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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q104-Q109):

NEW QUESTION # 104
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to

Answer: C


NEW QUESTION # 105
During the first few months of life, the newborn is only able to digest those proteins found in

Answer: B

Explanation:
The digestive system of the newborn begins maturing soon after birth. For the first few months, however, the only proteins it is able to digest are those found in formula or human milk.
That is why it is advised that cow's milk not be begin to babies within the first year of life. The GI tract has also not fully matured with the necessary microorganisms that aide in digestion.
Development and maturation of the GI tract continues for the first 2 years of life.


NEW QUESTION # 106
The NP accidentally administers the wrong dosage of medication to an infant in the NICU, resulting in a poor outcome. This is an example of

Answer: B

Explanation:
Medical negligence is any action that results in a bad outcome for a patient as a result of carelessness or medical error. This is not an intentional act, but occurs as a result of the actions of the healthcare provider. On the other hand, medical malpractice occurs when the standard norms or accepted standards of practice are not followed, resulting in an injury or bad outcome for the patient.


NEW QUESTION # 107
What is the most common cause of a cardiac tamponade in the newborn?

Answer: C

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 # 108
What is the ideal timeframe in which surfactant should be given to the newborn with respiratory distress?

Answer: A

Explanation:
Surfactant should be given as soon as the diagnosis of respiratory distress syndrome is made, preferably within 1 hour of birth. A repeat dose is then given 4-12 hours after birth as long as the infant is still intubated and requiring 30-40% oxygen. Surfactant is administered through the endotracheal tube over the course of a few minutes.


NEW QUESTION # 109
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