Nursing NCC-NNP Valid Test Review - NCC-NNP Latest Practice Questions

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| Section | Weight | Objectives |
|---|
| Topic 1: Pharmacology | 9% | - Common drug therapies
- 1. Medication administration
- Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Drugs and breastfeeding
|
| Topic 2: General Assessment | 15% | - Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
- Family integration
- 1. Family-centered care
- 2. Parent communication
- Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
|
| Topic 3: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Infectious diseases - Integumentary - Respiratory
- 1. Respiratory distress and ventilation
- Metabolic and endocrine - Hematopoietic - Gastrointestinal
- 1. Digestive system disorders
- Genetics - Cardiac
- 1. Congenital and acquired cardiac disorders
- Neurological
- 1. Neurological disorders
- Musculoskeletal
- 1. Bone and muscle disorders
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
|
| Topic 4: Professional Issues | 3% | - Evidence-based practice
- 1. Clinical research application
- Quality improvement and patient safety
- 1. Healthcare quality management
- Legal and ethical principles
- 1. Professional responsibility
|
| Topic 5: General Management | 19% | - Thermoregulation
- 1. Temperature stabilization
- Resuscitation and stabilization
- 1. Emergency neonatal care
- Growth and nutrition
- 1. Nutritional management
- Fluids and electrolytes
- 1. Fluid balance management
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q28-Q33):
NEW QUESTION # 28
The mechanism of action of surfactant is to
- A. dilate the pulmonary artery to allow the passage of more oxygen-rich blood into the heart
- B. strengthen the diaphragm to make breathing easier for the premature infant
- C. prevent the alveoli in the lungs from collapsing so that they can expand and contract
Answer: C
Explanation:
The inside of the alveoli in the lungs are wet and can easily stick together when air is exhaled. Surfactant decreases the surface tension within the alveoli so they can easily expand when a breath is taken, making it easier to breath. The human body produces surfactant on its own, buT not until after 36 weeks gestation. Sometimes it is necessary to administer surfactant directly into the lungs through the endotracheal tube.
NEW QUESTION # 29
A neonate, 2 days after birth, develops a generalized rash with erythematous papules, vesicles, and some pustules everywhere but on the palms and soles of feet. The most likely diagnosis is
- A. erythema toxicum
- B. cutis marmorata
- C. neonatal pustular melanosis
Answer: A
Explanation:
Erythema toxicum is a skin eruption of erythematous papules, vesicles, and sometimes pustules. Erythema toxicum is essentially benign and occurs in 250% of newborns. It is a generalized rash everywhere except the palms and soles of the feet, usually occurring 2-3 days after birth. Neonatal pustular melanosis is a benign rash (vesicles and macules) but not associated with erythema. Cutis marmorata is a disorder in which the infant's skin mottles or marbles when exposed to cold, because the superficial blood vessels dilate and contract at the same time.
NEW QUESTION # 30
A premature infant in the NICU has a G-tube and the NP is starting his scheduled feeding.
The formula is backing up in the tube and not flowing smoothly. The next intervention would be to
- A. flush the tube with 20 cc of a carbonated soft drink
- B. flush the tube with 5-10 ccwarm water and try aspirating and flushing if there is resistance
- C. flush with an air bolus then aspirate to confirm placement
Answer: B
Explanation:
A G-tube should be flushed with warm water before and after all feedings to ensure patency and remove any build-up of formula within the tube itself. Neither air nor carbonated soft drink should be flushed into the tube.
NEW QUESTION # 31
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
- A. activate the Code Blue protocol for your facility
- B. start oxygen via a mask
- C. assess the rest of their body to see if there is any cyanosis present in the extremities or if the infant is exhibiting any retractions or other signs of respiratory distress
Answer: C
NEW QUESTION # 32
A neonate receiving mechanical ventilation has a PaC02 level of 33 mmHg with pH of 7.5 from a blood sample obtained from the umbilical artery. These values indicate
- A. metabolic acidosis from decreased tissue perfusion
- B. respiratory alkalosis from hyperventilation
- C. respiratory acidosis from hypoventilation
Answer: B
Explanation:
These values indicate respiratory alkalosis from hyperventilation associated with excessive mechanical ventilation, which decreases the level of carbon dioxide in the blood. Respiratory alkalosis occurs with PaC02 <35 mmHg and pH >7.45. Normal PaC02 is 35-45 mmHg and normal pH
7.35-7.45. Arterial blood gas (ABG) is the most informative measurement of blood gas status.
Venous blood gas (VBG) is easier to obtain if an arterial catheter is not in place. To compare the values in the VBG with an ABG, add 0.05 to the pH of the VBG. Subtract 5-10 mmHg from the PC02 of the VBG. Capillary blood gas (CBG) can be obtained with a heel stick, but the values obtained are the least accurate and rarely useful.
NEW QUESTION # 33
......
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