Actual Nursing NCC-NNP Exam Questions and Answers

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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Embryology, Physiology, Pathophysiology and Systems Management54%- Integumentary
  • 1. Skin conditions
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Infectious diseases
  • 1. Neonatal infections
- Musculoskeletal
  • 1. Bone and muscle disorders
- Hematopoietic
  • 1. Blood disorders
- Neurological
  • 1. Neurological disorders
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Respiratory
  • 1. Respiratory distress and ventilation
- Gastrointestinal
  • 1. Digestive system disorders
- Metabolic and endocrine
  • 1. Metabolic regulation
- Genetics
  • 1. Genetic syndromes
- Cardiac
  • 1. Congenital and acquired cardiac disorders
General Management19%- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Fluids and electrolytes
  • 1. Fluid balance management
- Thermoregulation
  • 1. Temperature stabilization
- Growth and nutrition
  • 1. Nutritional management
General Assessment15%- Discharge planning and follow-up care
  • 1. Post-discharge monitoring
  • 2. Care transition
- Family integration
  • 1. Parent communication
  • 2. Family-centered care
- Neonatal assessment
  • 1. Gestational age evaluation
  • 2. Physical examination
- Maternal history affecting the newborn
  • 1. Prenatal and perinatal factors
  • 2. Risk assessment
Pharmacology9%- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Common drug therapies
  • 1. Medication administration
- Drugs and breastfeeding
  • 1. Medication safety
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 (Q15-Q20):

NEW QUESTION # 15
When evaluating cord blood values 30 minutes after birth, the following arterial POZ is within normal limits

Answer: B

Explanation:
Umbilical cord blood gas testing, preferably arterial, should be done minutes after birth for infants who are at risk or depressed to determine pH and acid-base balance. Testing is most applicable to infants with low APGAR scores (0-3) persisting for 25 minutes. Normal values:


NEW QUESTION # 16
According to the American Heart Association, when should chest compressions be started in the pediatric patient?

Answer: C

Explanation:
According to the American Heart Association, chest compressions should be started on the pediatric patient if the pulse is less than 60 beats per minute or if there are signs of poor perfusion.
If one person is performing CPR, the rate is 30 compressions followed by 2 breaths. If 2-person CPR is being performed, the cycle should be 15 compressions followed by 2 breaths.


NEW QUESTION # 17
The newborn with hypothermia has an increased risk of developing

Answer: B

Explanation:
Persistent hypothermia can lead to hypoglycemia. There may be a period of transient hyperglycemia when glycogen stores are used to increase glucose levels, but this is followed by hypoglycemia as energy demands exceed glucose supply. This can lead to metabolic acidosis, not alkalosis.


NEW QUESTION # 18
When the NP is assessing a newborn's respiratory status, which would indicate the newborn is developing respiratory distress?

Answer: C

Explanation:
Nasal flaring is seen in newborns as an attempt to widen the nares and take in more oxygen.
Other signs of respiratory distress include retractions, tachypnea, grunting, and abnormal breath sounds. Pink skin color is reflective of a health newborn with good perfusion. A respiratory rate of
40 breaths per minute is within the normal range for a newborn.


NEW QUESTION # 19
What is a patent ductus arteriosus?

Answer: A

Explanation:
PDA is an opening betvveen the pulmonary and aortic arteries. Before a baby is born, its blood is oxygenated by the mother through the placenta. A vessel is formed connecting the pulmonary and aortic arteries, the ductus arteriosus. Shortly after birth, this vessel closes off so that the infants blood can then receive oxygen from its own lungs. With a PDA the ductus arteriosus remains open and oxygen-rich blood from the aorta mixes with the blood lacking oxygen from the pulmonary artery. If the rest of the heart is functioning normal, the baby is monitored and the PDA is allowed to repair itself. If this does not happen, the defect can be surgically corrected.


NEW QUESTION # 20
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