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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q139-Q144):

NEW QUESTION # 139
Which of the following infants is most likely to develop necrotizing enterocolitis?

Answer: A

Explanation:
Necrotizing enterocolitis is most common in premature infants who are being formula fed rather than breastfed. With lung prematurity in the premature infant, there is an increased risk of decreased oxygenation to the lining of the intestines. Formula fed infants are not receiving any of the immune mediators that are helpful in fighting infection and which help to build up the normal protective microorganisms in the intestines. This can result in a necrotizing infection in the intestines that can lead to intestinal rupture and even death. This condition affects 10% of premature infants, but is rare in full-term infants.


NEW QUESTION # 140
Which of the following medications may be given to slow down preterm labor contractions?

Answer: C

Explanation:
Tocolytics are drugs that are given to slow down or stop preterm labor. They are generally not used before 23-24 weeks of pregnancy and may be used as late as 36 weeks of pregnancy.
Terbutaline is in a class of drugs called beta-mimetics. It is used to decrease uterine contractions by relaxing the uterine musculature. It can cause nervousness, tremors, headache, and tachycardia.
Cytotec is given as a pill or vaginal suppository to help soften the cervix to induce labor. Pitocin is used to increase uterine contractions and cervical dilation to induce labor.


NEW QUESTION # 141
At which point in a pregnancy is the fetus most likely to suffer birth defects due to a Varicella infection in the mother?

Answer: C

Explanation:
The risk of birth defects due to Varicella infection is greatest in the second trimester. The risk at that point is approximately 2%, up from 0.5-1% in the first trimester. If the fetus contracts Varicella late in the pregnancy, there is a chance they will develop chicken pox rather than birth defects. Varicella infection can be severe in utero and may lead to small head size and intellectual disabilities.


NEW QUESTION # 142
What substance helps to keep the amniotic sac intact within the uterus?

Answer: B

Explanation:
Fetal fibronectin is a protein that helps to keep the amniotic sac adhered to the wall of the uterus. This substance begins to break down towards the end of the pregnancy. If there is suspicion that preterm labor may be imminent, a swab may be done of the secretions on the cervix. If fetal fibronectin is present, it can be a sign that there is an increased risk for preterm labor.


NEW QUESTION # 143
The NP has received a lab report on the CSF of a newborn who underwent a lumbar puncture. The lab report shows the glucose level in the sample is 100 mg/dL. This value is interpreted to mean

Answer: C

Explanation:
The normal glucose level in cerebrospinal fluid in a newborn is 35-120 mg/dL A value of 100 would be normal for this infant. Diabetes mellitus may cause CSF glucose levels to be elevated.
Meningitis can cause CSF glucose to be normal with viral meningitis, low with bacterial meningitis, and normal to low in fungal meningitis.


NEW QUESTION # 144
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