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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Pharmacology9%- Drugs and breastfeeding
  • 1. Medication safety
- Common drug therapies
  • 1. Medication administration
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
General Management19%- Thermoregulation
  • 1. Temperature stabilization
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Fluids and electrolytes
  • 1. Fluid balance management
- Growth and nutrition
  • 1. Nutritional management
Embryology, Physiology, Pathophysiology and Systems Management54%- Infectious diseases
  • 1. Neonatal infections
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Respiratory
  • 1. Respiratory distress and ventilation
- Integumentary
  • 1. Skin conditions
- Metabolic and endocrine
  • 1. Metabolic regulation
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Neurological
  • 1. Neurological disorders
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Hematopoietic
  • 1. Blood disorders
- Genetics
  • 1. Genetic syndromes
- Gastrointestinal
  • 1. Digestive system disorders
- Musculoskeletal
  • 1. Bone and muscle disorders
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
General Assessment15%- 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

Nursing Neonatal Nurse Practitioner Sample Questions:

1. The lab abnormalities seen with HELLP syndrome are

A) no hemolysis, lower than normal liver enzymes, and elevated platelets
B) hemolysis, elevated liver enzymes, and low platelets
C) elevated white blood cell count, lower than normal liver enzymes, and low platelets


2. A mother brings her term infant (and first child) for an exam at 2 weeks after birth. The baby has not regained birth weight, appears listless, face drawn, and skin turgor is poor. The mother is breastfeeding. The most appropriate first action is

A) advise the mother to stop breastfeeding and switch to formula
B) report the mother to child protective services for neglect
C) question mother about nursing technique and frequency, and observe the infant nursing


3. What condition can occur in the newborn as a result of Rh incompatibility?

A) Hydrops fetalis
B) Sick sinus syndrome
C) Sickle cell anemia


4. A 6-day-old newborn develops signs of congestive heart failure with tachypnea, heart rate 175 at rest, fine pulmonary rales, and difficulty feeding. The most likely underlying cause is

A) coarctation of the aorta
B) patent ductus arteriosus
C) hypoplastic left heart syndrome


5. When the NP is assessing a newborn's respiratory status, which would indicate the newborn is developing respiratory distress?

A) Pink skin color
B) Nasal flaring
C) Respiratory rate of 40 breaths per minute


Solutions:

Question # 1
Answer: B
Question # 2
Answer: C
Question # 3
Answer: A
Question # 4
Answer: B
Question # 5
Answer: B

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