Real NCC-NNP Testing Environment & Certified NCC-NNP Questions

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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
General Assessment15%- Systematic physical assessment
- Growth and development assessment
- Perinatal history collection
- Interpretation of diagnostic data
Pharmacology9%- Common medications and dosages
- Safe administration principles
- Adverse effects and interactions
- Pharmacokinetics and pharmacodynamics in neonates
General Management19%- Fluids, electrolytes and acid-base balance
- Pain management and sedation
- Resuscitation and stabilization
- Thermoregulation
- Care coordination and family education
- Nutrition and growth support
Professional Issues3%- Scope and standards of practice
- Interprofessional collaboration
- Ethics and legal aspects
- Quality improvement and patient safety
Embryology, Physiology, Pathophysiology & Systems Management54%- Genetics and congenital anomalies
- Metabolic and endocrine system
- Renal and genitourinary system
- Gastrointestinal system
- Cardiovascular system
- Respiratory system
- Eyes, ears, nose and throat
- Neurological system
- Hematopoietic and immune system
- Infectious diseases
- Musculoskeletal and integumentary system

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q39-Q44):

NEW QUESTION # 39
When evaluating cord blood values 30 minutes after birth, the following arterial POZ is within normal limits

Answer: C

Explanation:
Umbilical cord blood gas testing, preferably arterial, should be done minutes after birth for infants who are at risk or depressed to determine pH and acid-base balance. Testing is most applicable to infants with low APGAR scores (0-3) persisting for 25 minutes. Normal values:


NEW QUESTION # 40
The neural tube defect in which there is failure of the vertebral column to close, but no herniation through the opening is

Answer: C

Explanation:
Spina bifida occulta is the failure of the vertebral column to close, but no herniation through the opening so the defect may not be obvious. Spina bifida is a defect in which the vertebral column is not closed with varying degrees of herniation through the opening. Spina bifida cystica is a defect in closure with external sac-like protrusion with varying degrees of nerve involvement.
Meningocele is spina bifida cystica with meningeal sac filled with spinal fluid. Myelomeningocele is spina bifida cystica with meningeal sac containing spinal fluid and part of the spinal cord and nerves.


NEW QUESTION # 41
To promote family integration, the best time for siblings to visit the mother and neonate is

Answer: A

Explanation:
Children should visit the mother and infant as soon after delivery as possible. Preparation of siblings prior to the birth can decrease anxiety and sibling rivalry by helping the children feel as though they are participants and are valued. Children should be prepared for physical changes in the mother, changing family dynamics, and infant care. A parent/teacher may use dolls to demonstrate childcare and allow the children to practice holding and caring for the baby. When possible, children should have contact with an infant, such as that of a friend or family member.


NEW QUESTION # 42
What are the most common symptoms of sudden withdrawal of a beta blocker medication?

Answer: B

Explanation:
Therapeutic drugs can cause withdrawal symptoms when they are stopped suddenly, especially if the patient has been taking them for a long period of time. The primary mechanism of action of beta blockers is to decrease heart rate, thereby decreasing blood pressure, and decreasing the risk of developing a cardiac dysrhythmia. When the medication is stopped suddenly, the opposite effect is seen with a significant response. This includes high blood pressure, elevated heart rate, and risk of cardiac dysrhythmias, tremors, and sweating.


NEW QUESTION # 43
When treating a neonate for hypothermia, the air temperature should be increased by approximately

Answer: B

Explanation:
Steps in treatment of hypothermia:
*Increase the air temperature by approximately I 'C every hour until the infant's
*temperature is normal and stable.
*Determine if the cause of hypothermia is from an abnormal physiological process in the infant or from environmental conditions.
*Avoid rewarming the infant too rapidly because rapid rewarming may result in apnea or hypotension. Maintain the ambient temperature at 1-1.5'C higher than the infant's temperature.
*Warm IV fluids with a blood-warming device prior to infusion.
*Closely monitor the infants blood glucose levels, vital signs, and urinary output.


NEW QUESTION # 44
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