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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: General Management19%- Fluids and electrolytes
  • 1. Fluid balance management
- Growth and nutrition
  • 1. Nutritional management
- Thermoregulation
  • 1. Temperature stabilization
- Resuscitation and stabilization
  • 1. Emergency neonatal care
Topic 2: General Assessment15%- 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
- Maternal history affecting the newborn
  • 1. Prenatal and perinatal factors
  • 2. Risk assessment
Topic 3: 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
Topic 4: Embryology, Physiology, Pathophysiology and Systems Management54%- Metabolic and endocrine
  • 1. Metabolic regulation
- Gastrointestinal
  • 1. Digestive system disorders
- Neurological
  • 1. Neurological disorders
- Hematopoietic
  • 1. Blood disorders
- Musculoskeletal
  • 1. Bone and muscle disorders
- Respiratory
  • 1. Respiratory distress and ventilation
- Infectious diseases
  • 1. Neonatal infections
- Genetics
  • 1. Genetic syndromes
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Integumentary
  • 1. Skin conditions
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
Topic 5: Pharmacology9%- Drugs and breastfeeding
  • 1. Medication safety
- Common drug therapies
  • 1. Medication administration
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q32-Q37):

NEW QUESTION # 32
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

Answer: C

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 # 33
The NP is caring for an infant in the NICU. The newborn has not had a bowel movement in the first 48 hours of his life and has vomited whenever oral feedings are attempted. What is one of the problems that may be present?

Answer: B

Explanation:
Hirschsprungs disease is a congenital condition in which nerve cells are absent from the lower part of the GI tract. This prevents the normal peristaltic movement to occur in the intestines, which pushes waste material through, resulting in a BM. The infant will usually have a distended abdomen and vomiting with this disease. It is treated with surgery to remove the affected part of the colon.


NEW QUESTION # 34
The NP is administering blood to a premature infant who is anemic. A possible transfusion reaction may be occurring if the patient develops

Answer: A

Explanation:
One of the first signs that an acute intravascular hemolytic reaction is occurring is pain at the IV site. Other early signs include fever, chills, elevated heart rate, nausea, and dyspnea. This potentially life-threatening reaction usually occurs within 10 minutes of the beginning of the infusion of blood or blood products.


NEW QUESTION # 35
How many calories does a preterm infant require per day?

Answer: C

Explanation:
The preterm infant needs 100-150 kcal/kg/day in order to complete development and gain weight. A term infant generally needs 100-120 kcal/kg/day for normal growth and development Adequate nutrition to meet the nutritional needs of the preterm infant can help to prevent poor outcomes and help to improve adequate nervous system development.


NEW QUESTION # 36
A preterm infant in the NICU is receiving tube feedings until he is able to attempt oral feedings. What activity can help him with the transition from tube to oral feedings?

Answer: A

Explanation:
Non-nutritive sucking, such as that with a pacifier, is having an infant suck on something that does not give them milk. For infants who are tube fed, it can trigger an association with them between having a full stomach and sucking, which can help when transitioning to oral feedings. The sucking activity is also helpful in strengthening the oral muscles needed to suck, as well as being soothing and calming for the infant.


NEW QUESTION # 37
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