Latest NCC-NNP Test Objectives, Reliable NCC-NNP Exam Question

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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Professional Issues3%- Evidence-based practice
  • 1. Clinical research application
- Legal and ethical principles
  • 1. Professional responsibility
- Quality improvement and patient safety
  • 1. Healthcare quality management
Topic 2: Pharmacology9%- Common drug therapies
  • 1. Medication administration
- Drugs and breastfeeding
  • 1. Medication safety
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
Topic 3: General Assessment15%- Neonatal assessment
  • 1. Gestational age evaluation
  • 2. Physical examination
- Family integration
  • 1. Family-centered care
  • 2. Parent communication
- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
Topic 4: General Management19%- Growth and nutrition
  • 1. Nutritional management
- Thermoregulation
  • 1. Temperature stabilization
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Fluids and electrolytes
  • 1. Fluid balance management
Topic 5: Embryology, Physiology, Pathophysiology and Systems Management54%- Hematopoietic
  • 1. Blood disorders
- Respiratory
  • 1. Respiratory distress and ventilation
- Infectious diseases
  • 1. Neonatal infections
- Metabolic and endocrine
  • 1. Metabolic regulation
- Musculoskeletal
  • 1. Bone and muscle disorders
- Neurological
  • 1. Neurological disorders
- Genetics
  • 1. Genetic syndromes
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Integumentary
  • 1. Skin conditions
- Gastrointestinal
  • 1. Digestive system disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions

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Updated Nursing NCC-NNP Exam Questions And Answer

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q161-Q166):

NEW QUESTION # 161
During pregnancy, a suspicious finding on ultrasound that may indicate an esophageal atresia is

Answer: C

Explanation:
Polyhydramnios is an abnormal finding on ultrasound that may indicate the presence of esophageal atresia. During normal development, the esophagus and trachea form side by side. An abnormality in development in utero may result in the esophagus not fully developing all the way to the stomach. This results in a closed-ended esophagus. The fetus drinks amniotic fluid while in the womb, so if they are not able to do this, polyhydramnios, or an increased volume of amniotic fluid, can occur. Occasionally, a fistula may form betv:een the esophagus and the trachea, resulting in any intake of liquids being bypassed directly into the trachea and lungs.


NEW QUESTION # 162
An infant with ABO incompatibility with the mother develops hyperbilirubinemia after birth. The neonate should be monitored for a few weeks after birth for

Answer: A

Explanation:
Anemia may develop in the weeks after delivery because of increased rate of RBC breakdown, so the neonate should be monitored with blood counts. About 20-25% of pregnancies involve ABO incompatibility, usually with the mother type O and the fetus A or B. There are rarely serious complications for the fetus although the neonate may develop hyperbilirubinemia, so the child should be observed carefully. Only in severe cases of hemolysis (rare), does the child require exchange transfusions.


NEW QUESTION # 163
A term neonate is diagnosed at birth with osteogenesis imperfecta (01) type 1. The information that the parents should receive before taking the infant home includes

Answer: B

Explanation:
The parents of an infant with 01 type 1 should receive information about methods of handling, bathing, and placing their child in the crib to minimize trauma and avoid fractures. 01 is a genetic disorder of collagen synthesis that results in brittle, easily fractured bones. Common features of 01 include brittle bones, bowing of long bones, shortened limbs, blue sclera, skeletal deformities (including scoliosis), respiratory difficulties, and weak muscles. Type I is non-lethal and the mildest of 4 types of 01.01 type 2 causes severe breathing problems that often prevent the neonate's survival. 01 infants do not generally require feeding tubes or have aspiration risks. 01 is usually inherited in a dominant fashion, but a new mutation may cause the disorder in approximately 25% of cases.


NEW QUESTION # 164
What is the difference between measuring a total bilirubin and a direct bilirubin?

Answer: C

Explanation:
Bilirubin is measured as direct indirect, or total. Direct bilirubin is the amount of bilirubin that is not bound to protein that passes from the liver to the small intestines. A small amount passes through the urine to give it a yellow color. The indirect bilirubin is bilirubin that is bound to albumin. The total bilirubin is the measure of both direct and indirect bilirubin combined.


NEW QUESTION # 165
A neonate exhibits signs of hypoglycemia after birth and is treated only with a bolus of glucose. This treatment puts the infant at risk for

Answer: B

Explanation:
A glucose bolus-associated occurrence of acute hypoglycemia can arise if a glucose bolus is given and not followed up with a continuous infusion because the body will produce more insulin to cover the bolus which will then start to use glucose stores as soon as the bolus stops. To prevent this, a steady infusion should be continued for a time period that is sufficient for the infant's insulin production to stabilize. Bedside tests for hypoglycemia with reagent sticks may overestimate hypoglycemia and should be confirmed with a serum level.


NEW QUESTION # 166
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