NCC-NNP Actual Lab Questions: Neonatal Nurse Practitioner Exam & NCC-NNP Study Guide

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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Embryology, Physiology, Pathophysiology and Systems Management54%- Metabolic and endocrine
  • 1. Metabolic regulation
- Neurological
  • 1. Neurological disorders
- Gastrointestinal
  • 1. Digestive system disorders
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Respiratory
  • 1. Respiratory distress and ventilation
- Infectious diseases
  • 1. Neonatal infections
- Integumentary
  • 1. Skin conditions
- Genetics
  • 1. Genetic syndromes
- Hematopoietic
  • 1. Blood disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Musculoskeletal
  • 1. Bone and muscle disorders
General Assessment15%- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Family integration
  • 1. Family-centered care
  • 2. Parent communication
- Maternal history affecting the newborn
  • 1. Prenatal and perinatal factors
  • 2. Risk assessment
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
General Management19%- Fluids and electrolytes
  • 1. Fluid balance management
- Thermoregulation
  • 1. Temperature stabilization
- Growth and nutrition
  • 1. Nutritional management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
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 (Q31-Q36):

NEW QUESTION # 31
Which of the following is a potential risk when using an extracorporeal membrane oxygenation (ECMO) device?

Answer: B

Explanation:
An extracorporeal membrane oxygenation (ECMO) device is used in infants who are not able to breath or pump blood on their own. It is a type of heart-lung bypass machine that circulates blood from the infant. through an artificial lung to oxygenate the blood, and then back into the infant to circulate through the body. Some of the potential risks include the formation of blood clots, bleeding, or infection. Blindness (specifically, retinopathy of prematurity) was a common complication of excessive supplemental oxygen in the 1940's prior to advances and research in oxygen administration. Generally, electrolyte levels are not impacted by ECMO.


NEW QUESTION # 32
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to

Answer: A

Explanation:
The first step should be to assess the rest of the infant to see ifthis is truly cyanosis. It is not uncommon for the face to undergo some trauma while passing through the birth canal, which can cause areas of bruising. It can be differentiated from cyanosis by assessing whether it is present in the distal extremities or if the infant is showing any signs of respiratory distress. Facial bruising may take several days to gradually fade.


NEW QUESTION # 33
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: A

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 # 34
Transposition of the great vessels can involve the superior and inferior vena cavas, the pulmonary artery and pulmonary veins, or the

Answer: B

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 # 35
After a neonate is resuscitated using a bag and mask and stabilized, the infant then requires

Answer: A

Explanation:
When an infant is resuscitated using a bag and mask, air is inadvertently pumped into the stomach as it is being pumped into the lungs, so gastric suctioning is necessary. Once respirations have been stabilized either spontaneously or with mechanical ventilation, the stomach should be aspirated to remove any air pumped into it. If the air is left in the abdomen, it causes an upward pressure on the lungs from the distended abdomen. This compromises lung capacity and breathing effort.


NEW QUESTION # 36
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