Passing Neonatal Nurse Practitioner Exam actual test, valid NCC-NNP test braindump

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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pharmacology9%- Common drug therapies
  • 1. Medication administration
- Drugs and breastfeeding
  • 1. Medication safety
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
Topic 2: General Management19%- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Growth and nutrition
  • 1. Nutritional management
- Thermoregulation
  • 1. Temperature stabilization
- Fluids and electrolytes
  • 1. Fluid balance management
Topic 3: General Assessment15%- Family integration
  • 1. Family-centered care
  • 2. Parent communication
- Discharge planning and follow-up care
  • 1. Post-discharge monitoring
  • 2. Care transition
- Neonatal assessment
  • 1. Gestational age evaluation
  • 2. Physical examination
- Maternal history affecting the newborn
  • 1. Prenatal and perinatal factors
  • 2. Risk assessment
Topic 4: Embryology, Physiology, Pathophysiology and Systems Management54%- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Integumentary
  • 1. Skin conditions
- Musculoskeletal
  • 1. Bone and muscle disorders
- Respiratory
  • 1. Respiratory distress and ventilation
- Genetics
  • 1. Genetic syndromes
- Metabolic and endocrine
  • 1. Metabolic regulation
- Neurological
  • 1. Neurological disorders
- Hematopoietic
  • 1. Blood disorders
- Infectious diseases
  • 1. Neonatal infections
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Gastrointestinal
  • 1. Digestive system disorders
Topic 5: 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 (Q76-Q81):

NEW QUESTION # 76
A neonate exhibits signs of hypoglycemia after birth and is treated only with a bolus of glucose. This treatment puts the infant at risk for

Answer: A

Explanation:
A glucose bolus-associated occurrence of acute hypoglycemia can arise if a glucose bolus is given and not followed up with a continuous infusion because the body will produce more insulin to cover the bolus which will then start to use glucose stores as soon as the bolus stops. To prevent this, a steady infusion should be continued for a time period that is sufficient for the infant's insulin production to stabilize. Bedside tests for hypoglycemia with reagent sticks may overestimate hypoglycemia and should be confirmed with a serum level.


NEW QUESTION # 77
A life-threatening condition that causes simultaneous hemorrhage and thrombosis is

Answer: B

Explanation:
Disseminated intravascular coagulation (DIC) is characterized by hemorrhage and thrombosis. It most often occurs in the newborn due to sepsis, respiratory distress syndrome, birth trauma, birth asphyxia, or necrotizing enterocolitis. Newborns are more susceptible to this condition because the clotting factors are at low levels at birth, which increases the risk of hemorrhage. The trauma of the underlying condition results in endothelial tissue damage, which causes hemorrhage. Fibrin and other clotting factors deposit in the microvasculature to stop bleeding, which results in microvascular thrombosis. Treatment of the condition is focused on treating the underlying cause.


NEW QUESTION # 78
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: B

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 # 79
A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include

Answer: B

Explanation:
While the neonate's bilirubin is elevated (normal range 3.4-11.5 mg/dL at 1-2 days), only continued observation and jaundice assessment is indicated at this time. Physiologic hyperbilirubinemia is common in newborns and usually benign, resulting from immature hepatic function and increased RBC hemolysis. Infants have larger red blood cells with a shorter life than adults, leading to more RBC destruction and resulting in an increased load of serum bilirubin, which the liver of the newborn cannot handle. Onset is usually within 24-48 hours, peaking in 72 hours for full term or 5 days for preterm infants and declining within a week. Phototherapy is the indicated treatment for total serum bilirubin 218 mg/dL for those at medium risk.


NEW QUESTION # 80
A neonate, 2 days after birth, develops a generalized rash with erythematous papules, vesicles, and some pustules everywhere but on the palms and soles of feet. The most likely diagnosis is

Answer: C

Explanation:
Erythema toxicum is a skin eruption of erythematous papules, vesicles, and sometimes pustules. Erythema toxicum is essentially benign and occurs in 250% of newborns. It is a generalized rash everywhere except the palms and soles of the feet, usually occurring 2-3 days after birth. Neonatal pustular melanosis is a benign rash (vesicles and macules) but not associated with erythema. Cutis marmorata is a disorder in which the infant's skin mottles or marbles when exposed to cold, because the superficial blood vessels dilate and contract at the same time.


NEW QUESTION # 81
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