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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q48-Q53):

NEW QUESTION # 48
When administering blood or blood products

Answer: C

Explanation:
A person with AB+ blood is considered a universal recipient because they can receive blood or blood products of any type. A universal donor would be a person with type O- blood. The most restricted recipient blood type is O- because those patients can only receive O- blood or blood products.


NEW QUESTION # 49
A neonate has had frequent blood draws to monitor electrolyte and glucose levels. This phlebotomy has caused anemia of prematurity (AOP) although the infant is not acutely hypoxemic. The initial treatment is

Answer: C

Explanation:
repo is indicated to stimulate erythropoiesis in phlebotomy-related AOP. Infants with signs of hypoxemia (poor feeding, tachypnea, tachycardia, pallor) may require transfusions. AOP represents a pathologic exaggeration of the normal decrease in hematocrit that occurs in every newborn. Other causes include:
*Decreased RBC production because the premature neonate's response to erythropoietin
*CEPO), the main stimulus for RBC production, has not matured. Lowest Hgb levels are usually at 2-3 months of age.
*Premature RBCs have a shortened lifespan when compared to the full term neonate's
*because of decreased levels of intracellular ATP and enzyme activity.


NEW QUESTION # 50
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is

Answer: A

Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.


NEW QUESTION # 51
Placing a neonate on a cold scale may decrease body temperature through

Answer: A

Explanation:
Conduction is the transfer of heat between solid objects of different temperatures in contact with each other. Heat is transferred from the body of the infant to a cold surface it may come into contact with, such as a scale. Convection is the transfer of heat through air currents to the air moving around and across an infant's body. Evaporation is the loss of heat occurring when moisture evaporates from the surface of the skin. Radiation is when heat is transferred between two objects not in contact with each other. This is the transfer of heat through emission of infrared rays, such as with radiant warming beds.


NEW QUESTION # 52
What is a patent ductus arteriosus?

Answer: A

Explanation:
PDA is an opening betvveen the pulmonary and aortic arteries. Before a baby is born, its blood is oxygenated by the mother through the placenta. A vessel is formed connecting the pulmonary and aortic arteries, the ductus arteriosus. Shortly after birth, this vessel closes off so that the infants blood can then receive oxygen from its own lungs. With a PDA the ductus arteriosus remains open and oxygen-rich blood from the aorta mixes with the blood lacking oxygen from the pulmonary artery. If the rest of the heart is functioning normal, the baby is monitored and the PDA is allowed to repair itself. If this does not happen, the defect can be surgically corrected.


NEW QUESTION # 53
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