NCC-NNP Dumps - Neonatal Nurse Practitioner Exam Exam Questions [2026]

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Nursing NCC-NNP Exam Syllabus Topics:

SectionObjectives
Topic 1: Neonatal Pharmacology and Therapeutics- Drug safety, dosing considerations, and pharmacokinetics
- Medication administration in neonates
Topic 2: Neonatal Physiology and Pathophysiology- Thermoregulation, metabolism, and fluid balance
- Respiratory adaptation and disorders
- Cardiovascular adaptation and congenital conditions
Topic 3: Neonatal Health Assessment- Identification of normal vs abnormal findings
- Physical and neurological assessment of the newborn
Topic 4: Family-Centered Care and Ethics- Ethical and legal considerations in neonatal care
- Parent education and communication
Topic 5: High-Risk Neonatal Management- Infectious diseases in neonates
- Prematurity-related complications
- Respiratory distress and ventilation management

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q173-Q178):

NEW QUESTION # 173
A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include

Answer: A

Explanation:
While the neonate's bilirubin is elevated (normal range 3.4-11.5 mg/dL at 1-2 days), only continued observation and jaundice assessment is indicated at this time. Physiologic hyperbilirubinemia is common in newborns and usually benign, resulting from immature hepatic function and increased RBC hemolysis. Infants have larger red blood cells with a shorter life than adults, leading to more RBC destruction and resulting in an increased load of serum bilirubin, which the liver of the newborn cannot handle. Onset is usually within 24-48 hours, peaking in 72 hours for full term or 5 days for preterm infants and declining within a week. Phototherapy is the indicated treatment for total serum bilirubin 218 mg/dL for those at medium risk.


NEW QUESTION # 174
A child with late congenital syphilis will generally show symptoms

Answer: C

Explanation:
Late congenital syphilis will reveal symptoms after a child is at least 2 -years-old. This is transmitted to the newborn by a mother with syphilis. Early onset of the disease (less than 2 years of age), may cause a chronic runny nose, enlarged liver or spleen, skeletal abnormalities, or a bullous skin condition. Late onset can cause eye and ear problems, and skeletal abnormalities.


NEW QUESTION # 175
The relationship between the total loading dose of an administered drug and the serum concentration refers to the

Answer: A

Explanation:
Distribution: The volume of distribution is the relationship between the total loading dose of drug administered and the serum concentration (volume of body fluid required to dissolve the amount of drug found in the serum). Absorption: This relates to the rate at which a drug enters the bloodstream and the amount of drug. Clearance: Elimination pathways (liver, kidney) can become saturated if dose of medications is too high or administration is too frequent. Ideally, a drug concentration should be maintained at a steady state (average).


NEW QUESTION # 176
The most common craniosynostosis syndrome is

Answer: B

Explanation:
Crouzon syndrome is the most common type of craniosynostosis syndrome. It causes fusion of the skull bones prematurely, which results in decreased space where the brain can expand and grow. The fusion of the skull bones also causes wide set, bulging eyes with vision problems due to shallow eye sockets. The nose is beaked and the jaw is under developed in those suffering from this condition. It is an autosomal dominant disease.


NEW QUESTION # 177
While assessing a newborn in the NICU, the NP notices that he has pitting edema on the right side of his scalp. The next step should be to

Answer: C

Explanation:
Pitting edema in the soft tissues of the scalp is not uncommon after birth, due to trauma on the baby/s scalp while moving through the birth canal. This condition is called caput succedaneum and is most evident immediately after birth. It usually resolves rather quickly over the first 24-48 hours following birth and just needs to be monitored for any changes.


NEW QUESTION # 178
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