CCRN Neonatal (Actual) Exam Graded A+
A 7-day-old neonate with an unremarkable hospital course who now presents with
increasing episodes of hypoglycemia, severe metabolic acidosis, recurrent vomiting,
and high ammonia levels should be evaluated for what disorder? - ANSWER-✓ An
inborn error of metabolism
A clinical feature commonly found in a neonate with Down syndrome is - ANSWER-
hypotonia.
A common organism responsible for early onset sepsis is - ANSWER-E. coli. MOST
common is GBS
A communicating hydrocephalus results from damage to the - ANSWER-arachnoid
granulations. arachnoid granulations over the surface of the brain
A deformation is a(n) - ANSWER-abnormality caused by unusual mechanical forces on
normal tissue.
A deformation is a(n) - ANSWER-abnormality caused by unusual mechanical forces on
normal tissue.
A discrepancy greater than 10 mm Hg between the blood pressure in the upper and
lower extremities is indicative of which defect? - ANSWER-Coarctation of the aorta
A fluid accumulation in the dermal layer of the skin would be described as a - ANSWER-
wheal.
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 -
ANSWER-pulmonary hypertension of the newborn.
A GI series may reveal a "transition zone" in which of the following clinical conditions? -
ANSWER-Hirschprung's disease
A hemorrhage associated with birth trauma that does NOT cross suture lines is called a
- ANSWER-cephalohematoma.
A low birth weight infant's temperature increases during skin-to-skin care. This is an
example of heat transfer by - ANSWER-conduction.
A meconium plug is associated with of the following conditions? - ANSWER-
Uncontrolled maternal diabetes
A mother is concerned regarding the safety of her medications and breastfeeding. What
is the best nursing intervention to reassure and support the woman's breastfeeding
,goals? - ANSWER-Find information on the safety of the medications while
breastfeeding to share with her.
A neonate at 10 hours of age is found to be cyanotic and without respiratory distress
symptoms. The EKG and chest x-ray are normal. The administration of oxygen is not
relieving the cyanosis. The healthcare provider should have a high index of suspicion
for which of the following defects? - ANSWER-Transposition of the great vessels
A neonate at 12 hours of life with meconium aspiration syndrome who has been
intubated since birth suddenly develops severe respiratory distress, tachycardia, and
hypotension. Which diagnosis would be least likely to be in the differential? - ANSWER-
Intraventricular hemorrhage
A newborn with polycythemia may exhibit which of the following? - ANSWER-
Tachypnea, thrombocytopenia, hypoglycemia
A newborn's maternal history includes oligohydramnios sequence. What might be an
expected finding on physical exam? - ANSWER-Compressed facial features potter's
sequence;bilateral renal agenesis, atresia of the ureter or urethra, polycystic or
multicystic kidney disease, renal hypoplasia, amniotic rupture, maternal
hypertension/pre-e
A non-pharmacologic intervention that modulates the transmission or processing of
nociception through mediation by the endogenous nonopioid system is - ANSWER-Non
nutritive sucking; sweet tasting solutions
A papule is defined as a - ANSWER-solid, elevated lesion with distinct borders less than
0.5 cm in size. solid or fluid filled lesions that are elevated with distinct borders; less
than 1 cm in diameter
A post-op infant is exhibiting tachycardia, oxygen desaturations, and elevated blood
pressure. She received a dose of Fentanyl 1.5 hours ago. Which of the following is the
MOST appropriate action? - ANSWER-Reposition the infant with arms and legs flexed.
A preterm birth may delay the following steps of attachment from occurring EXCEPT -
ANSWER-accepting the pregnancy.
A priority of management for the neonate diagnosed with polycystic kidney disease is -
ANSWER-treatment of systemic hypertension. monitoring and treatment of
hypertension, nephrectomy sometimes indicated, peritoneal dialysis
A right-to-left shunt will be seen with - ANSWER-pulmonary stenosis.
A sign that parents are experiencing acute stress disorder includes - ANSWER-having
flashbacks of the trauma.
, A subgaleal hemorrhage is treated as a medical emergency because - ANSWER-large
blood loss may lead to hypovolemic shock.
According to the AAP, intubation attempts should be limited to ______seconds. -
ANSWER-30 seconds
According to the Synactive Theory of Development, the autonomic subsystem is
responsible for which of the following? - ANSWER-Regulating cardiopulmonary activity
regulates cardiopulmonary activity, GI peristalsis, peripheral skin blood flow
All late preterm infants are at risk for hypoglycemia due to which of the following? -
ANSWER-Impaired ability to generate glucose from glycogen stores and increased
glucose utilization
All of the following are guidelines for basic skin care of the neonate except - ANSWER-
bathe with mild soap and warm water once per day.
All of the following have had an impact on the rising late preterm birth rate EXCEPT -
ANSWER-decreasing maternal age.
All of the following increase parental confidence in caring for the late preterm infant
EXCEPT - ANSWER-open visitation so others can help with newborn care.
All of the following interventions promote positive maturation of the auditory system
EXCEPT - ANSWER-sterile hospital workspace or environment.
All of the following may predispose an infant to a subdural hemorrhage EXCEPT -
ANSWER-prematurity. shoulder dystocia, vaginal breech, instrument assisted
All of the following neonatal pain scoring tools have been tested on newborns EXCEPT
- ANSWER-PIPP (Premature Infant Pain Profile), NIPS (Neonatal Infant Pain Scales),
CRIES (Crying, Required Oxygen, Increased Vital Signs, Expression, Sleeplessness)
have been used
An absence of air flow despite respiratory effort is an example of which apnea
classification? - ANSWER-Obstructive apnea
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 - ANSWER-cephalohematoma.
An infant born at 36 weeks gestation is small for gestational age and hypotonic. Her
physical exam yields low set, "fawn-like" ears and micrognathia. A renal ultrasound
shows horseshoe shaped kidneys. She also has a loud, audible murmur and an
echocardiogram yields a large VSD. Which congenital anomaly do you suspect? -
ANSWER-Edwards syndrome
A 7-day-old neonate with an unremarkable hospital course who now presents with
increasing episodes of hypoglycemia, severe metabolic acidosis, recurrent vomiting,
and high ammonia levels should be evaluated for what disorder? - ANSWER-✓ An
inborn error of metabolism
A clinical feature commonly found in a neonate with Down syndrome is - ANSWER-
hypotonia.
A common organism responsible for early onset sepsis is - ANSWER-E. coli. MOST
common is GBS
A communicating hydrocephalus results from damage to the - ANSWER-arachnoid
granulations. arachnoid granulations over the surface of the brain
A deformation is a(n) - ANSWER-abnormality caused by unusual mechanical forces on
normal tissue.
A deformation is a(n) - ANSWER-abnormality caused by unusual mechanical forces on
normal tissue.
A discrepancy greater than 10 mm Hg between the blood pressure in the upper and
lower extremities is indicative of which defect? - ANSWER-Coarctation of the aorta
A fluid accumulation in the dermal layer of the skin would be described as a - ANSWER-
wheal.
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 -
ANSWER-pulmonary hypertension of the newborn.
A GI series may reveal a "transition zone" in which of the following clinical conditions? -
ANSWER-Hirschprung's disease
A hemorrhage associated with birth trauma that does NOT cross suture lines is called a
- ANSWER-cephalohematoma.
A low birth weight infant's temperature increases during skin-to-skin care. This is an
example of heat transfer by - ANSWER-conduction.
A meconium plug is associated with of the following conditions? - ANSWER-
Uncontrolled maternal diabetes
A mother is concerned regarding the safety of her medications and breastfeeding. What
is the best nursing intervention to reassure and support the woman's breastfeeding
,goals? - ANSWER-Find information on the safety of the medications while
breastfeeding to share with her.
A neonate at 10 hours of age is found to be cyanotic and without respiratory distress
symptoms. The EKG and chest x-ray are normal. The administration of oxygen is not
relieving the cyanosis. The healthcare provider should have a high index of suspicion
for which of the following defects? - ANSWER-Transposition of the great vessels
A neonate at 12 hours of life with meconium aspiration syndrome who has been
intubated since birth suddenly develops severe respiratory distress, tachycardia, and
hypotension. Which diagnosis would be least likely to be in the differential? - ANSWER-
Intraventricular hemorrhage
A newborn with polycythemia may exhibit which of the following? - ANSWER-
Tachypnea, thrombocytopenia, hypoglycemia
A newborn's maternal history includes oligohydramnios sequence. What might be an
expected finding on physical exam? - ANSWER-Compressed facial features potter's
sequence;bilateral renal agenesis, atresia of the ureter or urethra, polycystic or
multicystic kidney disease, renal hypoplasia, amniotic rupture, maternal
hypertension/pre-e
A non-pharmacologic intervention that modulates the transmission or processing of
nociception through mediation by the endogenous nonopioid system is - ANSWER-Non
nutritive sucking; sweet tasting solutions
A papule is defined as a - ANSWER-solid, elevated lesion with distinct borders less than
0.5 cm in size. solid or fluid filled lesions that are elevated with distinct borders; less
than 1 cm in diameter
A post-op infant is exhibiting tachycardia, oxygen desaturations, and elevated blood
pressure. She received a dose of Fentanyl 1.5 hours ago. Which of the following is the
MOST appropriate action? - ANSWER-Reposition the infant with arms and legs flexed.
A preterm birth may delay the following steps of attachment from occurring EXCEPT -
ANSWER-accepting the pregnancy.
A priority of management for the neonate diagnosed with polycystic kidney disease is -
ANSWER-treatment of systemic hypertension. monitoring and treatment of
hypertension, nephrectomy sometimes indicated, peritoneal dialysis
A right-to-left shunt will be seen with - ANSWER-pulmonary stenosis.
A sign that parents are experiencing acute stress disorder includes - ANSWER-having
flashbacks of the trauma.
, A subgaleal hemorrhage is treated as a medical emergency because - ANSWER-large
blood loss may lead to hypovolemic shock.
According to the AAP, intubation attempts should be limited to ______seconds. -
ANSWER-30 seconds
According to the Synactive Theory of Development, the autonomic subsystem is
responsible for which of the following? - ANSWER-Regulating cardiopulmonary activity
regulates cardiopulmonary activity, GI peristalsis, peripheral skin blood flow
All late preterm infants are at risk for hypoglycemia due to which of the following? -
ANSWER-Impaired ability to generate glucose from glycogen stores and increased
glucose utilization
All of the following are guidelines for basic skin care of the neonate except - ANSWER-
bathe with mild soap and warm water once per day.
All of the following have had an impact on the rising late preterm birth rate EXCEPT -
ANSWER-decreasing maternal age.
All of the following increase parental confidence in caring for the late preterm infant
EXCEPT - ANSWER-open visitation so others can help with newborn care.
All of the following interventions promote positive maturation of the auditory system
EXCEPT - ANSWER-sterile hospital workspace or environment.
All of the following may predispose an infant to a subdural hemorrhage EXCEPT -
ANSWER-prematurity. shoulder dystocia, vaginal breech, instrument assisted
All of the following neonatal pain scoring tools have been tested on newborns EXCEPT
- ANSWER-PIPP (Premature Infant Pain Profile), NIPS (Neonatal Infant Pain Scales),
CRIES (Crying, Required Oxygen, Increased Vital Signs, Expression, Sleeplessness)
have been used
An absence of air flow despite respiratory effort is an example of which apnea
classification? - ANSWER-Obstructive apnea
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 - ANSWER-cephalohematoma.
An infant born at 36 weeks gestation is small for gestational age and hypotonic. Her
physical exam yields low set, "fawn-like" ears and micrognathia. A renal ultrasound
shows horseshoe shaped kidneys. She also has a loud, audible murmur and an
echocardiogram yields a large VSD. Which congenital anomaly do you suspect? -
ANSWER-Edwards syndrome
