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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Embryology, Physiology, Pathophysiology and Systems Management54%- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Neurological
  • 1. Neurological disorders
- Metabolic and endocrine
  • 1. Metabolic regulation
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Integumentary
  • 1. Skin conditions
- Musculoskeletal
  • 1. Bone and muscle disorders
- Respiratory
  • 1. Respiratory distress and ventilation
- Genetics
  • 1. Genetic syndromes
- Hematopoietic
  • 1. Blood disorders
- Gastrointestinal
  • 1. Digestive system disorders
- Infectious diseases
  • 1. Neonatal infections
Topic 2: General Assessment15%- 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
- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Family integration
  • 1. Parent communication
  • 2. Family-centered care
Topic 3: 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 4: Pharmacology9%- Common drug therapies
  • 1. Medication administration
- Drugs and breastfeeding
  • 1. Medication safety
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
Topic 5: Professional Issues3%- Legal and ethical principles
  • 1. Professional responsibility
- Evidence-based practice
  • 1. Clinical research application
- Quality improvement and patient safety
  • 1. Healthcare quality management

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q80-Q85):

NEW QUESTION # 80
Placing a neonate on a cold scale may decrease body temperature through

Answer: A

Explanation:
Conduction is the transfer of heat between solid objects of different temperatures in contact with each other. Heat is transferred from the body of the infant to a cold surface it may come into contact with, such as a scale. Convection is the transfer of heat through air currents to the air moving around and across an infant's body. Evaporation is the loss of heat occurring when moisture evaporates from the surface of the skin. Radiation is when heat is transferred between two objects not in contact with each other. This is the transfer of heat through emission of infrared rays, such as with radiant warming beds.


NEW QUESTION # 81
Which of the following electrolytes can help to reduce the incidence of neurological deficits in premature infants?

Answer: B

Explanation:
Studies have shown that maintaining a higher serum magnesium level can help to reduce the incidence of neurological developmental delay. It has been found to be helpful with advancing brain development in premature infants, and to some degree, in term infants who have suffered from asphyxia during labor and delivery. It is thought that magnesium can serve a neuroprotective role in early brain development.


NEW QUESTION # 82
A mother delivers a child with sickle cell disease, an autosomal recessive disorder. The recurrence risk for subsequent children being born with the disorder is

Answer: B

Explanation:
Autosomal recessive: Recurrence is 25% for each pregnancy and 50% risk of the child becoming a carrier. Autosomal dominant: Recurrence risk is 50%, but there is no carrier state. X- linked recessive: Recurrence risk is 50% for affected sons and 50% risk of daughters becoming carriers. Affected sons do not pass the disorder to sons, but all daughters become carriers. X-Iinked dominant: Father passes the disorder to 100% of daughters but no sons. Mother passes the trait to
50% of sons and 50% of daughters, but daughters are usually unaffected.


NEW QUESTION # 83
When conducting research, the type of bias that occurs when there is an error in classification is

Answer: C

Explanation:
Information bias occurs with errors in classification, so an estimate of association is incorrect. Non-differential misclassification occurs when there is similar misclassification of disease or exposure among both those who are diseased/exposed and those who are not. Differential misclassification occurs when there is a differing misclassification of disease or exposure among both those who are diseased/exposed and those who are not. Selection bias occurs when the method of selecting subjects results in a cohort that is not representative of the target population because of inherent error in design. Indication bias occurs when factors prevent differentiating between cause and effect.


NEW QUESTION # 84
A neonate at 37 weeks gestation is born to a mother who has abused cocaine throughout pregnancy. The neonate exhibits persistent hypertonia, startles easily, and shows signs of distress at any disturbance. The most appropriate treatment is

Answer: B

Explanation:
Swaddling a neonate exposed to cocaine and eliminating as much environmental noise and excessive light as possible can reduce stimulation and relieve symptoms. Medications are rarely required to control symptoms. Hypertonia may last s2 years. Head circumference may be smaller for the first 2 years as well although the infant usually attains normal weight and height by the end of the first year.


NEW QUESTION # 85
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