NNP Practice Exam (CCPR 2015)
Study online at https://quizlet.com/_4preso
1. Indication of a plugged endotracheal tube is b. sudden decrease in
a. condensation in the endotracheal tube chest wall movement
b. sudden decrease in chest wall movement
c. tachycardia
2. A neonate has a low T4 and elevated TSH. The appro- a. begin thyroid hormone
priate next step would be replacement therapy
a. begin thyroid hormone replacement therapy
b. monitor the infant for lethargy, hypotonia and feed-
ing difficulties
c. recheck T4 and TSH levels at two months of age
3. A 32 week gestational age male neonate has a 4 cm b. transillumination
nontender mass in the right testicle. Differential diag-
nosis can be faciliated by
a. palpation
b. transillumination
c. ultrasound evaluation
4. A neonate who has been in the NICU for two weeks a. decreasing responsivity
is demonstrating habituation in response to environ- to external stimuli
mental stimuli. Habituation is best defined as
a. decreasing responsivity to external stimuli
b. increasing attention to a new stimulus
c. reacting vigorously to repeated stimuli
5. Which sense becomes the neurodevelopmental inter- b. Tactile
face between the infant and the world at birth?
a. Auditory
b. Tactile
c. Visual
6. b. sepsis workup
, NNP Practice Exam (CCPR 2015)
Study online at https://quizlet.com/_4preso
A newborn with respiratory distress has a chest x-ray
that reveals unilateral or bilateral streaky densities
and confluent mottled, opacified areas. The nurse
should anticipate that initial intervention should be
a. initiation of antibiotics
b. sepsis workup
c. surfactant administration
7. A neonate born to a mother given Demerol three b. bag and mask ventila-
hours prior to delivery is apneic and cyanotic with tion
heart rate of 74 at one hour after birth. The initial
intervention should be
a. administration of naloxone 0.1mg/kg
b. bag and mask ventilation
c. placement of endotracheal tube
8. The best recommendation for treatment of intraven- a. management of ensu-
tricular hemorrhage is ing problems
a. management of ensuing problems
b. fluid restriction
c. Dopamine for blood pressure support
9. Which congenital heart defect is suspected when a c. Ventricular septal defect
systolic murmur is heard at the location noted on the
diagram?
a. Atrial septal defect
b. Pulmonary valve stenosis
c. Ventricular septal defect
10. A two day old neonate has an abdominal mass. The b. polycystic kidney
most likely cause is
a. adrenal hemorrhage
, NNP Practice Exam (CCPR 2015)
Study online at https://quizlet.com/_4preso
b. polycystic kidney
c. volvulur
11. Nasal septum dislocation can be differentiated from a. a compression test
normal variant of a misshapened nose by performing
a. a compression test
b. sinus transillumination
c. x-ray
12. Orotracheal intubation is preferable to nasotracheal b. it can be performed
intubation during acute neonatal resuscitation be- without additional equip-
cause ment
a. a smaller size endotracheal tube can be utilized
b. it can be performed without additional equipment
c. the endotracheal tube is easier to stabilize
13. Following a traumatic delivery, a neonate's arm falls b. physical therapy
motionless along the side of the body and is rotated
inwards. Extension of the forearm is present but there
is no limitation on the movement of the hand. Once
localized edema and pain diminished, the neonate
should be referred for
a. casting of the affected limb
b. physical therapy
c. surgical repair
14. On physical examination of a 4100 gm male neonate, a. transillumination
a firm scrotal mass is palpated. The next step in the
evaluation is
a. transillumination
b. ultrasound
c. x-ray
, NNP Practice Exam (CCPR 2015)
Study online at https://quizlet.com/_4preso
15. The absence of which reflex distinguishes total a. Grasp
brachial plexus palsy from Erb's palsy?
a. Grasp
b. Moro
c. Radical
16. A Neuromuscular development characteristic of pre- c. popliteal angle
maturity includes increased
a. heel to ear resistance
b. hip flexion and adduction
c. popliteal angle
17. An infant is noted to have vertebral anomalies, a sin- c. renal ultrasound
gle umbilical artery, and a tracheoesophageal fistula.
What studies should you consider obtaining?
a. echocardiogram
b. eye exam
c. renal ultrasound
18. The decreased ability of the preterm neonate to pro- c. limited subcutaneous
duce heat to maintain normal body temperature is tissue and brown fat
most related to stores
a. decreased thermal receptors in the skin
b. large surface skin area relative to body mass
c. limited subcutaneous tissue and brown fat stores
19. The nurse should recognize that the auditory sounds c. staff
of the NICU can compromise a neonate's neurobehav-
ioral development and that most noise is produced by
a. equipment
b. exogenous sources
c. staff
Study online at https://quizlet.com/_4preso
1. Indication of a plugged endotracheal tube is b. sudden decrease in
a. condensation in the endotracheal tube chest wall movement
b. sudden decrease in chest wall movement
c. tachycardia
2. A neonate has a low T4 and elevated TSH. The appro- a. begin thyroid hormone
priate next step would be replacement therapy
a. begin thyroid hormone replacement therapy
b. monitor the infant for lethargy, hypotonia and feed-
ing difficulties
c. recheck T4 and TSH levels at two months of age
3. A 32 week gestational age male neonate has a 4 cm b. transillumination
nontender mass in the right testicle. Differential diag-
nosis can be faciliated by
a. palpation
b. transillumination
c. ultrasound evaluation
4. A neonate who has been in the NICU for two weeks a. decreasing responsivity
is demonstrating habituation in response to environ- to external stimuli
mental stimuli. Habituation is best defined as
a. decreasing responsivity to external stimuli
b. increasing attention to a new stimulus
c. reacting vigorously to repeated stimuli
5. Which sense becomes the neurodevelopmental inter- b. Tactile
face between the infant and the world at birth?
a. Auditory
b. Tactile
c. Visual
6. b. sepsis workup
, NNP Practice Exam (CCPR 2015)
Study online at https://quizlet.com/_4preso
A newborn with respiratory distress has a chest x-ray
that reveals unilateral or bilateral streaky densities
and confluent mottled, opacified areas. The nurse
should anticipate that initial intervention should be
a. initiation of antibiotics
b. sepsis workup
c. surfactant administration
7. A neonate born to a mother given Demerol three b. bag and mask ventila-
hours prior to delivery is apneic and cyanotic with tion
heart rate of 74 at one hour after birth. The initial
intervention should be
a. administration of naloxone 0.1mg/kg
b. bag and mask ventilation
c. placement of endotracheal tube
8. The best recommendation for treatment of intraven- a. management of ensu-
tricular hemorrhage is ing problems
a. management of ensuing problems
b. fluid restriction
c. Dopamine for blood pressure support
9. Which congenital heart defect is suspected when a c. Ventricular septal defect
systolic murmur is heard at the location noted on the
diagram?
a. Atrial septal defect
b. Pulmonary valve stenosis
c. Ventricular septal defect
10. A two day old neonate has an abdominal mass. The b. polycystic kidney
most likely cause is
a. adrenal hemorrhage
, NNP Practice Exam (CCPR 2015)
Study online at https://quizlet.com/_4preso
b. polycystic kidney
c. volvulur
11. Nasal septum dislocation can be differentiated from a. a compression test
normal variant of a misshapened nose by performing
a. a compression test
b. sinus transillumination
c. x-ray
12. Orotracheal intubation is preferable to nasotracheal b. it can be performed
intubation during acute neonatal resuscitation be- without additional equip-
cause ment
a. a smaller size endotracheal tube can be utilized
b. it can be performed without additional equipment
c. the endotracheal tube is easier to stabilize
13. Following a traumatic delivery, a neonate's arm falls b. physical therapy
motionless along the side of the body and is rotated
inwards. Extension of the forearm is present but there
is no limitation on the movement of the hand. Once
localized edema and pain diminished, the neonate
should be referred for
a. casting of the affected limb
b. physical therapy
c. surgical repair
14. On physical examination of a 4100 gm male neonate, a. transillumination
a firm scrotal mass is palpated. The next step in the
evaluation is
a. transillumination
b. ultrasound
c. x-ray
, NNP Practice Exam (CCPR 2015)
Study online at https://quizlet.com/_4preso
15. The absence of which reflex distinguishes total a. Grasp
brachial plexus palsy from Erb's palsy?
a. Grasp
b. Moro
c. Radical
16. A Neuromuscular development characteristic of pre- c. popliteal angle
maturity includes increased
a. heel to ear resistance
b. hip flexion and adduction
c. popliteal angle
17. An infant is noted to have vertebral anomalies, a sin- c. renal ultrasound
gle umbilical artery, and a tracheoesophageal fistula.
What studies should you consider obtaining?
a. echocardiogram
b. eye exam
c. renal ultrasound
18. The decreased ability of the preterm neonate to pro- c. limited subcutaneous
duce heat to maintain normal body temperature is tissue and brown fat
most related to stores
a. decreased thermal receptors in the skin
b. large surface skin area relative to body mass
c. limited subcutaneous tissue and brown fat stores
19. The nurse should recognize that the auditory sounds c. staff
of the NICU can compromise a neonate's neurobehav-
ioral development and that most noise is produced by
a. equipment
b. exogenous sources
c. staff
