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21 NNP Practice Exam Questions And Correct Answers
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21 NNP Practice Exam Questions And CorrectAnswers
A 48-hour-old neonate, post-surgically, from NEC, is on a ventilator. The neonate
grimaces and the eyes are tightly shut. The heart rate has increased and the neonate is
breathing over the ventilator. The most appropriate intervention would be to obtain an
order for:
a. arterial blood gas
b. pain medication
c. sedation to calm the infant - ANSWER b. pain medication
Loss of the ileocecal valve in the neonate with SBS can lead to:
a. bacterial overgrowth in the small intestine
b. nutritional deficiencies and cholestasis
c. watery or fatty stools - ANSWER b. nutritional deficiencies and cholestasis
What type of heat loss is prevented when hats are worn by infants in cribs?
a. conduction
b. convection
c. evaporation - ANSWER b. convection
A risk factor for osteopenia of prematurity is:
,a. impaired calcium absorption
b. prolonged parenteral nutrition
c. vitamin D deficiency - ANSWER b. prolonged parenteral nutrition
Which of the following interventions should be undertaken when initial physical
examination of a male newborn reveals unilateral undescended testicle and normal
phallus?
a. doppler ultrasound
b. surgical exploration
c. urologic evaluation at 3 months of age - ANSWER c. urologic evaluation at 3 months of
age
The congenital anomaly caused by displacement of the tricuspid valve into the right
ventricle, right ventricle enlargement, large atrial right-to-left shunt and decreased right
ventricular outflow is called:
a. Ebstein's anomaly
b. pulmonary stenosis
c. tetralogy of fallot - ANSWER a. ebstein's anomaly
A plasma creatinine level greater than 0.5 mg/dL in a one week old infant is indicative of:
a. an increase in glomerular filtration rate
b. normal physiological changes
c. renal impairment - ANSWER c. renal impairment
The major pathophysiology of meconium ileus is:
,a. ganglionic deficiency
b. immaturity of gut motility
c. pancreatic insufficiency - ANSWER c. pancreatic insufficiency
One can be sure that a newborn is at an advanced gestation age if neuromuscular
development revealed increased:
a. flexion and adduction of the hips
b. popliteal angle
c. square window angle measurement - ANSWER c. square window angle measurement
A neonate is on a ventilator for RDS. settings are
PIP: 26
PEEP: 5
FiO2: 1.0
Rate: 20
SaO2 90
The neonate is given surfactant and 18 hours later the ventilator settings are
PIP: 18
PEEP: 4
FiO2: 0.21
Rate: 20
SaO2 95
The NP should recognize that:
a. the FiO2 should be increased
, b. the neonate should be extubated to CPAP
c. the settings are appropriate and will assist weaning - ANSWER b. the neonate should
be extubated to CPAP
Assessment of a term infant is as follows: IUGR, microcephaly, congenital cataracts,
hepatosplenomegaly and jaundice. Based on these findings, the most likely diagnosis is
congenital:
a. CMV
b. rubella
c. toxoplasmosis - ANSWER b. rubella
A giant nevus is the most concerning of the congenital pigment nevi because:
a. it is often associated with hearing loss
b. of increased risk of malignant transformation
c. ulceration and bleeding are common - ANSWER b. of increased risk of malignant
transformation
Infants who "refer" on a second hearing screen should have a full scale auditory
diagnostic evaluation at:
a. 2 months old
b. 3 months old
c. 6 months old - ANSWER b. 3 months old
A major characteristic of autosomal recessive disorders is:
a. 50% risk for each offspring
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