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NNP 21 Practice Exam Questions with 100% Correct Answers
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NNP 21 Practice Exam Questions with 100% Correct Answers 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 sho...

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  • November 1, 2024
  • 50
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NNP 21 Practice Exam Questions with

100% Correct Answers


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:

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
a. the FiO2 should be increased

b. the neonate should be extubated to CPAP

c. the settings are appropriate and will assist weaning - ✔✔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 - ✔✔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 - ✔✔b. of increased risk of

malignant transformation

Infants who "refer" on a second hearing screen should have a full scale

auditory diagnostic evaluation at:

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.

a. 2 months old

b. 3 months old

c. 6 months old - ✔✔b. 3 months old

A major characteristic of autosomal recessive disorders is:



a. 50% risk for each offspring

b. multiple generations are affected

c. possible consanguinity - ✔✔possible consanguinity

Most safety initiatives are successful when:



a. a change in the culture of the institution

b. determination of individual continuing education needs

c. identification of those who make the most mistakes - ✔✔a. A change in

the culture of the institution

A cranial suture line of a neonate reveals an immovable bony prominence

which is even and smooth bilaterally. This neonate should be evaluated for

:



a. a linear skull fracture

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
b. increased intracranial pressure

c. seizure activity - ✔✔b. increased intracranial pressure

Of the following, the most common environmental trigger for PDA is:



a. amphetamines

b. Phenytoin

c. Prozac - ✔✔a. amphetamines

A neonate is 48 hours old post-surgery secondary to NEC and is on a

ventilator. The neonate is grimacing and eyes are tightly shut. The heart

rate is 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 - ✔✔b. pain medication

Absence of the ileocecal valve in the neonate with SBS can lead to:



a. bacterial overgrowth in the small intestine

b. nutritional deficiencies and cholestasis

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