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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Pharmacology9%- Common medications and dosages
- Pharmacokinetics and pharmacodynamics in neonates
- Safe administration principles
- Adverse effects and interactions
Embryology, Physiology, Pathophysiology & Systems Management54%- Respiratory system
- Metabolic and endocrine system
- Renal and genitourinary system
- Eyes, ears, nose and throat
- Infectious diseases
- Musculoskeletal and integumentary system
- Cardiovascular system
- Neurological system
- Hematopoietic and immune system
- Genetics and congenital anomalies
- Gastrointestinal system
Professional Issues3%- Interprofessional collaboration
- Quality improvement and patient safety
- Ethics and legal aspects
- Scope and standards of practice
General Assessment15%- Growth and development assessment
- Interpretation of diagnostic data
- Perinatal history collection
- Systematic physical assessment
General Management19%- Care coordination and family education
- Pain management and sedation
- Resuscitation and stabilization
- Nutrition and growth support
- Fluids, electrolytes and acid-base balance
- Thermoregulation

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q99-Q104):

NEW QUESTION # 99
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

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 # 100
W'hen do symptoms of biliary atresia develop in the newborn?

Answer: B

Explanation:
Symptoms of biliary atresia appear in the newborn approximately Ovo to eight weeks after birth. This condition occurs when the biliary system in the liver is not fully developed, resulting in obstruction of the flow of bile from the liver to the gallbladder for storage. It causes damage to the liver as the bile builds up, causing cirrhosis and eventually liver failure. It can be treated surgically.


NEW QUESTION # 101
The major route in a full-term neonate for rapidly increasing body temperature in response to cold stress is

Answer: C

Explanation:
Non-shivering thermogenesis (NST) is the major route of rapid increase of body temperature in response to cold stress in the term neonate. NST is the oxidation of brown fat to create heat.
Brown adipose tissue contains a high concentration of stored triglycerides, a rich capillary network, and is controlled by the sympathetic nervous system. When brown fat is metabolized, heat is created. When a cold body temperature is detected, the posterior hypothalamus responds by triggering the adrenal glands to release norepinephrine and the pituitary gland to release thyroxine. Both stimulate NST.


NEW QUESTION # 102
The relationship between the total loading dose of an administered drug and the serum concentration refers to the

Answer: A

Explanation:
Distribution: The volume of distribution is the relationship between the total loading dose of drug administered and the serum concentration (volume of body fluid required to dissolve the amount of drug found in the serum). Absorption: This relates to the rate at which a drug enters the bloodstream and the amount of drug. Clearance: Elimination pathways (liver, kidney) can become saturated if dose of medications is too high or administration is too frequent. Ideally, a drug concentration should be maintained at a steady state (average).


NEW QUESTION # 103
The most common craniosynostosis syndrome is

Answer: A

Explanation:
Crouzon syndrome is the most common type of craniosynostosis syndrome. It causes fusion of the skull bones prematurely, which results in decreased space where the brain can expand and grow. The fusion of the skull bones also causes wide set, bulging eyes with vision problems due to shallow eye sockets. The nose is beaked and the jaw is under developed in those suffering from this condition. It is an autosomal dominant disease.


NEW QUESTION # 104
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