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

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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.

Sample Questions

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
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
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
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
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)

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Additional Information

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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Frequently Asked Questions

This quiz contains a total of 100 practice questions carefully selected to test your knowledge on this subject.
Yes, you will have exactly 0 minutes to complete the exam. A countdown timer will be visible once you start.
Yes, you can retake this practice test as many times as you need. The questions and options may be randomized on subsequent attempts to ensure comprehensive learning.

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