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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q152-Q157):

NEW QUESTION # 152
Which combination of drugs is compatible when given together intravenously?

Answer: B

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 # 153
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 # 154
Onset of drug withdrawal symptoms for a neonate whose mother used heroin during pregnancy is

Answer: C

Explanation:
The onset of withdrawal symptoms in a neonate varies depending on the mother's type of drug use, but the onset of symptoms of narcotics, such as heroin or methadone, is longer than for other drugs, ranging from 48-72 hours for most but can be up to one month, so many of these neonates may be discharged prior to onset of symptoms. Mothers should be carefully screened to try to identify infants at risk.


NEW QUESTION # 155
When monitoring the fetal heart rate during labor, which of the following is most likely to be most dangerous to the fetus?

Answer: C

Explanation:
Late decelerations present as smooth decreases in heart rate that begin at the peak of a contraction. When late decelerations occur along with tachycardia and without an acceleration, or a return to normal heart rate range, it can be a sign that the fetus is not getting enough oxygen. Early decelerations begin before the contraction peaks and usually occur as the fetus passes through the birth canal and the skull is compressed. They are generally not harmful. Variable decelerations occur when the umbilical cord is temporarily compressed and are very common during labor. They are usually not harmful when they occur later in labor and are followed by an acceleration. When variable decelerations occur early in labor and are severe, emergent delivery of the baby may be necessary.


NEW QUESTION # 156
Placing a neonate on a cold scale may decrease body temperature through

Answer: B

Explanation:
Conduction is the transfer of heat between solid objects of different temperatures in contact with each other. Heat is transferred from the body of the infant to a cold surface it may come into contact with, such as a scale. Convection is the transfer of heat through air currents to the air moving around and across an infant's body. Evaporation is the loss of heat occurring when moisture evaporates from the surface of the skin. Radiation is when heat is transferred between two objects not in contact with each other. This is the transfer of heat through emission of infrared rays, such as with radiant warming beds.


NEW QUESTION # 157
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