[Aug 20, 2026] NCC-NNP Dumps Full Questions - Exam Study Guide
Nursing Certification Free Certification Exam Material from BootcampPDF with 177 Questions
NEW QUESTION # 106
What is measured with the quad screen test?
- A. Fetal DNA, fetal glucose level, estriol, and alpha-fetoprotein levels
- B. Amniotic fluid levels, maternal fasting blood sugar, fetal DNA and maternal HIV status
- C. Alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin-A
Answer: C
Explanation:
The quad screen is performed at 15-20 weeks of pregnancy via a blood test. It measures alpha-fetoprotein, human chorionic gonadotropin, estriol, and inhibin-A. Alpha-fetoprotein is made in the liver of the fetus and elevated levels may indicate a neural tube defect such as spina bifida.
Human chorionic gonadotropin is made by the placenta and levels vary during pregnancy. Estriol is a form of estrogen made by the placenta and levels increase during pregnancy. Inhibin-A is a hormone produced by the fetus and the placenta and abnormal levels may indicate the presence of Down syndrome.
NEW QUESTION # 107
The four heart defects seen with Tetralogy of Fallot are
- A. a patent ductus arteriosus, pulmonary hypertension, cor pulmonale, and aortic stenosis
- B. a thoracic aortic aneurysm, aortic stenosis, pulmonary stenosis, and a ventricular septal
- C. a large ventricular septal defect, pulmonary stenosis, right ventricular hypertrophy, and an
Answer: C
Explanation:
Tetralogy of Fallot is a very serious congenital heart defect that includes a large ventricular septal defect. pulmonary stenosis, right ventricular hypertrophy, and an overriding aorta. Though this is a serious condition, it is treated surgically during infancy and most children with this condition will go on to live into adulthood.
NEW QUESTION # 108
What change in arterial blood gas values would be expected in a patient with compensated respiratory acidosis?
- A. PaCO: is decreased, and blood pH is normal.
- B. Paco: is elevated, blood pH is normal, and serum bicarbonate (HCOs) is elevated.
- C. PaCO: is elevated, and blood pH is decreased.
Answer: B
Explanation:
Respiratory acidosis occurs when a person is not being adequately oxygenated. This results in an elevated PaCO: level and a decreased blood pH level. VVhen the body attempts to compensate for this abnormality, the serum bicarbonate (HCO;) level is elevated to offset the acidic level of the blood PH. This results in a continued PaCO:, a normal blood pH level, and an elevated HCOs level.
NEW QUESTION # 109
What substance helps to keep the amniotic sac intact within the uterus?
- A. Fetal fibronectin
- B. Amniotic bands
- C. Surfactant
Answer: A
Explanation:
Fetal fibronectin is a protein that helps to keep the amniotic sac adhered to the wall of the uterus. This substance begins to break down towards the end of the pregnancy. If there is suspicion that preterm labor may be imminent, a swab may be done of the secretions on the cervix. If fetal fibronectin is present, it can be a sign that there is an increased risk for preterm labor.
NEW QUESTION # 110
The mineral that is often very low after the administration of intravenous Lasix is
- A. calcium
- B. magnesium
- C. iron
Answer: A
Explanation:
Calcium excretion is increased when a person receives Lasix. In the newborn, this can affect bone formation and maturation. Calcium levels should be monitored when a newborn is on Lasix, and supplementation administered if necessary.
NEW QUESTION # 111
The neural tube defect in which there is failure of the vertebral column to close, but no herniation through the opening is
- A. myelomeningocele
- B. spina bifida cystica
- C. spina bifida occulta
Answer: C
Explanation:
Spina bifida occulta is the failure of the vertebral column to close, but no herniation through the opening so the defect may not be obvious. Spina bifida is a defect in which the vertebral column is not closed with varying degrees of herniation through the opening. Spina bifida cystica is a defect in closure with external sac-like protrusion with varying degrees of nerve involvement.
Meningocele is spina bifida cystica with meningeal sac filled with spinal fluid. Myelomeningocele is spina bifida cystica with meningeal sac containing spinal fluid and part of the spinal cord and nerves.
NEW QUESTION # 112
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
- A. assess the rest of their body to see if there is any cyanosis present in the extremities or if the infant is exhibiting any retractions or other signs of respiratory distress
- B. activate the Code Blue protocol for your facility
- C. start oxygen via a mask
Answer: A
NEW QUESTION # 113
The NP is caring for an infant in the NICU. The newborn has not had a bowel movement in the first 48 hours of his life and has vomited whenever oral feedings are attempted. What is one of the problems that may be present?
- A. Short gut syndrome
- B. Hirschsprungs disease
- C. Colitis
Answer: B
Explanation:
Hirschsprungs disease is a congenital condition in which nerve cells are absent from the lower part of the GI tract. This prevents the normal peristaltic movement to occur in the intestines, which pushes waste material through, resulting in a BM. The infant will usually have a distended abdomen and vomiting with this disease. It is treated with surgery to remove the affected part of the colon.
NEW QUESTION # 114
Which of the following is used to test for congenital cytomegalovirus infection?
- A. Feces
- B. Nasal swab
- C. Saliva
Answer: C
Explanation:
A congenital cytomegalovirus (CMU infection can be diagnosed using saliva, urine, or blood specimens. Testing must be done within the first 2-3 weeks following birth. A mother who has CMV can pass this infection to the fetus through the placenta. Most infants will never develop any symptoms from the virus, but approximately 20% can develop hearing loss, vision loss, intellectual disabilities, seizures, or muscle weakness.
NEW QUESTION # 115
A newborn in the NICU has been receiving gentamicin and ampicillin for the treatment of gram negative sepsis. He is on a fairly high dose of gentamicin and has been for the past 3 days. In addition to the risk of developing renal impairment from the medication, he is also at risk for
- A. permanent discoloration of his teeth later in life
- B. hearing loss
- C. cataract development
Answer: B
Explanation:
When gentamicin is given for more than 2 days, there is an increased risk of hearing loss. In order to decrease this risk, drug levels are measured at the point at which the drug level is highest and again when it is at its lowest (a peak and trough). This is to ensure the antibiotic remains at a therapeutic level rather than a toxic level.
NEW QUESTION # 116
Which of the following conditions results from oligohydramnios?
- A. Potter syndrome
- B. Galactosemia
- C. Amniotic band syndrome
Answer: A
Explanation:
Potter syndrome occurs due to oligohydramnios, or a reduced amount of amniotic fluid in utero. Any condition during development that results in decreased urine production by the fetus can result in a reduced amount of amniotic fluid being present. If the mother has prolonged rupture of the membranes, the amniotic fluid will be absent which could result in this condition. Amniotic fluid is essential for alveolar development in the lungs while in utero. If this is reduced or absent, the infant will suffer respiratory distress at birth.
NEW QUESTION # 117
A neonate has had frequent blood draws to monitor electrolyte and glucose levels. This phlebotomy has caused anemia of prematurity (AOP) although the infant is not acutely hypoxemic. The initial treatment is
- A. fresh frozen platelets (FFP)
- B. recombinant human erythropoietin (rHuEPO)
- C. platelets
Answer: B
Explanation:
repo is indicated to stimulate erythropoiesis in phlebotomy-related AOP. Infants with signs of hypoxemia (poor feeding, tachypnea, tachycardia, pallor) may require transfusions. AOP represents a pathologic exaggeration of the normal decrease in hematocrit that occurs in every newborn. Other causes include:
*Decreased RBC production because the premature neonate's response to erythropoietin
*CEPO), the main stimulus for RBC production, has not matured. Lowest Hgb levels are usually at 2-3 months of age.
*Premature RBCs have a shortened lifespan when compared to the full term neonate's
*because of decreased levels of intracellular ATP and enzyme activity.
NEW QUESTION # 118
A neonate exhibits signs of hypoglycemia after birth and is treated only with a bolus of glucose. This treatment puts the infant at risk for
- A. bolus-associated hypoglycemia
- B. bolus-associated hyperglycemia
- C. hyperinsulinism
Answer: A
Explanation:
A glucose bolus-associated occurrence of acute hypoglycemia can arise if a glucose bolus is given and not followed up with a continuous infusion because the body will produce more insulin to cover the bolus which will then start to use glucose stores as soon as the bolus stops. To prevent this, a steady infusion should be continued for a time period that is sufficient for the infant's insulin production to stabilize. Bedside tests for hypoglycemia with reagent sticks may overestimate hypoglycemia and should be confirmed with a serum level.
NEW QUESTION # 119
Which of the following routes is NOT recommended when administering naloxone (Narcan) to infants?
- A. Endotracheal
- B. Intravenous
- C. Intramuscular
Answer: A
Explanation:
When given, the preferred route for administering Narcan in the infant is IV or 1M. It should not be given via endotracheal administration. Narcan is not used as a first line drug in the infant with respiratory depression. Normal color and pulse must first be present before it is considered. It may cause seizures if given to the infant of an opioid-addicted mother.
NEW QUESTION # 120
What condition can occur in the newborn as a result of Rh incompatibility?
- A. Sick sinus syndrome
- B. Hydrops fetalis
- C. Sickle cell anemia
Answer: B
Explanation:
Hydrops fetalis occurs as a result of Rh incompatibility between the newborn and the mother. The Rh incompatibility results in a large number of red blood cells in the infant to be destroyed. This causes severe edema. Approximately half of newborns with hydrops fetalis will not survive. This can be prevented if prenatal testing is done on the mother to determine her Rh status.
If she is Rh negative, an injection can be given during the first trimester of her pregnancy to prevent this reaction from occurring.
NEW QUESTION # 121
The new parents of a child with Down syndrome tell the NP that they want to have more child in the future, but they are concerned about the risk of having another child with this condition. The most appropriate response is
- A. the chance of that happening is very low, about I out of 100 pregnancies
- B. there is a 50% chance they will have another child with Down's syndrome
- C. there is no chance to have this happen again because itis not hereditary
Answer: A
Explanation:
The risk of having a child with Down's syndrome is approximately 1 in 100 pregnancies.
Advanced maternal age is more of a risk factor for having the genetic mutation that causes this condition. Having one child with this condition does not increase the chances that any future children will also have Down's syndrome.
NEW QUESTION # 122
All of the following may be symptoms of hypopituitarism in the newborn EXCEPT
- A. jaundice
- B. hypoglycemia
- C. increased thirst
Answer: C
Explanation:
Of the choices listed, excessive thirst would be seen in an older child with hypopituitarism rather than an infant. The infant with an underfunctioning pituitary gland will exhibit jaundice, hypoglycemia, excessive amounts of urine, sluggishness, and a small penis in male newborns. Older children diagnosed with hypopituitarism will exhibit excessive urination, short stature with weight gain disproportionate to growth, delayed or absent puberty, and delayed tooth eruption.
NEW QUESTION # 123
A neonate born with the genetic disorder cystic fibrosis must be monitored carefully for
- A. apnea
- B. meconium ileus
- C. hypoglycemia
Answer: B
Explanation:
Cystic fibrosis is a congenital disease associated with thick collection of mucous in the lungs and intestines. Up to a fifth of children born with cystic fibrosis have meconium ileus. Meconium ileus is obstruction of the ileum with inspissated (thick) mucilaginous meconium that clings to the side of the narrowed lumen of the intestine and forms hard pellets (usually the first clinical sign of cystic fibrosis). The mucus interferes with absorption of fat, protein, carbohydrates, and other nutrients, leading to malabsorption syndromes.
NEW QUESTION # 124
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