NNP CCPR FINAL EXAM STUDY GUIDE 2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS RECENT VERSION

NNP CCPR FINAL EXAM STUDY GUIDE 2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS RECENT VERSION 1. A 32 week gestation infant with decreased renal function develops systemic candidiasis. The best choice of antifungal therapy for this baby is a. amphotericin B lipid complex b. fluconazole c. flucytosine - ANSWER a. amphotericin B lipid complex amphotericin B is chosen for tx for all candida infections because of its efficacy, safety, decreased cost and better renal penetrance. This baby need ampho B with a lipid complex bc it is less nephrotoxic. fluconazole is used in many NICUs as candida prophylaxis and should not be used for systemic fungal infections 2. Increased bowel sounds are indicative of a. Ileus b. Malrotation c. Starvation - ANSWER b. Malrotation 3. A factor that would result in increased insensible water loss in neonates is a. hypothermia b. postmaturity c. tachypnea - ANSWER c. tachypnea 4. Hemorrhagic disease of the newborn is attributed to a deficiency of vitamin K dependent factors. Additional predisposing characteristics include a. administration of antenatal steroids b. breastfeeding c. maternal diabetes mellitis - ANSWER b. breastfeeding 5. Interventions to decrease conductive heat loss in the delivery room include a. providing additional heat source during bath b. using transparent plastic covering over the infant c. warming the incubator mattress - ANSWER c. warming the incubator mattress 6. A differentiating characteristic for gastroschisis from omphalocele is a. enlarged umbilical ring b. herniated liver c. thickened, inflamed intestine - ANSWER c. thickened, inflamed intestine 7. A neonate is born with meconium stained fluid, has good respiratory effort, good tone and a heart rate of 102 bpm. The most appropriate action to take is a. clear mouth and nose of secretions b. suction mouth and trachea c. intubate and suction trachea - ANSWER a. clear mouth and nose of secretions 8. A decision to provide morphine to a dying infant is framed by the principle of a. autonomy b. nonmaleficence c. justice - ANSWER b. nonmaleficence 9. A premature neonate at seven weeks of age has had no passage of stool for 72 hours. Rectal examination accomplishes evacuation. The neonate shortly thereafter develops vomiting, and the abdomen has become distended. The most appropriate diagnostic test to obtain is a. abdominal radiography b. contrast enema c. rectal biopsy - ANSWER a. abdominal radiography 10. Clinical assessments that can differentiate seizures from jitteriness include movements that a. are evoked by a stimuli b. involve eye movements c. stops with restraint of extremity - ANSWER c. stops with restraint of extremity 11. During a physical examination of a 36 week gestational age neonate, the grasp reflex is good, but the suck reflex is weak and not synchronized with swallowing. The nurse should recognize that this is most likely due to a. hypoglycemia b. neurological impairment c. prematurity - ANSWER c. prematurity 12. A late preterm infant presents with recurrent oral thrush. The most likely source would be a. breast feeding b. nipple feeding c. pacifier - ANSWER a. breast feeding 13. Physical examination of a newborn's head shows a fluctuant swelling crossing suture lines with extension into the neck with mild pitting edema. The nurse should recognize that a. a cranial x-ray is indicated b. the blood pressure should be monitored closely c. this is a physiologic variable and no intervention is indicated - ANSWER b. the blood pressure should be monitored closely 14. The rise in glomerular filtration rate after birth can be attributed to: a. elongation of the loops of Henle b. expansion of the filtration surface area c. rise in circulating renin levels - ANSWER b. expansion of the filtration surface area 15. During resuscitation an infant is noted to have weak peripheral pulses, persistent tachycardia, and diminished muscle tone. The most appropriate intervention would be: a. epinephrine 0.1-0.3 mL/kg b. NS 10 mL/kg c. sodium bicarb 2 mEq/kg - ANSWER b. NS 10 mL/kg 16. A statement that characterizes neonatal renal function in the very low birth weight neonate, is that the neonate has an a. inability of the proximal tubule to reabsorb adequate amounts of sodium b. inability to dilute urine to the same degree as the adult c. increased bicarb reabsorption In the proximal tubule - ANSWER a. inability of the proximal tubule to reabsorb adequate amounts of sodium 17. On auscultation of the lungs, a high-pitched sound is heard during expiration. This is consistent with: a. rhonchi b. stridor c. wheezing - ANSWER c. wheezing 18. Maturation of the 25 week gestation neonates skin may take up to how many weeks? a. 2 weeks b. 4 weeks c. 8 weeks - ANSWER c. 8 weeks 19. In premature infants, bilirubin levels generally peak on day a. 3 of life b. 5 of life c. 8 of life - ANSWER b. 5 of life Preterm - Peaks day 5-6 of life term- peaks 3 days of life 20. A neonate born to a mother who developed varicella rash three days prior to delivery should receive a. acyclovir b. IVIG c. VariZIG - ANSWER c. VariZIG 21. Genital ambiguity should prompt the healthcare team to screen for a. congenital adrenal hyperplasia b. hypothyroidism c. pituitary gland disorders - ANSWER a. congenital adrenal hyperplasia