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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Embryology, Physiology, Pathophysiology & Systems Management54%- Hematopoietic and immune system
- Respiratory system
- Musculoskeletal and integumentary system
- Gastrointestinal system
- Metabolic and endocrine system
- Eyes, ears, nose and throat
- Renal and genitourinary system
- Genetics and congenital anomalies
- Infectious diseases
- Cardiovascular system
- Neurological system
Professional Issues3%- Ethics and legal aspects
- Interprofessional collaboration
- Quality improvement and patient safety
- Scope and standards of practice
Pharmacology9%- Common medications and dosages
- Pharmacokinetics and pharmacodynamics in neonates
- Safe administration principles
- Adverse effects and interactions
General Assessment15%- Growth and development assessment
- Perinatal history collection
- Systematic physical assessment
- Interpretation of diagnostic data
General Management19%- Nutrition and growth support
- Resuscitation and stabilization
- Fluids, electrolytes and acid-base balance
- Care coordination and family education
- Thermoregulation
- Pain management and sedation

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q116-Q121):

NEW QUESTION # 116
What is the most common cause of respiratory distress in the newborn?

Answer: C

Explanation:
Transient tachypnea of the newborn is the most common cause of respiratory distress in the newborn. It is triggered by excessive fluid in the lungs and usually resolves on its own. It occurs shortly after delivery. Supportive care with oxygen or CPAP may be necessary until the symptoms resolve. It is most common in babies born via Cesarean section.


NEW QUESTION # 117
What is the most common cause of direct hyperbilirubinemia in the newborn?

Answer: B

Explanation:
Direct hyperbilirubinemia (also known as jaundice, but not caused by jaundice) is the yellow discoloration of the skin and sclera. The most common cause in newborns is due to the liver being immature and not being able to breakdown bilirubin. It is fairly common and most often responds to phototherapy for a few days.


NEW QUESTION # 118
Transposition of the great vessels can involve the superior and inferior vena cavas, the pulmonary artery and pulmonary veins, or the

Answer: C

Explanation:
Transposition of the great vessels can involve any of the great vessels of the body: the superior or inferior vena cava, the pulmonary artery or pulmonary veins, or the aorta. It usually involves a "swap" between the locations of the vessels and can result in poorly oxygenated blood or poor delivery of blood to the body. If the pulmonary artery and aorta are involved, the condition is called a transposition of the great arteries.


NEW QUESTION # 119
The parents of a newborn are asking the NP what PKU is and if it is really necessary to have this tested as part of the newborn screening process. The best response is

Answer: B

Explanation:
PW, or phenylketonuria, is a metabolic disorder in which the body is not able to break down some of the amino acids in proteins. This leads to poor brain development and intellectual disabilities. It is highly recommended that this test be performed on all newborns so that treatment can be started and the devastating effects of this illness can be avoided.


NEW QUESTION # 120
What method should be used to feed the preterm infant with a weak sucking reflex?

Answer: B

Explanation:
Gavage feeding is used to provide nutrition to the infant with a poor sucking reflex, tachypnea, respiratory distress, impaired swallowing, or apneic spells. A nasogastric tube is placed and formula or human milk is slowly fed through the tube with a syringe. Often, the baby will be soothed or gently touched during the feeding to promote positive reinforcement with sucking. The feeding should be stopped if the baby exhibits signs of gasping or choking.


NEW QUESTION # 121
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