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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q56-Q61):

NEW QUESTION # 56
The NP is checking the blood pressure of a newborn. It is 64/40. What should the next step be?

Answer: B

Explanation:
A normal newborn blood pressure is 64/41. This usually rises to 95/58 around the first month of age. Premature infants will have even lower blood pressures unless their medical condition results in an elevation in blood pressure. In this situation, the NP should record the reading and continue with the newborn assessment.


NEW QUESTION # 57
Which of the following heart conditions will cause weak peripheral pulses and cool extremities?

Answer: A

Explanation:
Hypoplastic left heart syndrome can cause decreased peripheral pulses due to left ventricular dysfunction. It is a congenital heart defect that results in the left side of the heart being smaller than normal. This decreases the amount of oxygenated blood that can be delivered through the body. Peripheral cyanosis will also occur due to the decrease in oxygen being sent to the extremities. Patent ductus arteriosus and pulmonary stenosis do not result in peripheral cyanosis.


NEW QUESTION # 58
What is the difference between measuring a total bilirubin and a direct bilirubin?

Answer: B

Explanation:
Bilirubin is measured as direct indirect, or total. Direct bilirubin is the amount of bilirubin that is not bound to protein that passes from the liver to the small intestines. A small amount passes through the urine to give it a yellow color. The indirect bilirubin is bilirubin that is bound to albumin. The total bilirubin is the measure of both direct and indirect bilirubin combined.


NEW QUESTION # 59
All of the following may be symptoms of hypopituitarism in the newborn EXCEPT

Answer: C

Explanation:
Of the choices listed, excessive thirst would be seen in an older child with hypopituitarism rather than an infant. The infant with an underfunctioning pituitary gland will exhibit jaundice, hypoglycemia, excessive amounts of urine, sluggishness, and a small penis in male newborns. Older children diagnosed with hypopituitarism will exhibit excessive urination, short stature with weight gain disproportionate to growth, delayed or absent puberty, and delayed tooth eruption.


NEW QUESTION # 60
The NP has received a lab report on the CSF of a newborn who underwent a lumbar puncture. The lab report shows the glucose level in the sample is 100 mg/dL. This value is interpreted to mean

Answer: C

Explanation:
The normal glucose level in cerebrospinal fluid in a newborn is 35-120 mg/dL A value of 100 would be normal for this infant. Diabetes mellitus may cause CSF glucose levels to be elevated.
Meningitis can cause CSF glucose to be normal with viral meningitis, low with bacterial meningitis, and normal to low in fungal meningitis.


NEW QUESTION # 61
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