CCRN Neonatal-CCRN EXAM 2 REAL 2024-
2025 ACTUAL EXAM QUESTIONS EXPERT
VERIFIED SOLUTIONS WITH RATIONALES
ALREADY GRADED A+
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? Correct
Answer Intraventricular hemorrhage
Which of the following conditions is not an air leak? Correct
Answer Pneumatosis intestinalis
The decision to intubate an infant born through thick meconium
should be based on the infant's Correct Answer response to
stimulation and bag and mask ventilation.
The type of patient-triggered ventilator that applies a constant
pressure during inspiration and terminates with a decrease in air
flow, thereby decreasing the work of breathing, is a(n) Correct
Answer pressure support ventilation.
Neonates receiving surfactant are at increased risk of developing
Correct Answer pulmonary hemorrhage.
A discrepancy greater than 10 mm Hg between the blood
pressure in the upper and lower extremities is indicative of which
defect? Correct Answer Coarctation of the aorta
,In order to pass a pulse oximetry screening for critical congenital
heart disease (CCHD), which oxygenation and percentage of
variance is required in the right hand and foot? Correct Answer
Less than 95% O2 saturation and greater than 3% variance
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? Correct Answer Transposition of
the great vessels
A right-to-left shunt will be seen with Correct Answer pulmonary
stenosis.
Appropriate nutritional management of the neonate with
congestive heart failure is best achieved by which of the
following? Correct Answer Individualizing to minimize energy
consumption
At approximately _____ weeks of gestation the heart has
developed a fully functioning electrical conduction system. Correct
Answer 10
It is important to evaluate the neonate with critical pulmonary
stenosis for Correct Answer symptoms of right-sided congestive
heart failure.
One of the medications given to cause constriction and closure of
the ductus arteriosus in the neonate is Correct Answer
indomethacin.
Parallel circulations in which there are separate pulmonary and
systemic circulatory systems occur in Correct Answer
transposition of the great vessels.
,Pulmonary venous congestion is most commonly identified with
which of the following defects? Correct Answer Hypoplastic left
heart
Pulse oximetry screening for critical congenital heart disease
(CCHD) is most accurate when performed when the infant is how
many hours of age? Correct Answer 24 hours or more
The best option for volume replacement in an infant with
disseminated intravascular coagulopathy is Correct Answer FFP
(fresh, frozen plasma).
The major structural anomaly associated with total anomalous
pulmonary venous return (TAPVR) includes pulmonary Correct
Answer veins failing to be incorporated in the left atrium.
The valve located between the left atrium and left ventricle is
called the Correct Answer mitral.
Which is the most prevalent theory of the etiology of congenital
heart disease? Correct Answer Multifactorial etiology
How does the neonate respond to increase cardiac output?
Correct Answer Tachycardia is the main neonatal cardiac
response to increase cardiac output.
Which of the following defects increases blood flow to the lungs?
Correct Answer Patent ductus arteriosus
Which of the following is the most controversial management
strategy for treatment of congestive heart failure in the preterm
neonate? Correct Answer Digoxin therapy
, What are the symptoms of congestive heart failure? Correct
Answer Tachypnea, tachycardia, central or prolonged peripheral
cyanosis, BP higher in R arm than either leg, arrhythmias, poor
feeding, cardiomegaly on CXR, hepatomegaly, pulmonary fine or
coarse rales.
Which of the following organs forms first in the embryo? Correct
Answer Heart
Which statement lists the four defects that make up the tetralogy
of Fallot? Correct Answer Pulmonary stenosis, ventricular septal
defect, right ventricular hypertrophy, ascending aorta overriding
the ventricular septal defect
Which term describes the combination of the pressure on the
ventricular walls caused by the volume of blood inside those walls
and follows the principles of the Frank-Starling law? Correct
Answer Preload
Which types of shock are commonly seen in the infant who is
septic? Correct Answer Distributive and hypovolemic
With a complete endocardial cushion defect, blood will flow
Correct Answer freely among all four chambers of the heart.
An infant whose birth weight is at what percentile on the growth
chart is at increased risk for hypoglycemia due hyperinsulinism?
Correct Answer 97th
At how many weeks gestation is suck-swallow-breathe
coordination present? Correct Answer 34-36
Compared to full term formulas, preterm formulas contain Correct
Answer more calories and increased protein.
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