NCC-NNP Test Sample Online - NCC-NNP Official Practice Test

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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Embryology, Physiology, Pathophysiology and Systems Management54%- Integumentary
  • 1. Skin conditions
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Neurological
  • 1. Neurological disorders
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Metabolic and endocrine
  • 1. Metabolic regulation
- Genetics
  • 1. Genetic syndromes
- Respiratory
  • 1. Respiratory distress and ventilation
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Gastrointestinal
  • 1. Digestive system disorders
- Musculoskeletal
  • 1. Bone and muscle disorders
- Infectious diseases
  • 1. Neonatal infections
- Hematopoietic
  • 1. Blood disorders
Topic 2: General Management19%- Fluids and electrolytes
  • 1. Fluid balance management
- Growth and nutrition
  • 1. Nutritional management
- Thermoregulation
  • 1. Temperature stabilization
- Resuscitation and stabilization
  • 1. Emergency neonatal care
Topic 3: General Assessment15%- Family integration
  • 1. Family-centered care
  • 2. Parent communication
- Maternal history affecting the newborn
  • 1. Prenatal and perinatal factors
  • 2. Risk assessment
- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
Topic 4: Pharmacology9%- Common drug therapies
  • 1. Medication administration
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Drugs and breastfeeding
  • 1. Medication safety
Topic 5: Professional Issues3%- Evidence-based practice
  • 1. Clinical research application
- Quality improvement and patient safety
  • 1. Healthcare quality management
- Legal and ethical principles
  • 1. Professional responsibility

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Free PDF Nursing NCC-NNP - Neonatal Nurse Practitioner Exam Perfect Test Sample Online

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

NEW QUESTION # 102
An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with

Answer: B

Explanation:
Lactic acid is increased in situations of tissue hypoxia, which can lead to severe metabolic acidosis. This can occur with sepsis, heart failure, shock, and multisystem organ failure. Studies have shown that elevations in serum lactate in the first week of life correlate with an increase in mortality rates. This risk is higher in infants born less than 1000 g.


NEW QUESTION # 103
What is the most common cause of a cardiac tamponade in the newborn?

Answer: B

Explanation:
Cardiac tamponade occurs when fluid accumulates with the pericardial sac, causing pressure on the outside of the heart. It is treated by inserting a needle through the chest wall, into the pericardium, and withdrawing the fluid. Though cardiac tamponade in neonates is rare, it can occur in this population when a central venous catheter is in an incorrect position, applying pressure at the juncture of the inferior vena cava and the right atrium. Ensuring correct placement of the catheter is imperative to prevent this life-threatening complication.


NEW QUESTION # 104
Identifying and treating congenital hypothyroidism within the first month oflife is especially critical to prevent

Answer: A

Explanation:
Untreated congenital hypothyroidism can result in profound intellectual disability, so diagnosing the disorder and beginning thyroxine treatment within the first month of life is essential. Newborn screening tests in most states mandate checking for hypothyroidism. Infants whose mothers received radioactive iodine treatment for thyroid cancer during pregnancy are especially at risk Signs of congenital hypothyroidism include hypotonia, growth restriction, poor feeding, wide hands with stunted fingers, short extremities, edematous face, and thick protruding tongue.


NEW QUESTION # 105
Clinical symptoms of neonatal renal vein thrombosis include

Answer: C

Explanation:
Clinical symptoms of renal vein thrombosis in the newborn include thrombocytopenia, hypertension, hematuria, proteinuria, and renal insufficiency. This condition is rare, but can occur in infants born to mothers with a history of diabetes mellitus. This is not an infectious condition, so you would not expect to see leukocytosis. Bence-Jones proteins in the urine are specific to multiple myeloma.


NEW QUESTION # 106
What condition can occur in the newborn as a result of Rh incompatibility?

Answer: B

Explanation:
Hydrops fetalis occurs as a result of Rh incompatibility between the newborn and the mother. The Rh incompatibility results in a large number of red blood cells in the infant to be destroyed. This causes severe edema. Approximately half of newborns with hydrops fetalis will not survive. This can be prevented if prenatal testing is done on the mother to determine her Rh status.
If she is Rh negative, an injection can be given during the first trimester of her pregnancy to prevent this reaction from occurring.


NEW QUESTION # 107
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