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Nursing NCC-NNP Exam Syllabus Topics:

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

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q37-Q42):

NEW QUESTION # 37
A child with late congenital syphilis will generally show symptoms

Answer: A

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 # 38
The parents of a neonate are considering genetic testing for their son because the father was recently diagnosed with Huntington's disease. They ask the NP's opinion. The most appropriate response is

Answer: C

Explanation:
The information derived from testing for Huntington's disease cannot be used for health promotion or disease prevention, so the parents should be counseled to wait until the child is at the age to make an informed decision about whether to have testing. This type of information can be devastating to young people who are not provided adequate support and counseling prior to testing. Some people with adult-onset diseases choose not to be tested, and childhood testing robs them of this choice.


NEW QUESTION # 39
The NP has received a lab report on the CSF of a newborn who underwent a lumbar puncture. The lab report shows the glucose level in the sample is 100 mg/dL. This value is interpreted to mean

Answer: B

Explanation:
The normal glucose level in cerebrospinal fluid in a newborn is 35-120 mg/dL A value of 100 would be normal for this infant. Diabetes mellitus may cause CSF glucose levels to be elevated.
Meningitis can cause CSF glucose to be normal with viral meningitis, low with bacterial meningitis, and normal to low in fungal meningitis.


NEW QUESTION # 40
A neonate exhibits the following:
*Long narrow torso with short arms and legs.
*Proximal segment of the limbs (upper arms and thighs) disproportionately short.
*Head large with frontal bossing and midface hypoplasia.
These characteristics are consistent with

Answer: B

Explanation:
Achondroplasia is the most common cause of dwarfism. Bone growth is inhibited as the result of an abnormal gene on chromosome 4. Achondroplasia can be inherited in an autosomal dominant fashion, but the majority of cases (75-80%) occur with spontaneous mutations. Clinical features apparent at birth include a long narrow torso with short arms and legs. The proximal segment of the limbs (upper arms and thighs) is disproportionately short. The head is large, with frontal bossing and midface hypoplasia. A small hump (gibbus) may be present in the mid-to-lower back. Mild, generalized hypotonia may be present.


NEW QUESTION # 41
A neonate exhibits signs of hypoglycemia after birth and is treated only with a bolus of glucose. This treatment puts the infant at risk for

Answer: B

Explanation:
A glucose bolus-associated occurrence of acute hypoglycemia can arise if a glucose bolus is given and not followed up with a continuous infusion because the body will produce more insulin to cover the bolus which will then start to use glucose stores as soon as the bolus stops. To prevent this, a steady infusion should be continued for a time period that is sufficient for the infant's insulin production to stabilize. Bedside tests for hypoglycemia with reagent sticks may overestimate hypoglycemia and should be confirmed with a serum level.


NEW QUESTION # 42
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