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The second version is the web-based format of the Neonatal Nurse Practitioner Exam (NCC-NNP) practice test. Browsers such as Internet Explorer, Microsoft Edge, Firefox, Safari, and Chrome support the web-based practice exam. You don't have to install excessive plugins or software to attempt this Neonatal Nurse Practitioner Exam (NCC-NNP) practice test.

Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: General Assessment15%- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
- Family integration
  • 1. Parent communication
  • 2. Family-centered care
- Neonatal assessment
  • 1. Gestational age evaluation
  • 2. Physical examination
- Discharge planning and follow-up care
  • 1. Post-discharge monitoring
  • 2. Care transition
Topic 2: Embryology, Physiology, Pathophysiology and Systems Management54%- Musculoskeletal
  • 1. Bone and muscle disorders
- Infectious diseases
  • 1. Neonatal infections
- Respiratory
  • 1. Respiratory distress and ventilation
- Gastrointestinal
  • 1. Digestive system disorders
- Hematopoietic
  • 1. Blood disorders
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Metabolic and endocrine
  • 1. Metabolic regulation
- Neurological
  • 1. Neurological disorders
- Genetics
  • 1. Genetic syndromes
- Integumentary
  • 1. Skin conditions
- Cardiac
  • 1. Congenital and acquired cardiac disorders
Topic 3: General Management19%- Thermoregulation
  • 1. Temperature stabilization
- Fluids and electrolytes
  • 1. Fluid balance management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Growth and nutrition
  • 1. Nutritional management
Topic 4: Professional Issues3%- Quality improvement and patient safety
  • 1. Healthcare quality management
- Evidence-based practice
  • 1. Clinical research application
- Legal and ethical principles
  • 1. Professional responsibility
Topic 5: Pharmacology9%- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Common drug therapies
  • 1. Medication administration
- Drugs and breastfeeding
  • 1. Medication safety

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q69-Q74):

NEW QUESTION # 69
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

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 # 70
The NP is assessing a newborn diagnosed with tracheomalaci
a. An exam finding that
may be seen is

Answer: B

Explanation:
Tracheomalacia can cause expiratory stridor. It is a softening of the cartilage in the trachea that results in partial or total collapse of the airway during expiration. Depending upon the severity of the condition, mechanical ventilation, CPAP, or BiPAP therapy may be necessary. In severe cases, surgical correction may be necessary to reinforce the airway so that it can remain open.


NEW QUESTION # 71
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: A

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 # 72
The NP is caring for a child with end stage renal disease. A sign that he may be in fluid overload is

Answer: A

Explanation:
Some of the signs of fluid overload include increased blood pressure, swelling in the extremities and face, abdominal bloating, shortness of breath, and tachycardia. The NP will monitor the patient regularly for any of these symptoms. If the patient will be discharged home, the parents and/or caregivers will also need to be educated on these symptoms.


NEW QUESTION # 73
With which genetic condition is the NP likely to see an atrioventricular septal defect, or a ventricular septal defect in less severe cases?

Answer: C

Explanation:
Approximately one-half of all children born with Down syndrome have a heart defect. The most common type of heart defect in these children is an atrioventricular septal defect, or a ventricular septal defect in less severe cases. This occurs when the septum betv:een either the atria and ventricles, or just the ventricles, is not fully formed. This allows oxygenated blood and deoxygenated blood to mix, which can cause the heart to work harder to transport oxygenated blood throughout the body.


NEW QUESTION # 74
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