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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
Topic 1: Family-Centered Care and Ethics- Ethical and legal considerations in neonatal care
- Parent education and communication
Topic 2: Neonatal Health Assessment- Physical and neurological assessment of the newborn
- Identification of normal vs abnormal findings
Topic 3: Neonatal Physiology and Pathophysiology- Cardiovascular adaptation and congenital conditions
- Thermoregulation, metabolism, and fluid balance
- Respiratory adaptation and disorders
Topic 4: High-Risk Neonatal Management- Infectious diseases in neonates
- Prematurity-related complications
- Respiratory distress and ventilation management
Topic 5: Neonatal Pharmacology and Therapeutics- Medication administration in neonates
- Drug safety, dosing considerations, and pharmacokinetics

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Free PDF Quiz 2026 Updated Nursing NCC-NNP: Valid Test Neonatal Nurse Practitioner Exam Tutorial

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q23-Q28):

NEW QUESTION # 23
A premature infant in the NICU has a nasogastric drain. The results ofher arterial blood gases are as follows:
*ph -7.5
*HCOs - 29
*pC02 - 37
Based on these values, which acid-base disorder has this infant developed?

Answer: C

Explanation:
Metabolic alkalosis will cause the arterial blood pH and bicarbonate levels to increase.
Conversely, metabolic acidosis will cause arterial pH and bicarbonate levels to decrease.
Respiratory acidosis will increase the arterial carbon dioxide level while decreasing the PH, and respiratory alkalosis will have the opposite results with a decrease in carbon dioxide level and an increased PH.


NEW QUESTION # 24
A nevus flammeus is commonly known as

Answer: A

Explanation:
A nevus flammeus, or port wine stain, is a birth mark that results from a malformation of capillaries. Though they appear pink at birth, they will become a darker reddish or purplish color in adulthood. Port wine stains are not inherited genetically and they have no known cause. Laser treatments may help to lighten these birth marks, especially if they are done while the child is young and the lesion is lighter in color.


NEW QUESTION # 25
A neonate develops tremors of the chin and extremities with the following observations:
*Lack of ocular deviations or other abnormalities.
*Gentle restraint halts tremors.
*Stimulation elicits tremors.
*Clonic jerking has both fast and slow elements.
*Autonomic changes involving the heart rate, respirations, and blood pressure are not present.
*EEG is normal.
The most likely cause is

Answer: C

Explanation:
Jitteriness is distinct from shuddering, a 10-15 second period of fast tremors that may recur SIOO times daily. Both jitteriness and shuddering are benign findings. Seizures indicate that there is an abnormality of the central nervous system and are differentiated by their associated abnormal movements:
*Subtle: Feet pedaling, chewing, apnea, eye movements, or blank stare.
*Tonic: Tonic flexion or extension of the limbs, focal (one limb) or generalized.
*Clonic: Slow, clonic movements (1-3 per second), often in one extremity or one side of the body.
*Myoclonic: Focal, multi-focal, or generalized, with rapid jerking movements of the extremities.


NEW QUESTION # 26
A congenital diaphragmatic eventration is as associated finding with

Answer: B

Explanation:
Congenital diaphragmatic eventration is associated with Horner's syndrome. It occurs as a result of a congenital thinning of the diaphragm or because of underdevelopment of the phrenic nerve. This results in an abnormally high portion of the diaphragm and causes dyspnea, cyanosis, and tachypnea. Surgical correction is usually necessary.


NEW QUESTION # 27
Which of the following infections is the most common in the newborn?

Answer: B

Explanation:
Enterovirus is a very common cause of infections. It often creates no symptoms in the infant, but can be very serious if it occurs in the first 2 weeks of life. Enterovirus infections are usually transmitted from the mother to the infant. They can cause cold symptoms, or be so severe that sepsis, meningitis, or respiratory failure develop. Enterovirus infections are most common in the summer and fall.


NEW QUESTION # 28
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