CCRN NEONATAL CERTIFICATION PRACTICE
EXAM(LATEST ANNUAL AACN PRACTICE EXAM
2022/2023)
Define the term deformation
(correct answers)abnormality caused by unusual mechanical forces on normal tissue.
A low birth weight infant's temperature increases during skin-to-skin care. This is an example of heat
transfer by
(correct answers)conduction.
At the onset of labor the release of catecholamines stimulates
(correct answers)increased absorption of lung fluid.
An edematous, bruised lesion on the right anterior scalp where the vacuum was applied. This lesion has
clearly demarcated edges, is firm to touch, and does not cross the suture line. This is best described as a
(correct answers)cephalohematoma.
An infant born at 40 5/7 weeks gestation and weighed 5 lbs 2oz (2,360 grams). In completing a
gestational age assessment on this infant, you would identify her as (correct answers)term, small for
gestational age.
,During fetal life, the ductus arteriosus (correct answers)diverts blood flow from the pulmonary artery to
the descending aorta.
Expected findings in a neonate born to a mother who received magnesium sulfate in labor include
(correct answers)hypotonia.
Eye prophylaxis with a single-use dose of sterile ophthalmic ointment containing 1% tetracycline or 0.5%
erythromycin is usually administered within the first few hours of birth to prevent an eye infection
caused by (correct answers)gonorrhea.
Following a birth complicated by shoulder dystocia, the neonate should be assessed for (correct
answers)Erb's palsy.
Preeclampsia may result in all of the following fetal conditions (correct answers)growth restriction,
hypoxia/neurological injury, prematurity.
Hyperthermia is defined as an axillary temperature greater than 99.5ºF (37.5ºC). The MOST common
cause of hyperthermia in the newborn is (correct answers)environmental.
In the immediate newborn transition period, the ability to maintain functional residual lung capacity is
most dependent upon (correct answers)an adequate amount of alveolar surfactant.
,Neonates at risk of hypoglycemia should have their glucose levels evaluated within 2 hours of life
because (correct answers)blood glucose levels reach their lowest point within one to two hours after
delivery.
Polycythemia in the immediate newborn period is often associated with (correct answers)infant of a
diabetic mother.
Symptoms of mild perinatal asphyxia include (correct answers)hyperalert state and jitteriness.
The condition in which the newborn's immature hypothalamus does not regulate peripheral blood
vessels, resulting in a vasoconstriction on one side of the body with a vasodilation on the opposite side
of the body is called (correct answers)harlequin phenomena.
The following conditions may all lead to metabolic acidosis (correct answers)loss of HCO3/excess acid
load d/t prematurity, renal tubular necrosis, severe diarrhea, hypoxia, hypoperfusion, inborn errors of
metabolism, caloric deprivation, intolerance of cow's milk protein.
The full newborn cardiovascular assessment includes auscultation, inspection, and palpation. The point
of maximum impulse is usually palpable and can be auscultated in the (correct answers)third to fourth
intercostal space and left of the midclavicular line.
The neonate born to a mother with uncontrolled diabetes mellitus should be evaluated for (correct
answers)congenital malformations.
, You are the nurse caring for a 38 weeks gestation, female infant, who was born one hour ago in the
parking lot of the emergency room. On admission to the nursery, the neonate's rectal temperature was
95ºF (35ºC). You recognize that cold stress may predispose the infant to (correct answers)increased
oxygen consumption and hypoxia.
A full term neonate who presents at six hours of age with increasingly labile oxygenation that appears
disproportionate to the pulmonary disease should be evaluated for (correct answers)pulmonary
hypertension of the newborn.
The development of pneumonia in chronically ventilated infants is most commonly associated with
which of the following organisms? (correct answers)Ureaplasma urealyticum
Antenatal steroids enhance lung maturation by (correct answers)increasing the number of type II
pneumocytes in the lung.
Mean airway pressure is defined as the (correct answers)pressure transmitted to the lung throughout
the respiratory cycle.
Many infants with the diagnosis of persistent pulmonary hypertension (PPHN) will have pharmacologic
support. Identify the medication that is a direct-acting vasodilator and acts by relaxing pulmonary vessel
musculature. (correct answers)Nitric oxide
EXAM(LATEST ANNUAL AACN PRACTICE EXAM
2022/2023)
Define the term deformation
(correct answers)abnormality caused by unusual mechanical forces on normal tissue.
A low birth weight infant's temperature increases during skin-to-skin care. This is an example of heat
transfer by
(correct answers)conduction.
At the onset of labor the release of catecholamines stimulates
(correct answers)increased absorption of lung fluid.
An edematous, bruised lesion on the right anterior scalp where the vacuum was applied. This lesion has
clearly demarcated edges, is firm to touch, and does not cross the suture line. This is best described as a
(correct answers)cephalohematoma.
An infant born at 40 5/7 weeks gestation and weighed 5 lbs 2oz (2,360 grams). In completing a
gestational age assessment on this infant, you would identify her as (correct answers)term, small for
gestational age.
,During fetal life, the ductus arteriosus (correct answers)diverts blood flow from the pulmonary artery to
the descending aorta.
Expected findings in a neonate born to a mother who received magnesium sulfate in labor include
(correct answers)hypotonia.
Eye prophylaxis with a single-use dose of sterile ophthalmic ointment containing 1% tetracycline or 0.5%
erythromycin is usually administered within the first few hours of birth to prevent an eye infection
caused by (correct answers)gonorrhea.
Following a birth complicated by shoulder dystocia, the neonate should be assessed for (correct
answers)Erb's palsy.
Preeclampsia may result in all of the following fetal conditions (correct answers)growth restriction,
hypoxia/neurological injury, prematurity.
Hyperthermia is defined as an axillary temperature greater than 99.5ºF (37.5ºC). The MOST common
cause of hyperthermia in the newborn is (correct answers)environmental.
In the immediate newborn transition period, the ability to maintain functional residual lung capacity is
most dependent upon (correct answers)an adequate amount of alveolar surfactant.
,Neonates at risk of hypoglycemia should have their glucose levels evaluated within 2 hours of life
because (correct answers)blood glucose levels reach their lowest point within one to two hours after
delivery.
Polycythemia in the immediate newborn period is often associated with (correct answers)infant of a
diabetic mother.
Symptoms of mild perinatal asphyxia include (correct answers)hyperalert state and jitteriness.
The condition in which the newborn's immature hypothalamus does not regulate peripheral blood
vessels, resulting in a vasoconstriction on one side of the body with a vasodilation on the opposite side
of the body is called (correct answers)harlequin phenomena.
The following conditions may all lead to metabolic acidosis (correct answers)loss of HCO3/excess acid
load d/t prematurity, renal tubular necrosis, severe diarrhea, hypoxia, hypoperfusion, inborn errors of
metabolism, caloric deprivation, intolerance of cow's milk protein.
The full newborn cardiovascular assessment includes auscultation, inspection, and palpation. The point
of maximum impulse is usually palpable and can be auscultated in the (correct answers)third to fourth
intercostal space and left of the midclavicular line.
The neonate born to a mother with uncontrolled diabetes mellitus should be evaluated for (correct
answers)congenital malformations.
, You are the nurse caring for a 38 weeks gestation, female infant, who was born one hour ago in the
parking lot of the emergency room. On admission to the nursery, the neonate's rectal temperature was
95ºF (35ºC). You recognize that cold stress may predispose the infant to (correct answers)increased
oxygen consumption and hypoxia.
A full term neonate who presents at six hours of age with increasingly labile oxygenation that appears
disproportionate to the pulmonary disease should be evaluated for (correct answers)pulmonary
hypertension of the newborn.
The development of pneumonia in chronically ventilated infants is most commonly associated with
which of the following organisms? (correct answers)Ureaplasma urealyticum
Antenatal steroids enhance lung maturation by (correct answers)increasing the number of type II
pneumocytes in the lung.
Mean airway pressure is defined as the (correct answers)pressure transmitted to the lung throughout
the respiratory cycle.
Many infants with the diagnosis of persistent pulmonary hypertension (PPHN) will have pharmacologic
support. Identify the medication that is a direct-acting vasodilator and acts by relaxing pulmonary vessel
musculature. (correct answers)Nitric oxide
