まだどうのようにNursing NCC-NNP資格認定試験にパースすると煩悩していますか。現時点で我々サイトJPTestKingを通して、ようやくこの問題を心配することがありませんよ。JPTestKingは数年にわたりNursing NCC-NNP資格認定試験の研究に取り組んで、量豊かな問題庫があるし、豊富な経験を持ってあなたが認定試験に効率的に合格するのを助けます。NCC-NNP資格認定試験に合格できるかどうかには、重要なのは正確の方法で、復習教材の量ではありません。だから、JPTestKingはあなたがNursing NCC-NNP資格認定試験にパースする正確の方法です。
| Section | Weight | Objectives |
|---|---|---|
| General Assessment | 15% | - Perinatal history collection - Interpretation of diagnostic data - Systematic physical assessment - Growth and development assessment |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Gastrointestinal system - Neurological system - Renal and genitourinary system - Musculoskeletal and integumentary system - Hematopoietic and immune system - Respiratory system - Metabolic and endocrine system - Infectious diseases - Genetics and congenital anomalies - Cardiovascular system - Eyes, ears, nose and throat |
| Professional Issues | 3% | - Scope and standards of practice - Ethics and legal aspects - Interprofessional collaboration - Quality improvement and patient safety |
| Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Common medications and dosages - Adverse effects and interactions |
| General Management | 19% | - Resuscitation and stabilization - Care coordination and family education - Pain management and sedation - Thermoregulation - Nutrition and growth support - Fluids, electrolytes and acid-base balance |
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質問 # 21
Which of the following electrolytes can help to reduce the incidence of neurological deficits in premature infants?
正解：C
解説：
Studies have shown that maintaining a higher serum magnesium level can help to reduce the incidence of neurological developmental delay. It has been found to be helpful with advancing brain development in premature infants, and to some degree, in term infants who have suffered from asphyxia during labor and delivery. It is thought that magnesium can serve a neuroprotective role in early brain development.
質問 # 22
A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include
正解：C
解説：
While the neonate's bilirubin is elevated (normal range 3.4-11.5 mg/dL at 1-2 days), only continued observation and jaundice assessment is indicated at this time. Physiologic hyperbilirubinemia is common in newborns and usually benign, resulting from immature hepatic function and increased RBC hemolysis. Infants have larger red blood cells with a shorter life than adults, leading to more RBC destruction and resulting in an increased load of serum bilirubin, which the liver of the newborn cannot handle. Onset is usually within 24-48 hours, peaking in 72 hours for full term or 5 days for preterm infants and declining within a week. Phototherapy is the indicated treatment for total serum bilirubin 218 mg/dL for those at medium risk.
質問 # 23
Which of the following will have the greatest amount of insensible water loss?
正解：A
解説：
Insensible water loss is that water that passes through the skin and evaporates and the water that evaporates through the respiratory tract. Newborns have a relatively large surface area through which there can be increased amounts of insensible water loss. This loss will be at its greatest in the small early gestational age infant.
質問 # 24
The NP is caring for a child with end stage renal disease. A sign that he may be in fluid overload is
正解：B
解説：
Some of the signs of fluid overload include increased blood pressure, swelling in the extremities and face, abdominal bloating, shortness of breath, and tachycardia. The NP will monitor the patient regularly for any of these symptoms. If the patient will be discharged home, the parents and/or caregivers will also need to be educated on these symptoms.
質問 # 25
A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is
正解：B
解説：
With advancing implementation of therapeutic hypothermia, this method oftreatment has become the first line approach in treating moderate to severe HIE with the target temperature dependent upon the severity of the encephalopathy. Additional treatments include phenobarbital for seizures treatment and/or prevention. Fluid resuscitation is not indicated in HIE; in fact it is common to apply a fluid restriction to a neonate with HIE to control additional swelling. HIE results when oxygen supply to the brain is impaired. HIE is classified as mild, moderate, or severe, depending on the degree of ischemia and symptoms. Mild HIE usually resolves in 3-4 days and moderate HIE in 1-2 weeks, but permanent brain damage can occur with severe HIE.
質問 # 26
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