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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q46-Q51):

NEW QUESTION # 46
Which of the following electrolytes can help to reduce the incidence of neurological deficits in premature infants?

Answer: B

Explanation:
Studies have shown that maintaining a higher serum magnesium level can help to reduce the incidence of neurological developmental delay. It has been found to be helpful with advancing brain development in premature infants, and to some degree, in term infants who have suffered from asphyxia during labor and delivery. It is thought that magnesium can serve a neuroprotective role in early brain development.


NEW QUESTION # 47
Which of the following is a potential risk when using an extracorporeal membrane oxygenation (ECMO) device?

Answer: C

Explanation:
An extracorporeal membrane oxygenation (ECMO) device is used in infants who are not able to breath or pump blood on their own. It is a type of heart-lung bypass machine that circulates blood from the infant. through an artificial lung to oxygenate the blood, and then back into the infant to circulate through the body. Some of the potential risks include the formation of blood clots, bleeding, or infection. Blindness (specifically, retinopathy of prematurity) was a common complication of excessive supplemental oxygen in the 1940's prior to advances and research in oxygen administration. Generally, electrolyte levels are not impacted by ECMO.


NEW QUESTION # 48
The syndrome affecting almost half of the infants of diabetic mothers is

Answer: A

Explanation:
Fetal macrosomia occurs in up to 45% of infants of diabetic mothers. They are large babies that weigh more than 4000 g at term birth. These infants are puffy, fat, ruddy, and often hypotonic.
These infants are also more likely to have periods of hypoglycemia shortly after birth and during the first few days of life.


NEW QUESTION # 49
The initial treatment for patent ductus arteriosus (PDA) for a preterm neonate is usually

Answer: A

Explanation:
Patent ductus arteriosus (PDA) is failure of the ductus arteriosus that connects the pulmonary artery and aorta to close after birth, resulting in left to right shunting of blood from the aorta back to the pulmonary artery. This increases the blood flow to the lung and causes an increase in pulmonary hypertension that can result in damage to the lung tissue. Treatment for PDA:
*Indomethacin (Indocin@) or ibuprofen lysine given within 10 days of birth is successful in closing about 80% of defects.
*Surgical repair with ligation of the patent vessel if conservative treatment is unsuccessful.


NEW QUESTION # 50
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: B

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 # 51
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