Neonatal Nurse Practitioner
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Sample questions
Listed below are five sample questions to acquaint you with the test question format. These questions do not reflect the scope or the difficulty level of the questions on the actual examination. The reference from which each question is derived is also cited. However, other references might substantiate a different answer, and the answer shown here might be substantiated by other references. The rigorous review to which actual test questions are subject is not applied to these sample questions. The focus that should be attended to in reviewing these items is format, not content.
1. The goal of treatment of gastroesophageal reflux in the premature neonate is to
A. achieve normal gastric emptying
B. decrease lower esophageal sphincter pressure
C. increase gastric pH
Answer: A
Martin, et al., Neonatal-Perinatal Medicine, Diseases of the Fetus and Infant, Elsivier Mosby, Philadelphia, 2006, pp. 1379-1380.
2. When auscultating the lungs of a neonate, the nurse practitioner hears stridor. This most likely indicates
A. bronchspasm
B. inflammation of the pleura
C. subglottic stensois
Answer: C
Taeusch, et al., Diseases of the Newborn, Elsevier Saunders, Philadelphia, 2005, p. 739.
3. Upper and lower extremity blood pressures should be taken for the neonate with decreased femoral pulses to evaluate for
A. coarctation of the aorta
B. patent ductus arteriosus
C. transposition of the great arteries
Answer: A
Fanaroff, et al., Neonatal-Perinatal Medicine, Diseases of the Fetus and Infant, , Mosby, St. Louis, 2006, pp. 1234-35.
4. The recommended hepatitis B immunization schedule for a neonate born to a hepatitis B surface antigen (HBsAg) positive mother is
| Initial |
Second Immunization |
Third Immunization |
| A. At birth |
1 month |
6 months |
| B. Before discharge |
2 months |
6 months |
| C. 0-7 days |
1 month |
12 months |
Answer: A
Kenner et al., Comprehensive Neonatal Care: An Interdisciplinary Approach, Saunders Elsevier, St. Louis, 2007, p. 216
5. A neonate with bronchopulmonary dysplasia has the following blood gas values:
| pH |
7.38 |
| PCO2 |
50 mmHg |
| HCO3 |
29 mEq/L (mmol) |
| Base excess |
+3 mEq/L |
The best interpretation of the blood gas is
A. compensated metabolic acidosis
B. compensated respiratory acidosis
C. normal value
Answer: B
Merenstein, et. al., Handbook of Neonatal Intensive Care, Mosby, St. Louis, 2006, p. 213