Neonatal Nurse Practitioner Exam Cardiovascular Assessment and Management 3

Question 1

Which sign is indicative of congestive heart failure (CHF) in a neonate?

Accepted Answer

Tachycardia, hepatomegaly, and poor feeding

Answer

Bradycardia and hypertension

Answer

Hypertension and bradypnea

Answer

Bradycardia and wide pulse pressure

Question 2

A neonate with suspected cardiac tamponade will most likely show which triad of findings?

Accepted Answer

Beck's triad: hypotension, muffled heart sounds, and distended neck veins

Answer

Tachycardia, hypertension, and bounding pulses

Answer

Bradycardia, high blood pressure, and wide pulse pressure

Answer

Cyanosis, grunting, and chest retractions

Question 3

Which drug is most appropriate for a neonate in septic shock unresponsive to fluid resuscitation?

Accepted Answer

Dopamine or norepinephrine

Answer

Milrinone

Answer

Digoxin

Answer

Adenosine

Question 4

Which neonatal cardiac lesion is associated with maternal anti-Ro/SSA and anti-La/SSB antibodies?

Accepted Answer

Congenital complete heart block

Answer

Transposition of the great arteries

Answer

Tetralogy of Fallot

Answer

Tricuspid atresia

Question 5

A neonate on ibuprofen for PDA closure develops oliguria and rising creatinine. What is the most appropriate next step?

Accepted Answer

Hold ibuprofen and reassess renal function

Answer

Increase the ibuprofen dose

Answer

Add indomethacin

Answer

Initiate peritoneal dialysis immediately

Question 6

A preterm infant has persistently low blood pressure. Which condition should be ruled out before initiating vasopressors?

Accepted Answer

Adrenal insufficiency (especially after antenatal steroids)

Answer

Polycythemia

Answer

Hyperbilirubinemia

Answer

Hyperglycemia