance an intralipid infusion?
A. Creatinine level
B. Direct bilirubin level
C. Triglyceride level - CORRECT ANSWER c. Triglyceride level
The main carbohydrate source in human milk and formula is:
A. Dextrose
B. Lactose
,C. Glucose - CORRECT ANSWER b. Lactose
Baby Goo is a term male with cystic fibrosis. He presented on DOL 1 with abdominal distention and
erythema along with significant metabolic acidosis.
What common cystic fibrosis GI complication do you suspect?
A. Meconium ileus
B. Gastroschisis
C. Pyloric stenosis - CORRECT ANSWER a. Meconium ileus
Baby Goo is a term male with cystic fibrosis. He presented on DOL 1 with abdominal distention and
erythema along with significant metabolic acidosis.
The above infant has its ileocecal valve removed during surgery with bowel resection. What long-
term condition are you anticipating?
A. Rectal atresia
B. Short gut syndrome
C. NEC - CORRECT ANSWER b. Short gut syndrome
The incomplete separation of fingers or toes is called:
A. Camptodactyly
B. Clinodactyly
C. Syndactyly - CORRECT ANSWER c. Syndactyly
Colobomas of the iris are associated with:
A. CHARGE association
B. Trisomy 21
C. VATER association - CORRECT ANSWER a. CHARGE association
The oxygen dissociation curve is shifted to the _____ for fetal hemoglobin, which represents the
_____ affinity for fetal hemoglobin for oxygen.
,A. Right, decreased
B. Left, increased
C. Right, increased - CORRECT ANSWER b. Left, increased
Thrombocytopenia is defined as a:
A. Platelet count < 150,000
B. WBC count < 1500
C. Platelet count < 50,000 - CORRECT ANSWER a. Platelet count < 150,000
Baby Girl Plethora has a heel stick hematocrit of 70%. What disease process are you concerned
about? What is your next step?
A. Polycythemia, perform exchange transfusion
B. Polycythemia, obtain central hematocrit
C. Anemia, obtain central hematocrit - CORRECT ANSWER b. Polycythemia, obtain central
hematocrit
) A 35 week male born to a mother with preeclampsia. On his initial exam, he has petechiae on his
chest and shortened ulna with hypoplastic thumbs. The CBC shows a platelet count of 23,000. What is
the most likely cause of his thrombocytopenia?
A. TAR syndrome
B. Alloimmune thrombocytopenia
C. Maternal preeclampsia - CORRECT ANSWER a. TAR syndrome
A 5 kg infant is born via vaginal delivery complicated by shoulder dystocia. What fracture is this
infant most at risk for?
A. Skull fracture
B. Clavicle fracture
, C. Radius fracture - CORRECT ANSWER b. Clavicle fracture
Surfactant is manufactured in alveolar ___ cells.
A. Type I
B. Type II
C. White blood - CORRECT ANSWER b. Type II
Baby Boy Blue is a term infant on the ventilator being treated for congenital pneumonia. He last
received surfactant 12 hrs ago. You are called to his bedside secondary to cyanosis, tachypnea and
moderate to severe retractions. You call for a chest xray, but the infant develops significant
hypotension and bradycardia.
What are you suspicious of?
A. Extubation
B. Pericardial effusion
C. Tension pneumothorax - CORRECT ANSWER c. Tension pneumothorax
Baby Boy Blue is a term infant on the ventilator being treated for congenital pneumonia. He last
received surfactant 12 hrs ago. You are called to his bedside secondary to cyanosis, tachypnea and
moderate to severe retractions. You call for a chest xray, but the infant develops significant
hypotension and bradycardia.
What procedure should you perform while awaiting your chest xray?
A. Transillumination
B. Reintubation
C. Surfactant administration - CORRECT ANSWER a. Transillumination
Baby Boy Blue is a term infant on the ventilator being treated for congenital pneumonia. He last
received surfactant 12 hrs ago. You are called to his bedside secondary to cyanosis, tachypnea and
moderate to severe retractions. You call for a chest xray, but the infant develops significant
hypotension and bradycardia.
) What is your next action based upon the response to the above procedure?
QUESTIONS AND CORRECT ANSWERS
The recommended protein intake for a term infant is _____ and for a preterm infant is _____:
A. 2-2.5 mg/kg/day and 3-4 mg/kg/day
B. 3 g/kg/day and 5 g/kg/day
C. 2-2.5 g/kg/day and 3-4 g/kg/day - CORRECT ANSWER c. 2-2.5 g/kg/day and 3-4 g/kg/day
Intralipids help prevent what type of deficiency in the infant?
A. Fatty acid deficiency
B. Protein deficiency
C. Caloric deficiency - CORRECT ANSWER a. Fatty acid deficiency
Baby Girl Pink is advancing on her intalipid infusion. What percentage of intralipids should you use
for the best clearance from circulation?
A. 25%, cholesterol level, 200 mg/dl b. 20%, triglyceride level, 75 mg/dl c. 20% - CORRECT
ANSWER c. 20%
What lab should you routinely follow as you advance an intralipid infusion?
A. Creatinine level
B. Direct bilirubin level
C. Triglyceride level - CORRECT ANSWER c. Triglyceride level
The main carbohydrate source in human milk and formula is:
A. Dextrose
B. Lactose
,C. Glucose - CORRECT ANSWER b. Lactose
Baby Goo is a term male with cystic fibrosis. He presented on DOL 1 with abdominal distention and
erythema along with significant metabolic acidosis.
What common cystic fibrosis GI complication do you suspect?
A. Meconium ileus
B. Gastroschisis
C. Pyloric stenosis - CORRECT ANSWER a. Meconium ileus
Baby Goo is a term male with cystic fibrosis. He presented on DOL 1 with abdominal distention and
erythema along with significant metabolic acidosis.
The above infant has its ileocecal valve removed during surgery with bowel resection. What long-
term condition are you anticipating?
A. Rectal atresia
B. Short gut syndrome
C. NEC - CORRECT ANSWER b. Short gut syndrome
The incomplete separation of fingers or toes is called:
A. Camptodactyly
B. Clinodactyly
C. Syndactyly - CORRECT ANSWER c. Syndactyly
Colobomas of the iris are associated with:
A. CHARGE association
B. Trisomy 21
C. VATER association - CORRECT ANSWER a. CHARGE association
The oxygen dissociation curve is shifted to the _____ for fetal hemoglobin, which represents the
_____ affinity for fetal hemoglobin for oxygen.
,A. Right, decreased
B. Left, increased
C. Right, increased - CORRECT ANSWER b. Left, increased
Thrombocytopenia is defined as a:
A. Platelet count < 150,000
B. WBC count < 1500
C. Platelet count < 50,000 - CORRECT ANSWER a. Platelet count < 150,000
Baby Girl Plethora has a heel stick hematocrit of 70%. What disease process are you concerned
about? What is your next step?
A. Polycythemia, perform exchange transfusion
B. Polycythemia, obtain central hematocrit
C. Anemia, obtain central hematocrit - CORRECT ANSWER b. Polycythemia, obtain central
hematocrit
) A 35 week male born to a mother with preeclampsia. On his initial exam, he has petechiae on his
chest and shortened ulna with hypoplastic thumbs. The CBC shows a platelet count of 23,000. What is
the most likely cause of his thrombocytopenia?
A. TAR syndrome
B. Alloimmune thrombocytopenia
C. Maternal preeclampsia - CORRECT ANSWER a. TAR syndrome
A 5 kg infant is born via vaginal delivery complicated by shoulder dystocia. What fracture is this
infant most at risk for?
A. Skull fracture
B. Clavicle fracture
, C. Radius fracture - CORRECT ANSWER b. Clavicle fracture
Surfactant is manufactured in alveolar ___ cells.
A. Type I
B. Type II
C. White blood - CORRECT ANSWER b. Type II
Baby Boy Blue is a term infant on the ventilator being treated for congenital pneumonia. He last
received surfactant 12 hrs ago. You are called to his bedside secondary to cyanosis, tachypnea and
moderate to severe retractions. You call for a chest xray, but the infant develops significant
hypotension and bradycardia.
What are you suspicious of?
A. Extubation
B. Pericardial effusion
C. Tension pneumothorax - CORRECT ANSWER c. Tension pneumothorax
Baby Boy Blue is a term infant on the ventilator being treated for congenital pneumonia. He last
received surfactant 12 hrs ago. You are called to his bedside secondary to cyanosis, tachypnea and
moderate to severe retractions. You call for a chest xray, but the infant develops significant
hypotension and bradycardia.
What procedure should you perform while awaiting your chest xray?
A. Transillumination
B. Reintubation
C. Surfactant administration - CORRECT ANSWER a. Transillumination
Baby Boy Blue is a term infant on the ventilator being treated for congenital pneumonia. He last
received surfactant 12 hrs ago. You are called to his bedside secondary to cyanosis, tachypnea and
moderate to severe retractions. You call for a chest xray, but the infant develops significant
hypotension and bradycardia.
) What is your next action based upon the response to the above procedure?
