Featured Nursing certification NCC-NNP exam test questions and answers

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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q15-Q20):

NEW QUESTION # 15
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 # 16
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: C

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 # 17
Which vitamin should be given to infants at risk for bronchopulmonary dysplasia?

Answer: B

Explanation:
Very low birth weight infants are at risk for developing bronchopulmonary dysplasia.
Nutritional support can possibly help to decrease the development of this condition. Vitamin A helps with lung maturity, and supplementation with this vitamin may help to prevent this condition. Parenteral nutrition also helps with lung development to ensure the infant is receiving the proteins and lipids needed to help with lung maturity.


NEW QUESTION # 18
In which group is hypoxic ischemic encephalopathy more common?

Answer: B

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 # 19
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to

Answer: B


NEW QUESTION # 20
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