CCRN Neonatal Practice Questions - AACN CCRN Neonatal Critical Care Certification Exam - CCRN Neonatal Practice Questions - AACN CCRN Neonatal Critical Care Certification Exam

Question 1

A 2-day-old infant with a patent ductus arteriosus (PDA) is receiving IV indomethacin. Which assessment finding would indicate a potential adverse effect requiring immediate intervention?

Decreased urine output from 2.5 mL/kg/hr to 1 mL/kg/hr Increased heart rate from 140 to 160 beats per minute Decreased respiratory rate from 45 to 35 breaths per minute Increased blood pressure from 65/40 to 72/45 mmHg

Correct Answer:

Decreased urine output from 2.5 mL/kg/hr to 1 mL/kg/hr

Question 2

An infant with hypoplastic left heart syndrome (HLHS) becomes irritable, diaphoretic, and tachypneic shortly after feeding. The nurse notes that the preductal SpO2 was 85% but is now 72%. What is the priority nursing intervention?

Increase the oxygen flow rate to maintain SpO2 above 90% Administer a bolus of IV fluids and notify the provider immediately Position the infant supine and stimulate gently Provide oral sucrose for comfort and continue monitoring

Correct Answer:

Administer a bolus of IV fluids and notify the provider immediately

Question 3

Which of the following ECG findings would be most concerning in a neonate receiving digoxin for supraventricular tachycardia?

Heart rate of 145 beats per minute Prolonged PR interval with occasional dropped beats Sinus arrhythmia varying with respiration Right axis deviation

Correct Answer:

Prolonged PR interval with occasional dropped beats

Question 4

A preterm infant with respiratory distress syndrome (RDS) on bubble CPAP at 6 cm H2O develops increasing respiratory distress. The nurse notes increased work of breathing with nasal flaring and seesaw respirations. The SpO2 is 88% on 35% oxygen. What is the most appropriate initial action?

Increase CPAP pressure to 8 cm H2O and increase FiO2 Administer surfactant via endotracheal tube Intubate and initiate mechanical ventilation Perform suctioning and assess for mask leak

Correct Answer:

Increase CPAP pressure to 8 cm H2O and increase FiO2

Question 5

An infant born at 28 weeks gestation develops pulmonary interstitial emphysema (PIE) following mechanical ventilation. Which ventilator strategy is most appropriate?

Increase peak inspiratory pressure to improve tidal volume Decrease rate and allow permissive hypercapnia Increase positive end-expiratory pressure (PEEP) to 10 cm H2O Switch to high-frequency oscillatory ventilation (HFOV)

Correct Answer:

Decrease rate and allow permissive hypercapnia

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About this Exam

Prepare with the CCRN Neonatal Practice Questions - AACN CCRN Neonatal Critical Care Certification Exam practice quiz. This question bank includes 100 questions covering infant, nurse, intervention, nursing, and receiving. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CCRN Neonatal Practice Questions - AACN CCRN Neonatal Critical Care Certification Exam

This practice set contains 100 questions from the matching question bank and focuses on infant, nurse, intervention, nursing, and receiving. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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CCRN Neonatal Practice Questions - AACN CCRN Neonatal Critical Care Certification Exam

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