NCC-NNP PDF Testsoftware & NCC-NNP Testantworten

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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Pharmacology9%- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Drugs and breastfeeding
  • 1. Medication safety
- Common drug therapies
  • 1. Medication administration
Topic 2: General Assessment15%- Discharge planning and follow-up care
  • 1. Post-discharge monitoring
  • 2. Care transition
- Family integration
  • 1. Family-centered care
  • 2. Parent communication
- Neonatal assessment
  • 1. Gestational age evaluation
  • 2. Physical examination
- Maternal history affecting the newborn
  • 1. Prenatal and perinatal factors
  • 2. Risk assessment
Topic 3: General Management19%- Thermoregulation
  • 1. Temperature stabilization
- Fluids and electrolytes
  • 1. Fluid balance management
- Growth and nutrition
  • 1. Nutritional management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
Topic 4: Professional Issues3%- Evidence-based practice
  • 1. Clinical research application
- Legal and ethical principles
  • 1. Professional responsibility
- Quality improvement and patient safety
  • 1. Healthcare quality management
Topic 5: Embryology, Physiology, Pathophysiology and Systems Management54%- Hematopoietic
  • 1. Blood disorders
- Integumentary
  • 1. Skin conditions
- Metabolic and endocrine
  • 1. Metabolic regulation
- Neurological
  • 1. Neurological disorders
- Musculoskeletal
  • 1. Bone and muscle disorders
- 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
- Respiratory
  • 1. Respiratory distress and ventilation
- Genetics
  • 1. Genetic syndromes
- Gastrointestinal
  • 1. Digestive system disorders
- Infectious diseases
  • 1. Neonatal infections

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NCC-NNP Testantworten, NCC-NNP Echte Fragen

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Nursing Neonatal Nurse Practitioner Exam NCC-NNP Prüfungsfragen mit Lösungen (Q52-Q57):

52. Frage
A premature infant is in distress and has not responded to resuscitative measures. A volume expander is indicated at this time. What is the risk of giving this type of medication too quickly?

Antwort: B

Begründung:
Acute volume expansion in the neonate can be accomplished with an isotonic crystalloid solution, such as lactated Ringer's solution. This increases the pressure in the intravascular space, which causes water to move from the interstitial to intravascular spaces, which increases the circulating blood volume. Crystalloids have a half-life benveen 30 and 60 minutes and must be given in amounts three times the volume lost If too much is given too quickly, however, fluid overload with intraventricular hemorrhage and pulmonary edema can result


53. Frage
A newborn with congenital cytomegalovirus infection is being treated with IV ganciclovir. W'hen giving this intravenously, over what time period should it be infused?

Antwort: C

Begründung:
Ganciclovir should be given over a 60 minute time period when given intravenously. It is used primarily for immunodeficient patients with CMV retinitis. It is a very cytotoxic drug and its cytotoxic effects are increased if given over a shorter period of time than 60 minutes. These adverse effects include thrombocytopenia, granulocytopenia, and anemia. In male patients, it may cause aspermatogenesis.


54. Frage
A premature infant in the NICU has a nasogastric drain. The results ofher arterial blood gases are as follows:
*ph -7.5
*HCOs - 29
*pC02 - 37
Based on these values, which acid-base disorder has this infant developed?

Antwort: A

Begründung:
Metabolic alkalosis will cause the arterial blood pH and bicarbonate levels to increase.
Conversely, metabolic acidosis will cause arterial pH and bicarbonate levels to decrease.
Respiratory acidosis will increase the arterial carbon dioxide level while decreasing the PH, and respiratory alkalosis will have the opposite results with a decrease in carbon dioxide level and an increased PH.


55. Frage
Which of the following routes is NOT recommended when administering naloxone (Narcan) to infants?

Antwort: C

Begründung:
When given, the preferred route for administering Narcan in the infant is IV or 1M. It should not be given via endotracheal administration. Narcan is not used as a first line drug in the infant with respiratory depression. Normal color and pulse must first be present before it is considered. It may cause seizures if given to the infant of an opioid-addicted mother.


56. Frage
When conducting research, the type of bias that occurs when there is an error in classification is

Antwort: C

Begründung:
Information bias occurs with errors in classification, so an estimate of association is incorrect. Non-differential misclassification occurs when there is similar misclassification of disease or exposure among both those who are diseased/exposed and those who are not. Differential misclassification occurs when there is a differing misclassification of disease or exposure among both those who are diseased/exposed and those who are not. Selection bias occurs when the method of selecting subjects results in a cohort that is not representative of the target population because of inherent error in design. Indication bias occurs when factors prevent differentiating between cause and effect.


57. Frage
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