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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q43-Q48):

NEW QUESTION # 43
The feces of house cats can cause a parasitic infection called

Answer: A

Explanation:
Cat feces can contain a parasite called toxoplasmosis. A pregnant woman may contract this parasite and then pass it onto the fetus through the placenta. For this reason, pregnant women should avoid contact with cat feces, such as when cleaning a litter box. Most pregnant women who become infected will not be aware of the infection. It can cause prematurity in about half of those infants who contract the parasite in utero. The infection can cause damage to the eyes, ears, nervous system, and skin in infants,


NEW QUESTION # 44
A 6-day-old newborn develops signs of congestive heart failure with tachypnea, heart rate 175 at rest, fine pulmonary rales, and difficulty feeding. The most likely underlying cause is

Answer: B

Explanation:
Onset of symptoms varies with different structural defects, and symptoms of congestive heart failure within the first week may be caused by patent ductus arteriosus as well as transposition of the great vessels and total anomalous pulmonary return with pulmonary venous obstruction. Hypoplastic left heart syndrome is evident at birth. Coarctation of the aorta and pulmonary stenosis are usually evident between one and four weeks after birth.


NEW QUESTION # 45
A neonate exhibits signs of hypoglycemia after birth and is treated only with a bolus of glucose. This treatment puts the infant at risk for

Answer: C

Explanation:
A glucose bolus-associated occurrence of acute hypoglycemia can arise if a glucose bolus is given and not followed up with a continuous infusion because the body will produce more insulin to cover the bolus which will then start to use glucose stores as soon as the bolus stops. To prevent this, a steady infusion should be continued for a time period that is sufficient for the infant's insulin production to stabilize. Bedside tests for hypoglycemia with reagent sticks may overestimate hypoglycemia and should be confirmed with a serum level.


NEW QUESTION # 46
The initial treatment for patent ductus arteriosus (PDA) for a preterm neonate is usually

Answer: B

Explanation:
Patent ductus arteriosus (PDA) is failure of the ductus arteriosus that connects the pulmonary artery and aorta to close after birth, resulting in left to right shunting of blood from the aorta back to the pulmonary artery. This increases the blood flow to the lung and causes an increase in pulmonary hypertension that can result in damage to the lung tissue. Treatment for PDA:
*Indomethacin (Indocin@) or ibuprofen lysine given within 10 days of birth is successful in closing about 80% of defects.
*Surgical repair with ligation of the patent vessel if conservative treatment is unsuccessful.


NEW QUESTION # 47
A woman who is known to have hepatitis B is delivering her first baby. Treatment of the infant should include

Answer: C

Explanation:
It is imperative to administer the hepatitis B vaccine and hepatitis B immunoglobulin to these infants within 12 hours of birth. Hepatitis B is transmitted from the mother to the fetus during pregnancy. Approximately 40% of infants of hepatitis B positive women will develop the disease, and up to 25% ofthose will die from chronic liver disease. Routine vaccination of all infants is usually given within 24 hours of birth.


NEW QUESTION # 48
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