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NNP 2 FINAL EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| NNP EXAM REVIEW 2025
(NEW!!)
The primary pathophysiology of meconium ileus is:
- ganglionic deficiency
- immaturity of gut motility
- pancreatic insufficiency - Correct Answer - c. pancreatic insufficiency
A neonate can be assured to be at an advanced gestational age if
neuromuscular development demonstrated increased:
- hip flexion and adduction
- popliteal angle
- square window angle measurement - Correct Answer - c. square
window angle measurement
A premature infant demonstrates findings consistent with cholestasis. A
primary risk factor developing this condition is:
- hypercalcemia
- long term parenteral nutrition
- structural renal disease - Correct Answer - b. long term parenteral
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nutrition
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pg. 2 The likely cause of hypomagnesemia in an asymptomatic twelve-hour
old neonate is:
- immature renal function
- maternal hyperparathyroidism
- placental insufficiency - Correct Answer - c. placental insufficiency
transient tachypnea of the newborn is defined as what ttype of lung disease?
- inflammatory
- obstructive
- restrictive - Correct Answer - b. obstructive
What medication may be prescribed for a newborn with mild to moderate ebstien's anomaly to help reduce right ventricular afterload and improve blood flow across the pulmonary valve?
- Prostaglandin E1
- sildenafil
- verapamil - Correct Answer - b. sildenafil
A 10 day old SGA infant presents with abdominal distention and nonbilious emesis. A palpable mass is noted on physical exam. The most
likely diagnosis is:
- gastric perforation
- lactobezoar
- pyloric stenosis - Correct Answer - b. lactobezoar 2 / 4
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pg. 3 pathological conglomeration of milk and mucus in the stomach of infants causing an gastric outlet obstruction
In a 1400g neonate, the volume of a IM injection in the anterior thigh
should not exceed:
- 0.3
- 0.5
- 1.0 - Correct Answer - b. 0.5
A neonate has a firm, fluctuant mass over the cranial bone which does
not cross the suture line. This neonate should also be evaluated for:
- a linear skull fracture
- increased intracranial pressure
- subdural hemorrhage - Correct Answer - a. a linear skull fracture
Orotracheal intubation is preferable to nasotracheal intubation during
acute neonatal resuscitation because:
- a smaller size endotracheal tube can be utilized
- it can be performed without additional equipment
- the endotracheal tube is easier to stabilize - Correct Answer - b. it can
be performed without additional equipment
A neonate born at 41 weeks gestation remains cyanotic despite oxygen administration. A soft murmur can be heard at the upper left sternal 3 / 4
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pg. 4 border. A chest x-ray reveals an increased heart size with decreased
pulmonary vascularity. These findings are consistent with:
- Arterial septal defect
- coarctation of the aorta
- pulmonary atresia - Correct Answer - c. pulmonary atresia
A primary difference between the nutrient composition of human milk
and formula is in the:
- carbohydrates
- fats
- protein - Correct Answer - c. protein
A disadvantage of continuous rental replacement therapy with
hemofiltration in the treatment of acute renal failure is that:
- constant heparinization during therapy is required
- it causes rapid solute and fluid shifts
- the patient must be hemodynamically stable prior to therapy - Correct
Answer - a. constant heparinization during therapy is required
A neonate is born with bilateral dorsiflexion of the feet with limited plantar flexion and inversion. Exam reveals free mobility of the foot to
passive manipulation. The NP should recognize that:
- corrective surgery will be required
- immobilization before three months is recommended
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