Nursing certification NCC-NNP exam test software

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| Section | Weight | Objectives |
|---|
| General Assessment | 15% | - Systematic physical assessment - Perinatal history collection - Interpretation of diagnostic data - Growth and development assessment
|
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Hematopoietic and immune system - Musculoskeletal and integumentary system - Infectious diseases - Neurological system - Respiratory system - Genetics and congenital anomalies - Gastrointestinal system - Eyes, ears, nose and throat - Metabolic and endocrine system - Renal and genitourinary system - Cardiovascular system
|
| General Management | 19% | - Fluids, electrolytes and acid-base balance - Pain management and sedation - Nutrition and growth support - Resuscitation and stabilization - Care coordination and family education - Thermoregulation
|
| Pharmacology | 9% | - Adverse effects and interactions - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Common medications and dosages
|
| Professional Issues | 3% | - Interprofessional collaboration - Quality improvement and patient safety - Scope and standards of practice - Ethics and legal aspects
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q26-Q31):
NEW QUESTION # 26
Which of the following infections is the most common in the newborn?
- A. Polio virus
- B. Varicella virus
- C. Enterovirus
Answer: C
Explanation:
Enterovirus is a very common cause of infections. It often creates no symptoms in the infant, but can be very serious if it occurs in the first 2 weeks of life. Enterovirus infections are usually transmitted from the mother to the infant. They can cause cold symptoms, or be so severe that sepsis, meningitis, or respiratory failure develop. Enterovirus infections are most common in the summer and fall.
NEW QUESTION # 27
After a neonate is resuscitated using a bag and mask and stabilized, the infant then requires
- A. oxygen administration
- B. gastric suctioning
- C. mechanical ventilation
Answer: B
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 # 28
Oral sucrose is given to infants
- A. to treat hypoglycemia
- B. to increase heart rate and blood pressure
- C. for pain relief
Answer: C
Explanation:
Oral sucrose has been used in infants as a mild analgesic. It is given before minor procedures to help relax the infant and provide pain relief. The sucrose solution activates the body's mechanism to produce natural opioid-like substances, such as endorphins. Oral sucrose is not indicated in hypoglycemia or for heart rate and blood pressure control.
NEW QUESTION # 29
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
- A. assess the rest of their body to see if there is any cyanosis present in the extremities or if the infant is exhibiting any retractions or other signs of respiratory distress
- B. start oxygen via a mask
- C. activate the Code Blue protocol for your facility
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 # 30
A neonate born to an HIV-infected mother should receive the first dose of antiretroviral medication within
- A. 6-12 weeks after birth
- B. 1 year after birth
- C. 6-12 hours after birth
Answer: C
Explanation:
Antiretroviral medications should be given to the neonate for the first 6 weeks of life with the first dose given within the first 6-12 hours after delivery. The perinatal transmission rate is
30% in untreated HIV positive mothers, usually acquired during delivery; however, optimal treatment reduces perinatal transmission rate to as low as 1-2%. Preventive treatment includes:
*Antiviral therapy during pregnancy: A reduced viral load in the mother lessens the
*likelihood of prenatal transmission.
*Elective Cesarean before the amniotic membranes rupture.
*Avoidance of breastfeeding: The risk of HIV transmission with breastfeeding is 0.7% per month of breastfeeding.
NEW QUESTION # 31
......
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