Certification NCC-NNP Questions, NCC-NNP Actual Questions

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| Section | Weight | Objectives |
|---|
| Professional Issues | 3% | - Legal and ethical principles
- 1. Professional responsibility
- Evidence-based practice
- 1. Clinical research application
- Quality improvement and patient safety
- 1. Healthcare quality management
|
| Embryology, Physiology, Pathophysiology and Systems Management | 54% | - Neurological
- 1. Neurological disorders
- Musculoskeletal
- 1. Bone and muscle disorders
- Renal and genitourinary
- 1. Kidney and urinary conditions
- Respiratory
- 1. Respiratory distress and ventilation
- Infectious diseases - Integumentary - Cardiac
- 1. Congenital and acquired cardiac disorders
- Gastrointestinal
- 1. Digestive system disorders
- Hematopoietic - Eyes, ears, nose, mouth and throat
- 1. Sensory and airway conditions
- Metabolic and endocrine - Genetics
|
| General Assessment | 15% | - Neonatal assessment
- 1. Physical examination
- 2. Gestational age evaluation
- Discharge planning and follow-up care
- 1. Post-discharge monitoring
- 2. Care transition
- Maternal history affecting the newborn
- 1. Prenatal and perinatal factors
- 2. Risk assessment
- Family integration
- 1. Family-centered care
- 2. Parent communication
|
| General Management | 19% | - Resuscitation and stabilization
- 1. Emergency neonatal care
- Growth and nutrition
- 1. Nutritional management
- Thermoregulation
- 1. Temperature stabilization
- Fluids and electrolytes
- 1. Fluid balance management
|
| Pharmacology | 9% | - Drugs and breastfeeding - Pharmacokinetics and pharmacodynamics
- 1. Drug metabolism in neonates
- Common drug therapies
- 1. Medication administration
|
>> Certification NCC-NNP Questions <<
Nursing NCC-NNP Exam | Certification NCC-NNP Questions - Latest updated of NCC-NNP Actual Questions
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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q75-Q80):
NEW QUESTION # 75
A premature infant is in distress and has not responded to resuscitative measures. A volume expander is indicated at this time. What is the risk of giving this type of medication too quickly?
- A. Intraventricular hemorrhage
- B. Supraventricular tachycardia
- C. Hypercoagulability resulting in pulmonary emboli
Answer: A
Explanation:
Acute volume expansion in the neonate can be accomplished with an isotonic crystalloid solution, such as lactated Ringer's solution. This increases the pressure in the intravascular space, which causes water to move from the interstitial to intravascular spaces, which increases the circulating blood volume. Crystalloids have a half-life benveen 30 and 60 minutes and must be given in amounts three times the volume lost If too much is given too quickly, however, fluid overload with intraventricular hemorrhage and pulmonary edema can result
NEW QUESTION # 76
The NP is caring for a child with end stage renal disease. A sign that he may be in fluid overload is
- A. bradycardia
- B. a decrease in blood pressure
- C. an increase in blood pressure
Answer: C
Explanation:
Some of the signs of fluid overload include increased blood pressure, swelling in the extremities and face, abdominal bloating, shortness of breath, and tachycardia. The NP will monitor the patient regularly for any of these symptoms. If the patient will be discharged home, the parents and/or caregivers will also need to be educated on these symptoms.
NEW QUESTION # 77
The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to
- A. activate the Code Blue protocol for your facility
- B. assess the rest of their body to see if there is any cyanosis present in the extremities or if the infant is exhibiting any retractions or other signs of respiratory distress
- C. start oxygen via a mask
Answer: B
NEW QUESTION # 78
What is the difference between measuring a total bilirubin and a direct bilirubin?
- A. Total bilirubin is a measure of the bilirubin excreted through the urine, while direct
- B. Total bilirubin is the amount of direct and indirect bilirubin, while direct bilirubin is the
- C. Total bilirubin is the amount of bilirubin bound to albumin, while direct bilirubin is the total
Answer: B
Explanation:
Bilirubin is measured as direct indirect, or total. Direct bilirubin is the amount of bilirubin that is not bound to protein that passes from the liver to the small intestines. A small amount passes through the urine to give it a yellow color. The indirect bilirubin is bilirubin that is bound to albumin. The total bilirubin is the measure of both direct and indirect bilirubin combined.
NEW QUESTION # 79
W'hen do symptoms of biliary atresia develop in the newborn?
- A. Within 3-5 days after birth
- B. Immediately after birth
- C. 2-8 weeks after birth
Answer: C
Explanation:
Symptoms of biliary atresia appear in the newborn approximately Ovo to eight weeks after birth. This condition occurs when the biliary system in the liver is not fully developed, resulting in obstruction of the flow of bile from the liver to the gallbladder for storage. It causes damage to the liver as the bile builds up, causing cirrhosis and eventually liver failure. It can be treated surgically.
NEW QUESTION # 80
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