NCC-NNP Preparation, New NCC-NNP Exam Question

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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q11-Q16):

NEW QUESTION # 11
What is the purpose for CCHD screening in newborns?

Answer: C

Explanation:
The CCHD screening identifies those infants who may have a critical congenital heart defect that requires early surgical intervention. This screening is performed using pulse oximetry in the newborn nursery to measure the oxygen saturation in the blood of infants. This screening decreases the risk of overlooking a critical congenital heart defect that may require early intervention.


NEW QUESTION # 12
The initial treatment for patent ductus arteriosus (PDA) for a preterm neonate is usually

Answer: C

Explanation:
Patent ductus arteriosus (PDA) is failure of the ductus arteriosus that connects the pulmonary artery and aorta to close after birth, resulting in left to right shunting of blood from the aorta back to the pulmonary artery. This increases the blood flow to the lung and causes an increase in pulmonary hypertension that can result in damage to the lung tissue. Treatment for PDA:
*Indomethacin (Indocin@) or ibuprofen lysine given within 10 days of birth is successful in closing about 80% of defects.
*Surgical repair with ligation of the patent vessel if conservative treatment is unsuccessful.


NEW QUESTION # 13
A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include

Answer: A

Explanation:
While the neonate's bilirubin is elevated (normal range 3.4-11.5 mg/dL at 1-2 days), only continued observation and jaundice assessment is indicated at this time. Physiologic hyperbilirubinemia is common in newborns and usually benign, resulting from immature hepatic function and increased RBC hemolysis. Infants have larger red blood cells with a shorter life than adults, leading to more RBC destruction and resulting in an increased load of serum bilirubin, which the liver of the newborn cannot handle. Onset is usually within 24-48 hours, peaking in 72 hours for full term or 5 days for preterm infants and declining within a week. Phototherapy is the indicated treatment for total serum bilirubin 218 mg/dL for those at medium risk.


NEW QUESTION # 14
When the NP is assessing a newborn, the reflex that results in abduction and extension of the infant's arms as the hands open is the

Answer: C

Explanation:
The Moro reflex is checked by quickly lowering the infant's head relative to the trunk and is present as early as 32 weeks gestation. Positive signs ofthis reflex include the abduction and extension of the infant's arms as the hands open. It is no longer present by the time the infant is 6- months-old. The grasp reflex is the reflexive action of bending the fingers around an object placed in the palm. The asymmetrical tonic reflex is also called the "fencing" reflex. When the infants head is turned to one side, the arm and leg of the side at which the face is turned extend and the arm and leg on the opposite side flex.


NEW QUESTION # 15
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: 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 # 16
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