100% Pass 2026 Nursing NCC-NNP–Efficient Test Answers

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| Section | Weight | Objectives |
|---|
| Pharmacology | 9% | - Drugs and breastfeeding - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
|
| General Assessment | 15% | - Neonatal assessment
- 1. Gestational age evaluation
- 2. Physical examination
- Maternal history affecting the newborn
- 1. Risk assessment
- 2. Prenatal and perinatal factors
- Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
- Family integration
- 1. Parent communication
- 2. Family-centered care
|
| Professional Issues | 3% | - Quality improvement and patient safety
- 1. Healthcare quality management
- Legal and ethical principles
- 1. Professional responsibility
- Evidence-based practice
- 1. Clinical research application
|
| General Management | 19% | - Resuscitation and stabilization
- 1. Emergency neonatal care
- Fluids and electrolytes
- 1. Fluid balance management
- Growth and nutrition
- 1. Nutritional management
- Thermoregulation
- 1. Temperature stabilization
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Gastrointestinal
- 1. Digestive system disorders
- Infectious diseases - Integumentary - Musculoskeletal
- 1. Bone and muscle disorders
- Respiratory
- 1. Respiratory distress and ventilation
- Metabolic and endocrine - Genetics - Neurological
- 1. Neurological disorders
- Hematopoietic - Renal and genitourinary
- 1. Kidney and urinary conditions
- Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Cardiac
- 1. Congenital and acquired cardiac disorders
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q143-Q148):
NEW QUESTION # 143
An infant with a known congenital diaphragmatic hernia is born at 38 weeks gestation.
He requires resuscitation shortly after delivery due to the weakening of the diaphragm from the herni a. Generally speaking, survival rate for this infant is
- A. higher than another infant requiring resuscitation without a diaphragmatic hernia
- B. equal to that of another infant requiring resuscitation without a diaphragmatic hernia
- C. lower than another infant requiring resuscitation without a diaphragmatic hernia
Answer: C
Explanation:
With a diaphragmatic hernia, the diaphragm becomes weakened and this can result in the stomach and other abdominal contents expending into the chest cavity. This, along with the weakened diaphragm, can result in a decreased ability to breathe. If detected in the prenatal period, assistance can standby during delivery to begin resuscitative measures promptly and improve the chances for survival.
NEW QUESTION # 144
A premature infant in the NICU has a G-tube and the NP is starting his scheduled feeding.
The formula is backing up in the tube and not flowing smoothly. The next intervention would be to
- A. flush with an air bolus then aspirate to confirm placement
- B. flush the tube with 5-10 ccwarm water and try aspirating and flushing if there is resistance
- C. flush the tube with 20 cc of a carbonated soft drink
Answer: B
Explanation:
A G-tube should be flushed with warm water before and after all feedings to ensure patency and remove any build-up of formula within the tube itself. Neither air nor carbonated soft drink should be flushed into the tube.
NEW QUESTION # 145
Which of the following potential side effects can occur as a result of forceps being used during delivery?
- A. Cerebral palsy
- B. Facial palsy
- C. Sudden infant death
Answer: B
Explanation:
There is a risk of facial palsy (usually temporary) and minor facial or external eye injury with forceps use. Forceps may be used during delivery to assist the neonate's passage through the birth canal, especially if the mother or infant are in distress. Rarely, a skull fracture or bleeding within the brain can occur.
NEW QUESTION # 146
According to the American Heart Association, when should chest compressions be started in the pediatric patient?
- A. If the pulse is less than 60 beats per minute or there are signs of poor perfusion
- B. If there is no detectable pulse
- C. If there is a normal pulse but signs of respiratory distress
Answer: A
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 # 147
During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is
Answer: B
Explanation:
The head circumference is usually about 2 cm greater than the chest circumference, so the head circumference should be about 36 cm. Normal characteristics of a newborn include the following:

NEW QUESTION # 148
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