Simulated NCC-NNP Test, NCC-NNP Practice Test

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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q165-Q170):

NEW QUESTION # 165
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is

Answer: A

Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.


NEW QUESTION # 166
Two days after birth, a newborn infant has developed an erythematous papular rash scattered all over. The best explanation to give the parents is

Answer: B

Explanation:
Erythema toxicum is a benign rash that develops 2-5 days after birth in approximately half of all full-term infants. It appears as red blotches on the skin with white or yellow papules or pustules. It does not appear to cause any discomfort to the baby and there is no treatment as it resolves on its own within a couple of weeks. Sensitivity to the new environment early in life is thought to be the cause.


NEW QUESTION # 167
The NP is talking to new parents whose child was born with a cleft lip and palate due to amniotic band syndrome. They are concerned that this may happen to any more children they have in the future. The best response to this is

Answer: B

Explanation:
There is no known genetic risk for developing amniotic band syndrome. There are also no known behaviors during pregnancy that increase the risk for this condition. It occurs when thick, fibrous bands within the amniotic fluid wrap around the limb or face of the fetus in utero. It can cut off the blood supply to the affected area and result in amputation or deformity of the affected limb.
If the bands wrap around the face, it can result in cleft lip and palate. There is a greater than 30% chance that amniotic band syndrome will cause a club foot deformity.


NEW QUESTION # 168
A congenital diaphragmatic eventration is as associated finding with

Answer: A

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 # 169
When treating a neonate for hypothermia, the air temperature should be increased by approximately

Answer: B

Explanation:
Steps in treatment of hypothermia:
*Increase the air temperature by approximately I 'C every hour until the infant's
*temperature is normal and stable.
*Determine if the cause of hypothermia is from an abnormal physiological process in the infant or from environmental conditions.
*Avoid rewarming the infant too rapidly because rapid rewarming may result in apnea or hypotension. Maintain the ambient temperature at 1-1.5'C higher than the infant's temperature.
*Warm IV fluids with a blood-warming device prior to infusion.
*Closely monitor the infants blood glucose levels, vital signs, and urinary output.


NEW QUESTION # 170
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