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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Pharmacology9%- Drugs and breastfeeding
  • 1. Medication safety
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Common drug therapies
  • 1. Medication administration
Professional Issues3%- Evidence-based practice
  • 1. Clinical research application
- Quality improvement and patient safety
  • 1. Healthcare quality management
- Legal and ethical principles
  • 1. Professional responsibility
General Management19%- Growth and nutrition
  • 1. Nutritional management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Fluids and electrolytes
  • 1. Fluid balance management
- Thermoregulation
  • 1. Temperature stabilization
Embryology, Physiology, Pathophysiology and Systems Management54%- Infectious diseases
  • 1. Neonatal infections
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Neurological
  • 1. Neurological disorders
- Respiratory
  • 1. Respiratory distress and ventilation
- Gastrointestinal
  • 1. Digestive system disorders
- Metabolic and endocrine
  • 1. Metabolic regulation
- Genetics
  • 1. Genetic syndromes
- Musculoskeletal
  • 1. Bone and muscle disorders
- Hematopoietic
  • 1. Blood disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Integumentary
  • 1. Skin conditions
General Assessment15%- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
- Family integration
  • 1. Family-centered care
  • 2. Parent communication
- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q145-Q150):

NEW QUESTION # 145
The mineral that is often very low after the administration of intravenous Lasix is

Answer: B

Explanation:
Calcium excretion is increased when a person receives Lasix. In the newborn, this can affect bone formation and maturation. Calcium levels should be monitored when a newborn is on Lasix, and supplementation administered if necessary.


NEW QUESTION # 146
The lab abnormalities seen with HELLP syndrome are

Answer: B

Explanation:
HELLP syndrome is a serious liver disorder that can occur in the last trimester in pregnancy.
It is characterized by hemolysis, elevated liver enzymes, and low platelets. Most women who develop HELLP syndrome also have preeclampsia, which is the greatest risk factor for developing this condition. The mother will have very high blood pressure, nausea, abdominal pain, and swelling. Treatment begins with delivery of the baby, even if it is premature. Symptomatic treatment with IV fluids, anti-hypertensives, and vasodilators are given to the mother. It can be fatal if it is not treated.


NEW QUESTION # 147
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is

Answer: B

Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.


NEW QUESTION # 148
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 # 149
Which combination of drugs is compatible when given together intravenously?

Answer: C

Explanation:
Of the choices listed, phenytoin (Dilantin) is safe to mix with D5W. Some medications are incompatible with each other when given intravenously. This can be a chemical incompatibility, a physical incompatibility, a therapeutic incompatibility, or a drug IV container incompatibility. The other two choices are not compatible with each other. It is advised that an IV drug compatibility chart be available for reference at all nursing stations.


NEW QUESTION # 150
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