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CCPR 2019 NNP test solved
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CCPR 2019 NNP test solved
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CCPR 2019 NNP test solvedA 12 hour old male infant appears hypotonic with generalized muscle weakness and
absent deep tendon reflexes. There is no family history of neuromuscular disease.
Which of the following would be the first step in diagnostic evaluation?
a. creatinine phosphokinase (CPK) level
b. electromyography
c. muscle biopsy - ANSWER-a. CPK level
A 2 day old male is persistently bleeding 12 hours post circumcision. The cause of this
bleeding is most likely
a. factor VIII deficiency
b. factor V deficiency
c. poor technique - ANSWER-a. factor VIII deficiency
hemophilia
A 3 day old neonate has hematuria, decreased urine output, and a platelet count of
60,000. Which of the following is the most likely diagnosis?
a. renal parenchyma disease
b. renal tubular acidosis
c. renal vein thrombosis - ANSWER-c. renal vein thrombosis
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
A 32 week gestational age male newborn has a 4 cm non-tender mass in the right
testicle. Differential diagnosis can be facilitated by:
a. palpation
b. transillumination
c. US evaluation - ANSWER-b. transillumination
A 5 day old 1000g preterm neonate is suspected of having hypokalemia. Expected EKG
findings are:
a. depressed ST segment, flattened T wave
b. peaked T wave, absent P wave
c. widended QRS complex - ANSWER-a. depresed ST segment and flattened T wave
B and C are for hyperkalemia
A 5 day old infant develops a watery eye discharge that progresses rapidly to purulent
exudate. Chlamydia trachomatis conjuncitivitis is diagnosed. The NP should be aware
that:
,a. gentle pressure over nasolacrimial sac results in mucopurulunt drainage
b. therapy of choice is oral erythromycin x 14 days
c. this patient is at risk for corneal ulceration, perforation, and visual impairment -
ANSWER-b. therapy of choice is oral erythromycin x 14 days
c is gonorrhea
A 780g infant has a bilirubin level of 17 mg/dL at 24 hours of age. The treatment of
choice is:
a. exchange transfusion
b. exchange transfusion and phototherapy
c. phototherapy - ANSWER-b. exchange transfusion and phototherapy
A 8 hour old neonate is irritable and tremulous. These findings are consistent with
withdrawal from in utero exposure to:
a. cocaine
b. heroin
c. methadone - ANSWER-b. heroin --> quickly seen after birth
A benefit of habituation is
a. hand to mouth coordination
b. language development
c. protection from overstimulation - ANSWER-c. protection from overstimulation
A characteristic that is common in infants with trisomy 13, 18, and 21 is
a. cardiac defects
b. hypotonia
c. low set ears - ANSWER-a. cardiac defects
A characteristic that is present in both omphalocele and gastroschisis is:
a. high incidence of congenital malformations
b. nonrotation of the infant
c. peritoneal sac covering the defect - ANSWER-b. non-rotation of the intestine
A & C both traits of omphalocele
A chest x-ray of a neonate shows low lung volumes and a fine reticulogranular pattern
of air density. This is consistent with:
a. premature lungs
b. meconium aspiration
c. neonatal pneumonitis - ANSWER-a. premature lungs
A clinical sign that appears in the neonate with congenital heart disease that reflects
development of pulmonary edema is
a. cyanosis
b. dyspnea
, c. tachypnea - ANSWER-c. tachypnea
A common complication of percutaneous central line include
a. cardiac perforation
b. catheter entrapment
c. extravasation - ANSWER-c. extravastation
A decision to provide morphine to a dying infant is framed by the principle of:
a. autonomy
b. nonmaleficence
c. justice - ANSWER-b. nonmaleficence
justice = equal opportunity to all
autonomy = allowed to take direction in accordance to own/best self interest
A factor that usually differentiates the pathophysiology between meconium ileus and
meconium plug syndrome is
a. bilious vomiting
b. enzymatic deficiency
c. intestinal obstruction - ANSWER-b. enzymatic deficiency
A factor that would result in increased insensible water loss in neonates is:
a. hypothermia
b. phototherapy
c. postmaturity - ANSWER-b. phototherapy
A key principle in resuscitation is that
a. maximal pressure should be used for cardiac compressions
b. medications are not a substitute for adequate ventilation
c. suctioning should be aggressive for optimal outcome - ANSWER-b. medications are
not a substitute for adequate ventilation
always establish adequate ventilation FIRST
A late preterm infant presents with recurrent oral thrush. The most likely source would
be
a. breast
b. nipple
c. pacifier - ANSWER-a. breast
A major advantage of US over other diagnostic imaging methods is
a. there is no radiation exposure
b. two dimensional visualization of anatomy
c. utilizes radio waves to evaluate tissue structure - ANSWER-a. there is no radiation
exposure
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