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NNP Exam Questions with 100% Correct Answers | Verified | Updated (Actual Exam)

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9/18/25, 6:25 AM NNP Exam Questions with 100% Correct Answers | Verified | Updated (Actual Exam) 2025\2026 Flashcards | Quizlet




NNP Exam Questions with 100% Correct Answers |
Verified | Updated (Actual Exam) 2025\2026

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Terms in this set (175)


A.
Which of the following
would provide the
Level Evidence type I meta-analysis and/or systematic
weakest evidence for
review of randomized-controlled trials (RCT); II single
practice?
RCT; III quasi-experiment (non-randomized); IV non-
A.
experimental study (case-control, cohort,
Case study
correlational); V systematic reviews of descriptive
B.
studies or qualitative studies; VI single qualitative
Case-control study
study or cross-section study (survey); VII expert
C.
opinion, case reports, committee reports (Polit &
Quasi-experimental study
Beck, 2018, pp. 23-34; Thomas, 2015, p. 840).




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,9/18/25, 6:25 AM NNP Exam Questions with 100% Correct Answers | Verified | Updated (Actual Exam) 2025\2026 Flashcards | Quizlet


A.


EKG changes are often the first sign of hyperkalemia.
EKG findings are altered as the serum K + rises,
An initial sign of
presenting with varying levels of peaked T waves
hyperkalemia on an EKG is
(secondary to increased repolarization of the cardiac
A.
tissue), flattened P waves, and increased PR intervals
Peaked T waves
(secondary to suppression of atrial conductivity).
B.
These changes are followed by widening and slurring
Slurring of the QRS
of the QRS complex (secondary to delay in ventricular
C.
conduction as well as delays in myocardial
Ventricular fibrillation
conduction) with eventual development of
supraventricular tachycardia, ventricular tachycardia,
bradycardia, or ventricular fibrillation (Doherty, 2017,
p. 308).

C.
The Henderson-
Hasselebalch equation is a
The Henderson-Hasselebalch equation calculates
negative logarithm that
plasma pH. The pH is a negative logarithm that
calculates the level of
measures the level of hydrogen ions (H+), which
A.
means that there is an inverse relationship between
Bicarbonate ions
the pH and H+. The pH decreases with a rise in H+ and
B.
increases with a fall in H+. The pH remains normal
Dioxide ions
when there is a balance in changes of carbon dioxide
C.
(CO2) and bicarbonate (HCO3) (Barry, Deacon,
Hydrogen ions
Hernandez, & Jones, 2016, p. 145).




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,9/18/25, 6:25 AM NNP Exam Questions with 100% Correct Answers | Verified | Updated (Actual Exam) 2025\2026 Flashcards | Quizlet


C.
The neonatal nurse
practitioner (NNP) knows
Volume of distribution (Vd) is influenced by
that a serum peak level of
gestational age due to the rapid changes in total
a drug is generally
body water and fluid shifts (Allegaert et al., 2018, p.
reflective of the infants:
428; Wade, 2015, p. 666).
A.
Infants with large extracellular fluid volumes have
Excretion of metabolites
increased Vd for water-soluble drugs and may reduce
B.
peak drug values and affect drug excretion
Digestion of the drug
(Blackburn, 2018, p. 198).
C.
Decreased body fat in preterm and intrauterine
Volume of distribution
growth-restricted infants decreases the Vd for
answer
lipophilic drugs (Blackburn, 2018, p. 199).

Pharmacokinetics is the A.
process of drug
A. Pharmacokinetics are the mathematical relationships
Absorption, distribution, between drug dose and blood levels over time.
biotransformation, and Pharmacokinetic processes include absorption,
excretion distribution, metabolism (biotransformation), and
B. excretion (Allegaert et al., 2018, pp. 419-421;
Adaptations made to Blackburn, 2018; pp. 180-181; Wade, 2015, p. 665).
physiological systems by
the drugs
C.
Alterations, metabolism,
and excretion in the
cellular matrix




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, 9/18/25, 6:25 AM NNP Exam Questions with 100% Correct Answers | Verified | Updated (Actual Exam) 2025\2026 Flashcards | Quizlet


Phase I drug metabolism A.
reactions are mediated by
A. Cytochrome P450 (CYP450) enzymes mediate Phase I
Cytochrome P450 metabolism and are present in many tissues, but they
enzymes are most highly concentrated in hepatic tissues
B. (Allegaert et al., 2018, pp. 655-657; McClary, 2015b,
Hepatic oxidation pp. 420-421).
metabolites
C.
Enzymatic reduction
molecules

The translocation of a A.
drug from the site of
administration into the Absorption is the process of drug movement from the
systemic circulation is administration site (gastrointestinal, intravenous,
called intramuscular, intrapulmonary/inhaled, and
A. subcutaneous) across membranes and into the
Absorption systemic circulation (Allegaert et al., 2018, p. 419;
B. Domonoske, 2015, pp. 220-221; Wade, 2015, p. 665).
Distribution
C.
Drug delivery
answer

8. B.
The recommendation for Delayed umbilical cord clamping is defined as a 30-
length of time to delay to 60-second pause before clamping the cord in
umbilical cord clamping order to allow for placental transfusion of blood to
after delivery of a well the infant (Katheria & Finer, 2018, pp. 277-279).
newborn is
A.
0 to 20 seconds
B.
30 to 60 seconds
C.
90 to 120 seconds


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