Free PDF Nursing - Latest NCC-NNP - Neonatal Nurse Practitioner Exam Practice Test Online

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Nursing NCC-NNP Exam Syllabus Topics:

Section	Objectives
Topic 1: Neonatal Health Assessment	- Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn
Topic 2: High-Risk Neonatal Management	- Respiratory distress and ventilation management - Prematurity-related complications - Infectious diseases in neonates
Topic 3: Family-Centered Care and Ethics	- Ethical and legal considerations in neonatal care - Parent education and communication
Topic 4: Neonatal Physiology and Pathophysiology	- Cardiovascular adaptation and congenital conditions - Respiratory adaptation and disorders - Thermoregulation, metabolism, and fluid balance
Topic 5: Neonatal Pharmacology and Therapeutics	- Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q12-Q17):

NEW QUESTION # 12
What is the ideal timeframe in which surfactant should be given to the newborn with respiratory distress?

A. At least 24 hours after birth
B. At 12 hours of birth
C. Within 1 hour of birth

Answer: C

Explanation:
Surfactant should be given as soon as the diagnosis of respiratory distress syndrome is made, preferably within 1 hour of birth. A repeat dose is then given 4-12 hours after birth as long as the infant is still intubated and requiring 30-40% oxygen. Surfactant is administered through the endotracheal tube over the course of a few minutes.

NEW QUESTION # 13
A new mother is visiting her infant in the NICU. She expresses concern over the tiny white bumps on her child's nose and chin. The NP explains to her that

A. a referral to dermatology can be ordered for further evaluation of this
B. this is due to pluced pores in the skin and it will go away on its own
C. the bumps can usually be removed by applying some pressure and pinching the bumps

Answer: B

Explanation:
Milia are very common and occur when flakes of skin become trapped within pores. It is most common in newborns and occurs most often on the nose and chin. It is important to not pick or pinch these lesions because this could damage the tissue or lead to a skin infection. The lesions usually resolve on their own within a few weeks.

NEW QUESTION # 14
Which of the following electrolytes can help to reduce the incidence of neurological deficits in premature infants?

A. Magnesium
B. Calcium
C. Phosphorous

Answer: A

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 # 15
The electrolytes that are of primary concern in the neonate are

A. calcium, sodium, and potassium
B. sodium, phosphorous, and potassium
C. calcium, chloride, and magnesium

Answer: A

Explanation:

NEW QUESTION # 16
A newborn in the NICU has been receiving gentamicin and ampicillin for the treatment of gram negative sepsis. He is on a fairly high dose of gentamicin and has been for the past 3 days. In addition to the risk of developing renal impairment from the medication, he is also at risk for

A. hearing loss
B. permanent discoloration of his teeth later in life
C. cataract development

Answer: A

Explanation:
When gentamicin is given for more than 2 days, there is an increased risk of hearing loss. In order to decrease this risk, drug levels are measured at the point at which the drug level is highest and again when it is at its lowest (a peak and trough). This is to ensure the antibiotic remains at a therapeutic level rather than a toxic level.

NEW QUESTION # 17
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