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| Section | Weight | Objectives |
|---|
| Topic 1: Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Respiratory
- 1. Respiratory distress and ventilation
- Metabolic and endocrine - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Integumentary - Gastrointestinal
- 1. Digestive system disorders
- Cardiac
- 1. Congenital and acquired cardiac disorders
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Infectious diseases - Hematopoietic - Genetics - Neurological
- 1. Neurological disorders
- Musculoskeletal
- 1. Bone and muscle disorders
|
| Topic 2: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
- Drugs and breastfeeding
|
| Topic 3: General Assessment | 15% | - Discharge planning and follow-up care
- 1. Care transition
- 2. Post-discharge monitoring
- Family integration
- 1. Family-centered care
- 2. Parent communication
- Neonatal assessment
- 1. Physical examination
- 2. Gestational age evaluation
- Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
|
| Topic 4: 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
|
| Topic 5: General Management | 19% | - Fluids and electrolytes
- 1. Fluid balance management
- Resuscitation and stabilization
- 1. Emergency neonatal care
- Growth and nutrition
- 1. Nutritional management
- Thermoregulation
- 1. Temperature stabilization
|
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q57-Q62):
NEW QUESTION # 57
The purpose of quality improvement is to
- A. implement specific changes, which have a measurable improvement for a group of patients
- B. monitor the leadership skills of the administration of a healthcare facility
- C. improve employee satisfaction
Answer: A
Explanation:
Quality improvement is instrumental in improving the way healthcare services are provided, while continually measuring the effect those changes have on the health status of the patients served. This is often measured through patient satisfaction information.
NEW QUESTION # 58
The grief theory that identifies that griefis not a linear process, but rather, a more fluid and ever-changing process was outlined in
- A. Freud's Model of Bereavement
- B. Bowlby's Attachment Theory
- C. Kubler-Ross Grief Cycle
Answer: C
Explanation:
Kubler-Ross identified 5 phases that a person will go through during the grieving process.
These are denial, anger, bargaining, depression, and acceptance. A person does not pass through these phases during the grieving process on a step-by-step basis. They may drift in and out of one phase and into another very fluidly. They may also go back to phases they experienced and go through them again.
NEW QUESTION # 59
Which combination of drugs is compatible when given together intravenously?
- A. Sodium bicarbonate and furosemide (Lasix)
- B. Phenytoin (Dilantin) with D5W
- C. Amiodarone and atropine
Answer: B
Explanation:
Of the choices listed, phenytoin (Dilantin) is safe to mix with D5W. Some medications are incompatible with each other when given intravenously. This can be a chemical incompatibility, a physical incompatibility, a therapeutic incompatibility, or a drug IV container incompatibility. The other two choices are not compatible with each other. It is advised that an IV drug compatibility chart be available for reference at all nursing stations.
NEW QUESTION # 60
A newborn has an NG tube in place due to an intestinal obstruction. In order to prevent aspiration of saliva, it is very important to
- A. the aspirate should drain into a drainage bag without any manual aspiration
- B. the aspirate should drain into a drainage bag and the stomach contents should be aspirated
- C. perform continuous oral suction
Answer: B
Explanation:
There is an increased risk of death by aspiration in newborns that have an NG tube. This is due to aspiration of saliva. Because ofthis, a drainage bag should be attached to accept the aspirate.
The stomach contents should also be aspirated at least every 30 minutes to decrease this risk.
NEW QUESTION # 61
The relationship between the total loading dose of an administered drug and the serum concentration refers to the
- A. clearance
- B. absorption
- C. distribution
Answer: C
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 # 62
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