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Free CCRN-NEONATAL sample questions

Questions from the CCRN (Neonatal) - Direct Care Eligibility Pathway practice bank, with the correct answer and an explanation for each one. No junk, no filler.

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Showing 6 of 12 free sample questions.

Question 1Choose one

The resuscitation team attends the precipitous vaginal birth of an infant born at 31 weeks' gestation. The newborn is apneic and limp with a heart rate of 80 bpm. In accordance with neonatal resuscitation guidelines, what initial fraction of inspired oxygen (FiO2) should the nurse ensure is dialed on the gas blender when positive-pressure ventilation (PPV) is initiated?

Question 2Choose one

True or False: Large multicenter clinical trials demonstrate that initiating non-invasive continuous positive airway pressure (CPAP) instead of routine endotracheal intubation in extremely preterm neonates significantly increases their risk of developing necrotizing enterocolitis (NEC).

Question 3Choose one

A 39-week neonate who required advanced resuscitation including chest compressions and epinephrine in the delivery room is admitted to the neonatal intensive care unit. Why is serial blood glucose monitoring and tight glycemic regulation a critical post-resuscitation nursing action in this patient?

Question 4Choose one

In an infant of a diabetic mother (IDM) exhibiting macrosomia and plethora, the primary endocrine alteration causing precipitous early postnatal _____ is persistent pancreatic beta-cell hyperplasia driving severe hyperinsulinism once the continuous maternal glucose source is severed.

Question 5Choose one

A 27-week preterm infant weighing 920 g is on day of life 14 receiving fortified maternal breast milk at 130 mL/kg/day via an orogastric feeding tube. During morning assessment, the nurse discovers a 3 cm increase in abdominal girth from baseline, absent bowel sounds, visible bluish discoloration of the periumbilical region, and 4 mL of dark bilious aspirate prior to the scheduled feeding. Vital signs demonstrate a temperature of 35.8°C, heart rate of 188 bpm, blood pressure of 46/24 mmHg, and SpO2 of 89% on baseline CPAP. The infant appears mottled, lethargic, and displays frequent apnea and bradycardia episodes requiring tactile stimulation. An urgent anterior-posterior and left lateral decubitus abdominal radiograph series is performed. Which radiographic finding serves as the hallmark, pathognomonic sign confirming necrotizing enterocolitis (NEC)? flowchart TD FeedIntol[Abdominal Distension & Feeding Intolerance] --> Eval{Diagnostic Workup} Eval --> Xray[Abdominal Radiography] Xray --> Pneumo[Pneumatosis Intestinalis Identified] Pneumo --> Action[Decompress Stomach + NPO + Broad-Spectrum Antibiotics]

Question 6Choose one

Following the clinical diagnosis of suspected necrotizing enterocolitis (NEC) in a preterm neonate, what is the critical initial nursing priority to arrest disease progression and protect intestinal perfusion?

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