New NCC-NNP Test Cost & NCC-NNP Free Study Material

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| Section | Weight | Objectives |
|---|
| Topic 1: General Management | 19% | - Fluids and electrolytes
- 1. Fluid balance management
- Thermoregulation
- 1. Temperature stabilization
- Growth and nutrition
- 1. Nutritional management
- Resuscitation and stabilization
- 1. Emergency neonatal care
|
| Topic 2: General Assessment | 15% | - 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. Family-centered care
- 2. Parent communication
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
|
| Topic 3: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Cardiac
- 1. Congenital and acquired cardiac disorders
- Hematopoietic - Gastrointestinal
- 1. Digestive system disorders
- Integumentary - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Genetics - Metabolic and endocrine - Renal and genitourinary
- 1. Kidney and urinary conditions
- Infectious diseases - Musculoskeletal
- 1. Bone and muscle disorders
- Respiratory
- 1. Respiratory distress and ventilation
- Neurological
- 1. Neurological disorders
|
| Topic 4: Pharmacology | 9% | - Common drug therapies
- 1. Medication administration
- Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Drugs and breastfeeding
|
| Topic 5: Professional Issues | 3% | - Legal and ethical principles
- 1. Professional responsibility
- Quality improvement and patient safety
- 1. Healthcare quality management
- Evidence-based practice
- 1. Clinical research application
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q38-Q43):
NEW QUESTION # 38
The NP is assessing an infant with renal disease. Over the past 4 hours, he has had 100 mL of urine output. He weighs 6 lbs,or 2.73 kg. The initial interpretation of this would be
- A. severe oliguria
- B. normal urine output for weight of the infant
- C. severe polyuria
Answer: C
Explanation:
A urine output mL/kg/hr is categorized as severe polyuria. If not already present, a urinary catheter is usually inserted at this point to obtain a more accurate reading of urinary output. If this is a new change in urine output for the infant, the neonatologist on call should be contacted.
NEW QUESTION # 39
With which genetic condition is the NP likely to see an atrioventricular septal defect, or a ventricular septal defect in less severe cases?
- A. Down syndrome
- B. Cystic fibrosis
- C. Congestive heart failure
Answer: A
Explanation:
Approximately one-half of all children born with Down syndrome have a heart defect. The most common type of heart defect in these children is an atrioventricular septal defect, or a ventricular septal defect in less severe cases. This occurs when the septum betv:een either the atria and ventricles, or just the ventricles, is not fully formed. This allows oxygenated blood and deoxygenated blood to mix, which can cause the heart to work harder to transport oxygenated blood throughout the body.
NEW QUESTION # 40
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. this is due to pluced pores in the skin and it will go away on its own
- B. a referral to dermatology can be ordered for further evaluation of this
- C. the bumps can usually be removed by applying some pressure and pinching the bumps
Answer: A
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 # 41
Which combination of drugs is compatible when given together intravenously?
- A. Amiodarone and atropine
- B. Sodium bicarbonate and furosemide (Lasix)
- C. Phenytoin (Dilantin) with D5W
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 # 42
During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is
Answer: C
Explanation:
The head circumference is usually about 2 cm greater than the chest circumference, so the head circumference should be about 36 cm. Normal characteristics of a newborn include the following:

NEW QUESTION # 43
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