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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Professional Issues3%- Ethics and legal aspects
- Scope and standards of practice
- Quality improvement and patient safety
- Interprofessional collaboration
Topic 2: General Assessment15%- Interpretation of diagnostic data
- Systematic physical assessment
- Perinatal history collection
- Growth and development assessment
Topic 3: Embryology, Physiology, Pathophysiology & Systems Management54%- Neurological system
- Respiratory system
- Hematopoietic and immune system
- Gastrointestinal system
- Infectious diseases
- Musculoskeletal and integumentary system
- Metabolic and endocrine system
- Genetics and congenital anomalies
- Cardiovascular system
- Eyes, ears, nose and throat
- Renal and genitourinary system
Topic 4: General Management19%- Resuscitation and stabilization
- Fluids, electrolytes and acid-base balance
- Thermoregulation
- Care coordination and family education
- Nutrition and growth support
- Pain management and sedation
Topic 5: Pharmacology9%- Adverse effects and interactions
- Pharmacokinetics and pharmacodynamics in neonates
- Safe administration principles
- Common medications and dosages

Nursing Neonatal Nurse Practitioner Sample Questions:

Question 1

What is the ideal timeframe in which surfactant should be given to the newborn with respiratory distress?

A. At 12 hours of birth
B. At least 24 hours after birth
C. Within 1 hour of birth


Question 2

An infant with ABO incompatibility with the mother develops hyperbilirubinemia after birth. The neonate should be monitored for a few weeks after birth for

A. congestive heart failure
B. kernicterus
C. anemia


Question 3

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


Question 4

During the first few months of life, the newborn is only able to digest those proteins found in

A. formula or human milk
B. formula, human milk, or cows milk
C. cows milk or human milk


Question 5

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. Supraventricular tachycardia
B. Intraventricular hemorrhage
C. Hypercoagulability resulting in pulmonary emboli


Solutions:

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

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