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Nursing NCC-NNP Exam Syllabus Topics:

Section	Objectives
Family-Centered Care and Ethics	- Parent education and communication - Ethical and legal considerations in neonatal care
High-Risk Neonatal Management	- Respiratory distress and ventilation management - Infectious diseases in neonates - Prematurity-related complications
Neonatal Physiology and Pathophysiology	- Cardiovascular adaptation and congenital conditions - Thermoregulation, metabolism, and fluid balance - Respiratory adaptation and disorders
Neonatal Health Assessment	- Identification of normal vs abnormal findings - Physical and neurological assessment of the newborn
Neonatal Pharmacology and Therapeutics	- Medication administration in neonates - Drug safety, dosing considerations, and pharmacokinetics

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q54-Q59):

NEW QUESTION # 54
The mechanism of action of surfactant is to

A. dilate the pulmonary artery to allow the passage of more oxygen-rich blood into the heart
B. prevent the alveoli in the lungs from collapsing so that they can expand and contract
C. strengthen the diaphragm to make breathing easier for the premature infant

Answer: B

Explanation:
The inside of the alveoli in the lungs are wet and can easily stick together when air is exhaled. Surfactant decreases the surface tension within the alveoli so they can easily expand when a breath is taken, making it easier to breath. The human body produces surfactant on its own, buT not until after 36 weeks gestation. Sometimes it is necessary to administer surfactant directly into the lungs through the endotracheal tube.

NEW QUESTION # 55
An infant in the Neonatal Intensive Care Unit is receiving carbamazepine (Tegretol) for seizure control. When would be the best time to obtain a blood sample to check a drug level?

A. Just before giving a regular scheduled dose
B. Two hours after giving a dose
C. Mid-way between doses

Answer: A

Explanation:
There are some medications that require drug levels be drawn to ensure the drug concentration is at a therapeutic level and not too high or too low. For carbamazepine (Tegretol), the best time to check the drug level is just prior to giving a dose. The therapeutic drug level for this medication is 4-12 mg/L.

NEW QUESTION # 56
According to the American Heart Association, when should chest compressions be started in the pediatric patient?

A. If there is no detectable pulse
B. If the pulse is less than 60 beats per minute or there are signs of poor perfusion
C. If there is a normal pulse but signs of respiratory distress

Answer: B

Explanation:
According to the American Heart Association, chest compressions should be started on the pediatric patient if the pulse is less than 60 beats per minute or if there are signs of poor perfusion.
If one person is performing CPR, the rate is 30 compressions followed by 2 breaths. If 2-person CPR is being performed, the cycle should be 15 compressions followed by 2 breaths.

NEW QUESTION # 57
Signs and symptoms of acute alcohol withdrawal in the newborn with neonatal abstinence syndrome should appear

A. 3-12 hours after birth
B. 24-36 hours after birth
C. <3 hours after birth

Answer: A

Explanation:
Symptoms of alcohol withdrawal in a newborn who was exposed to alcohol regularly during pregnancy generally occur 3-12 hours after birth. Withdrawal symptoms from opiates generally occur 24-36 hours after birth, but may be longer depending on the medication. For example, newborns that were exposed to methadone regularly while in utero may not show withdrawal symptoms until a week or longer after birth due to the long half-life of the drug.

NEW QUESTION # 58
Parents of a newborn in the NICU are concerned about their baby having an IV placed in their scalp. To reassure them, the NP explains that

A. the peripheral veins are not yet mature enough to handle IV therapy
B. the IV needs to be in an area with less fat so the vein can be clearly visualized
C. there are no mature nerve endings in the scalp and itis not painful for the infanttohavethe

Answer: B

Explanation:
Though not the first choice for an IV site, the scalp is used once other sites in the hands and feet have already been used. The scalp is a good site because there is very little fat under the skin so the veins are easily visible.

NEW QUESTION # 59
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