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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q102-Q107):

NEW QUESTION # 102
The parents of a newborn with strabismus express concern about how this is going to be treated. The most appropriate response is

Answer: B

Explanation:
Strabismus is a misalignment of the eyes, usually from a weak or defective eye muscle. As the child becomes older, patching and eyeglasses can help with strengthening the weak muscle to help align the gaze of the eyes. If left untreated or in the rare cases that patching and eyeglasses are not affective, strabismus can become severe and result in a full cross-eyed appearance. Occasionally surgery will need to be performed to correct the misalignment.


NEW QUESTION # 103
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?

Answer: C

Explanation:
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


NEW QUESTION # 104
When the NP is assessing a newborn's respiratory status, which would indicate the newborn is developing respiratory distress?

Answer: A

Explanation:
Nasal flaring is seen in newborns as an attempt to widen the nares and take in more oxygen.
Other signs of respiratory distress include retractions, tachypnea, grunting, and abnormal breath sounds. Pink skin color is reflective of a health newborn with good perfusion. A respiratory rate of
40 breaths per minute is within the normal range for a newborn.


NEW QUESTION # 105
Which of the following routes is NOT recommended when administering naloxone (Narcan) to infants?

Answer: C

Explanation:
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.


NEW QUESTION # 106
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to

Answer: A


NEW QUESTION # 107
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