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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q21-Q26):

NEW QUESTION # 21
The NP is administering blood to a premature infant who is anemic. A possible transfusion reaction may be occurring if the patient develops

Answer: C

Explanation:
One of the first signs that an acute intravascular hemolytic reaction is occurring is pain at the IV site. Other early signs include fever, chills, elevated heart rate, nausea, and dyspnea. This potentially life-threatening reaction usually occurs within 10 minutes of the beginning of the infusion of blood or blood products.


NEW QUESTION # 22
Identifying and treating congenital hypothyroidism within the first month oflife is especially critical to prevent

Answer: A

Explanation:
Untreated congenital hypothyroidism can result in profound intellectual disability, so diagnosing the disorder and beginning thyroxine treatment within the first month of life is essential. Newborn screening tests in most states mandate checking for hypothyroidism. Infants whose mothers received radioactive iodine treatment for thyroid cancer during pregnancy are especially at risk Signs of congenital hypothyroidism include hypotonia, growth restriction, poor feeding, wide hands with stunted fingers, short extremities, edematous face, and thick protruding tongue.


NEW QUESTION # 23
The major route in a full-term neonate for rapidly increasing body temperature in response to cold stress is

Answer: B

Explanation:
Non-shivering thermogenesis (NST) is the major route of rapid increase of body temperature in response to cold stress in the term neonate. NST is the oxidation of brown fat to create heat.
Brown adipose tissue contains a high concentration of stored triglycerides, a rich capillary network, and is controlled by the sympathetic nervous system. When brown fat is metabolized, heat is created. When a cold body temperature is detected, the posterior hypothalamus responds by triggering the adrenal glands to release norepinephrine and the pituitary gland to release thyroxine. Both stimulate NST.


NEW QUESTION # 24
When placing a temperature probe on a supine neonate to monitor thermoregulation, a good location for the probe is over the

Answer: A

Explanation:
A common probe placement for a supine infant is over the liver. The probe should not be placed over a bony area or an area with abundant brown adipose tissue, such as around the neck, the mid-scapular region of the back, the mediastinum, and organs in the thoracic cavity, kidneys, and adrenal glands. If the probe makes poor skin contact, it will indicate that the infant is cold, and the warmer will deliver increased amounts of heat, possibly causing hyperthermia. If the probe is underneath the infant, it may indicate an artificially warm temperature and decrease heat to the infant, causing hypothermia.


NEW QUESTION # 25
The mildest form of an intraventricular hemorrhage of the brain in a newborn is also called

Answer: B

Explanation:
An intraventricular hemorrhage in a newborn is classified into grades, depending upon the severity of the bleeding. Grade l, the mildest form, is also called a germinal matrix hemorrhage.
Those infants most at risk for developing an intraventricular hemorrhage are those who are premature, at least 10 weeks preterm. This occurs because the blood vessels in the brain are very weak in the premature infant and can easily rupture, causing a brain bleed. Less than half of infants with a mild bleed will have long-term effects from it. Up to one-third of those with severe bleeds may die.


NEW QUESTION # 26
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