Quiz 2026 Latest NCC-NNP: Sample Neonatal Nurse Practitioner Exam Test Online

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q130-Q135):

NEW QUESTION # 130
The initial treatment for patent ductus arteriosus (PDA) for a preterm neonate is usually

Answer: C

Explanation:
Patent ductus arteriosus (PDA) is failure of the ductus arteriosus that connects the pulmonary artery and aorta to close after birth, resulting in left to right shunting of blood from the aorta back to the pulmonary artery. This increases the blood flow to the lung and causes an increase in pulmonary hypertension that can result in damage to the lung tissue. Treatment for PDA:
*Indomethacin (Indocin@) or ibuprofen lysine given within 10 days of birth is successful in closing about 80% of defects.
*Surgical repair with ligation of the patent vessel if conservative treatment is unsuccessful.


NEW QUESTION # 131
In what order should resuscitative efforts in the premature infant with hydrops fetalis and bilateral pleural effusions be performed?

Answer: B

Explanation:
Hydrops fetalis is a potentially life-threatening condition in which accumulating fluid is present in at least Nzo body cavities (abdomen, pleura, or pericardium). Traditionally, this has been treated through removal of the fluid after the umbilical cord has been cut and resuscitative measures started. It has recently been found that the prognosis is improved if the neonate remains attached to the placenta via the umbilical cord so they continue to receive oxygenated blood from the mother. The fluid can be drawn off and then the cord can be clamped before resuscitative measures are started.


NEW QUESTION # 132
Clinical symptoms of neonatal renal vein thrombosis include

Answer: B

Explanation:
Clinical symptoms of renal vein thrombosis in the newborn include thrombocytopenia, hypertension, hematuria, proteinuria, and renal insufficiency. This condition is rare, but can occur in infants born to mothers with a history of diabetes mellitus. This is not an infectious condition, so you would not expect to see leukocytosis. Bence-Jones proteins in the urine are specific to multiple myeloma.


NEW QUESTION # 133
A neonate develops early-onset bacterial meningitis. Typical early symptoms include

Answer: A

Explanation:
Meningitis is often difficult to diagnose in the neonate because it has early nonspecific clinical findings of irritability, lethargv, poor feeding, temperature instability, and hypotension. The more specific neurological symptoms of seizures or bulging fontanels are seen in late onset infection.
Nuchal rigidity does not usually occur with neonates. Bacterial infections usually arise from spread of distant infections but can enter the CNS from surgical wounds, invasive devices, or nasal colonization. CSF findings suggestive of bacterial meningitis include:
*Decreased glucose.
*Elevated protein.
*White blood cell values in CSF greater than 100 WBC/dL


NEW QUESTION # 134
Which of the following infants is most likely to develop necrotizing enterocolitis?

Answer: A

Explanation:
Necrotizing enterocolitis is most common in premature infants who are being formula fed rather than breastfed. With lung prematurity in the premature infant, there is an increased risk of decreased oxygenation to the lining of the intestines. Formula fed infants are not receiving any of the immune mediators that are helpful in fighting infection and which help to build up the normal protective microorganisms in the intestines. This can result in a necrotizing infection in the intestines that can lead to intestinal rupture and even death. This condition affects 10% of premature infants, but is rare in full-term infants.


NEW QUESTION # 135
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