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

Neonatal CHF presents with tachycardia, hepatomegaly (from venous congestion), poor feeding, and failure to thrive rather than peripheral edema.

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

Beck's triad—hypotension, muffled heart sounds, and jugular venous distension—classically describes cardiac tamponade from pericardial fluid accumulation.

Question 3

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

Accepted Answer

Dopamine or norepinephrine

Answer

Vasopressors such as dopamine or norepinephrine are used to restore vascular tone and cardiac output in neonatal septic shock refractory to fluid.

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

Maternal anti-Ro/SSA and anti-La/SSB antibodies cross the placenta and damage the fetal AV node, causing congenital complete heart block.

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

Ibuprofen-induced renal impairment requires holding the medication and reassessing kidney function before considering further doses or alternatives.

Neonatal Nurse Practitioner Exam Practice Test

Neonatal Nurse Practitioner Exam Practice Test

Neonatal Nurse Practitioner Exam Cardiovascular Assessment and Management 3