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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q98-Q103):

NEW QUESTION # 98
While assessing a newborn in the NICU, the NP notices that he has pitting edema on the right side of his scalp. The next step should be to

Answer: A

Explanation:
Pitting edema in the soft tissues of the scalp is not uncommon after birth, due to trauma on the baby/s scalp while moving through the birth canal. This condition is called caput succedaneum and is most evident immediately after birth. It usually resolves rather quickly over the first 24-48 hours following birth and just needs to be monitored for any changes.


NEW QUESTION # 99
Which of the following is used to test for congenital cytomegalovirus infection?

Answer: C

Explanation:
A congenital cytomegalovirus (CMU infection can be diagnosed using saliva, urine, or blood specimens. Testing must be done within the first 2-3 weeks following birth. A mother who has CMV can pass this infection to the fetus through the placenta. Most infants will never develop any symptoms from the virus, but approximately 20% can develop hearing loss, vision loss, intellectual disabilities, seizures, or muscle weakness.


NEW QUESTION # 100
Which of the following medications is NOT indicated for use in the infant in respiratory distress?

Answer: A

Explanation:
Perforomist, a formoterol inhalation treatment, is not indicated for use in children. It is indicated for treatment of COPD symptoms in adults. Albuterol is a beta-2 agonist that works to relieve respiratory symptoms by dilating the airway. Dexamethasone is a steroid that can decrease inflammation within the airway.


NEW QUESTION # 101
Which of the following is an indication for parenteral nutrition in the premature infant?

Answer: B

Explanation:
Parenteral nutrition is given via intravenous route. It is used when enteral feeding via a tube directly in the GI tract is not possible. This is most often due to a very low birth weight, less than
1500 g. Enteral feedings are delayed in these infants due to immature lung function requiring intubation, hypotension, hypothermia, and infection risk. Also, the GI tract in these infants may not tolerate feedings that require digestion by normal means.


NEW QUESTION # 102
The NP has an order to give dobutamine intravenously. She knows that

Answer: A

Explanation:
Whenever possible, dobutamine should be given through a central line because it is caustic to the body's tissues. This medication is primarily used to improve the effectiveness of the heart to work as a pump and, to a lesser degree, can help with hypotension.


NEW QUESTION # 103
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