Nursing NCC-NNP Questions: Improve Your Exam Preparation [2026]

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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q135-Q140):

NEW QUESTION # 135
A premature infant in the NICU has a G-tube and the NP is starting his scheduled feeding.
The formula is backing up in the tube and not flowing smoothly. The next intervention would be to

Answer: A

Explanation:
A G-tube should be flushed with warm water before and after all feedings to ensure patency and remove any build-up of formula within the tube itself. Neither air nor carbonated soft drink should be flushed into the tube.


NEW QUESTION # 136
If a mother suffers from pregnancy-induced hypertension (preeclampsia) during pregnancy, the primary detrimental effect on the fetus is

Answer: A

Explanation:
Preeclampsia is a disorder that develops in approximately 5% of all pregnancies. Its main feature is new onset elevated blood pressure that develops around 20 weeks of gestation.
Proteinuria is no longer a diagnostic requirement, but is a common feature accompanying the hypertension. The main detrimental effect on the fetus occurs because of longstanding hypertension that leads to utero-placental vascular insufficiency, which impairs the transfer of nutrients and oxygen to the fetus, resulting in intra-uterine growth restriction (IUGR). The IUGR is usually asymmetric (fetal head size is normal for gestational age). Placental abruption occurrence is also more common in fetuses exposed to longstanding hypertension, but not as common as IUGR.


NEW QUESTION # 137
During the first few months of life, the newborn is only able to digest those proteins found in

Answer: A

Explanation:
The digestive system of the newborn begins maturing soon after birth. For the first few months, however, the only proteins it is able to digest are those found in formula or human milk.
That is why it is advised that cow's milk not be begin to babies within the first year of life. The GI tract has also not fully matured with the necessary microorganisms that aide in digestion.
Development and maturation of the GI tract continues for the first 2 years of life.


NEW QUESTION # 138
When monitoring the fetal heart rate during labor, which of the following is most likely to be most dangerous to the fetus?

Answer: B

Explanation:
Late decelerations present as smooth decreases in heart rate that begin at the peak of a contraction. When late decelerations occur along with tachycardia and without an acceleration, or a return to normal heart rate range, it can be a sign that the fetus is not getting enough oxygen. Early decelerations begin before the contraction peaks and usually occur as the fetus passes through the birth canal and the skull is compressed. They are generally not harmful. Variable decelerations occur when the umbilical cord is temporarily compressed and are very common during labor. They are usually not harmful when they occur later in labor and are followed by an acceleration. When variable decelerations occur early in labor and are severe, emergent delivery of the baby may be necessary.


NEW QUESTION # 139
Which breech presentation at birth presents with the buttocks only passing through the birth canal first?

Answer: B

Explanation:
A frank breech presentation is one in which the legs of the fetus are extended upward so that the feet are near the head. This results in the buttocks passing through the birth canal first. A complete breech occurs when the knees of the fetus are bent so that the feet are near the buttocks.
A footling breech occurs when the fetus is foot down and one or both feet present first through the birth canal.


NEW QUESTION # 140
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