NCC NNP EXAM AND PRACTICE EXAM NEWEST 2026
TEST BANK| NEONATAL NURSE PRACTITIONER NCC
EXAM PREP WITH COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (BRAND
NEW!!)
Question 1
A 32-week preterm infant is born to a mother with poorly
controlled gestational diabetes. Which finding is most
concerning in the first 6 hours?
A. Tremors and jitteriness
B. Respiratory rate of 70 with grunting
C. Blood glucose of 38 mg/dL
D. Lethargy and poor feeding
Correct Answer: B
Rationale: Grunting is a sign of respiratory distress, often from
RDS or transient tachypnea, and indicates impending respiratory
failure requiring immediate intervention. While hypoglycemia
(38 mg/dL) is common in infants of diabetic mothers and may
cause jitteriness, it is easily treated. Lethargy could indicate
1
,sepsis or severe hypoglycemia but is less immediately life-
threatening than respiratory compromise. In a preterm infant,
respiratory distress has higher mortality risk if untreated.
Question 2
Maternal chorioamnionitis is most likely to cause which
neonatal finding at birth?
A. Hypoglycemia
B. Early-onset sepsis
C. Meconium aspiration syndrome
D. Polycythemia
Correct Answer: B
Rationale: Chorioamnionitis causes fetal inflammatory response,
leading to early-onset sepsis (most commonly GBS or E. coli).
Hypoglycemia is not directly caused by chorioamnionitis.
Meconium aspiration is from intrauterine distress, not infection.
Polycythemia is associated with maternal diabetes, delayed cord
clamping, or intrauterine hypoxia, not chorioamnionitis.
2
,Question 3
A mother with prolonged rupture of membranes (36 hours)
delivers at 35 weeks. The infant is term-equivalent weight but
develops tachypnea within 1 hour. Most likely diagnosis?
A. Hyaline membrane disease
B. Congenital pneumonia
C. Transient tachypnea of newborn (TTN)
D. Spontaneous pneumothorax
Correct Answer: B
Rationale: Prolonged ROM (>18-24 hours) with early tachypnea
is congenital pneumonia until proven otherwise. TTN typically
resolves by 24 hours and is less common with infection risk.
Hyaline membrane disease (RDS) is unlikely at 35 weeks without
surfactant deficiency risk factors. Pneumothorax presents with
sudden deterioration, not isolated tachypnea.
Question 4
Magnesium sulfate given for maternal preeclampsia can
cause which neonatal effect?
A. Hypertonia
B. Hypocalcemia
3
, C. Respiratory depression and hypotonia
D. Seizures
Correct Answer: C
Rationale: Magnesium crosses the placenta and acts as a
neuromuscular blocker, causing respiratory depression,
hypotonia, hyporeflexia, and ileus in the neonate. Hypertonia
and seizures are opposite effects. Hypocalcemia is not directly
caused by maternal magnesium; however, magnesium can
transiently lower calcium, but hypotonia is the hallmark.
Question 5
A late-preterm infant (34 weeks) is born to a mother who
received betamethasone 48 hours prior. Which statement best
reflects lung maturity?
A. Surfactant production is fully mature
B. Risk of RDS is reduced but not eliminated
C. Infant will not require respiratory support
D. Betamethasone only benefits infants <30 weeks
Correct Answer: B
4
TEST BANK| NEONATAL NURSE PRACTITIONER NCC
EXAM PREP WITH COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (BRAND
NEW!!)
Question 1
A 32-week preterm infant is born to a mother with poorly
controlled gestational diabetes. Which finding is most
concerning in the first 6 hours?
A. Tremors and jitteriness
B. Respiratory rate of 70 with grunting
C. Blood glucose of 38 mg/dL
D. Lethargy and poor feeding
Correct Answer: B
Rationale: Grunting is a sign of respiratory distress, often from
RDS or transient tachypnea, and indicates impending respiratory
failure requiring immediate intervention. While hypoglycemia
(38 mg/dL) is common in infants of diabetic mothers and may
cause jitteriness, it is easily treated. Lethargy could indicate
1
,sepsis or severe hypoglycemia but is less immediately life-
threatening than respiratory compromise. In a preterm infant,
respiratory distress has higher mortality risk if untreated.
Question 2
Maternal chorioamnionitis is most likely to cause which
neonatal finding at birth?
A. Hypoglycemia
B. Early-onset sepsis
C. Meconium aspiration syndrome
D. Polycythemia
Correct Answer: B
Rationale: Chorioamnionitis causes fetal inflammatory response,
leading to early-onset sepsis (most commonly GBS or E. coli).
Hypoglycemia is not directly caused by chorioamnionitis.
Meconium aspiration is from intrauterine distress, not infection.
Polycythemia is associated with maternal diabetes, delayed cord
clamping, or intrauterine hypoxia, not chorioamnionitis.
2
,Question 3
A mother with prolonged rupture of membranes (36 hours)
delivers at 35 weeks. The infant is term-equivalent weight but
develops tachypnea within 1 hour. Most likely diagnosis?
A. Hyaline membrane disease
B. Congenital pneumonia
C. Transient tachypnea of newborn (TTN)
D. Spontaneous pneumothorax
Correct Answer: B
Rationale: Prolonged ROM (>18-24 hours) with early tachypnea
is congenital pneumonia until proven otherwise. TTN typically
resolves by 24 hours and is less common with infection risk.
Hyaline membrane disease (RDS) is unlikely at 35 weeks without
surfactant deficiency risk factors. Pneumothorax presents with
sudden deterioration, not isolated tachypnea.
Question 4
Magnesium sulfate given for maternal preeclampsia can
cause which neonatal effect?
A. Hypertonia
B. Hypocalcemia
3
, C. Respiratory depression and hypotonia
D. Seizures
Correct Answer: C
Rationale: Magnesium crosses the placenta and acts as a
neuromuscular blocker, causing respiratory depression,
hypotonia, hyporeflexia, and ileus in the neonate. Hypertonia
and seizures are opposite effects. Hypocalcemia is not directly
caused by maternal magnesium; however, magnesium can
transiently lower calcium, but hypotonia is the hallmark.
Question 5
A late-preterm infant (34 weeks) is born to a mother who
received betamethasone 48 hours prior. Which statement best
reflects lung maturity?
A. Surfactant production is fully mature
B. Risk of RDS is reduced but not eliminated
C. Infant will not require respiratory support
D. Betamethasone only benefits infants <30 weeks
Correct Answer: B
4
