NCC-NNP–100% Free Study Guide Pdf | High Pass-Rate Neonatal Nurse Practitioner Exam Exam Cost

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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q11-Q16):

NEW QUESTION # 11
In which group is hypoxic ischemic encephalopathy more common?

Answer: C

Explanation:
Hypoxic ischemic encephalopathy is more common in full-term infants than premature infants. This condition results in damage or death to brain tissue due to lack of oxygen to the brain.
It can occur when there is any condition, maternal or fetal, that results in a disruption in oxygenation of brain tissue. This can include a prolapsed cord, placental abruption, maternal hypotension, and others. This is the leading cause of impairment in newborns, though severity of the impairment may not be determined until 3 or 4 years of age.


NEW QUESTION # 12
The initial treatment for patent ductus arteriosus (PDA) for a preterm neonate is usually

Answer: A

Explanation:
Patent ductus arteriosus (PDA) is failure of the ductus arteriosus that connects the pulmonary artery and aorta to close after birth, resulting in left to right shunting of blood from the aorta back to the pulmonary artery. This increases the blood flow to the lung and causes an increase in pulmonary hypertension that can result in damage to the lung tissue. Treatment for PDA:
*Indomethacin (Indocin@) or ibuprofen lysine given within 10 days of birth is successful in closing about 80% of defects.
*Surgical repair with ligation of the patent vessel if conservative treatment is unsuccessful.


NEW QUESTION # 13
A pediatric patient in the NICU is receiving an infusion of dopamine. Once it is completed, the effects from the medication should be gone

Answer: B

Explanation:
The half-life of dopamine is less than 2 minutes, so the total time in which the effects from the medication are seen is around 10 minutes. Dopamine is used to improve heart function, increase blood pressure, and increase renal perfusion.


NEW QUESTION # 14
A female neonate is found to have an imperforate anus with no external opening or dimple on initial physical exam. The abdomen is slightly distended, but the neonate passes some meconium at 24 hours. The type of anomaly this suggests is a

Answer: B

Explanation:
In a high anomaly, the rectum ends above the puborectalis muscles, and internal sphincter is absent. Frequently, there is a rectourethral fistula in males or a rectovaginal fistula in females, allowing passage of some meconium. There may be fistulas to the bladder or perineum. Low anomalies have no external opening, but rectum is otherwise in normal position through the puborectalis muscle, with normal function, and no connection to the genitourinary tract.
Intermediate anomalies have rectum at or below the level of puborectalis muscle and an anal dimple. The external sphincter is in normal position.


NEW QUESTION # 15
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 # 16
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