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Nursing NCC-NNP Exam Syllabus Topics:

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

Nursing Neonatal Nurse Practitioner Sample Questions:

An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with

  • A. rapid lung maturation
  • B. poor GI absorption of nutrients
  • C. increased risk of death
Answer: C

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When treating a neonate for hypothermia, the air temperature should be increased by approximately

  • A. 1 oc every hour until infant stabilizes
  • B. 2 oc every hour until infant stabilizes
  • C. 3 every hour until infant stabilizes
Answer: A

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When administering blood or blood products

  • A. a patient with AB+ blood can receive blood from a donor of any blood type
  • B. a patient with A+ blood can receive blood from a donor who is AB+
  • C. a patient with A- blood can receive blood from a donor who is O- or 0+
Answer: A

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An infant in the Neonatal Intensive Care Unit is receiving carbamazepine (Tegretol) for seizure control. When would be the best time to obtain a blood sample to check a drug level?

  • A. Two hours after giving a dose
  • B. Just before giving a regular scheduled dose
  • C. Mid-way between doses
Answer: B

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The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to

  • A. 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
  • B. activate the Code Blue protocol for your facility
  • C. start oxygen via a mask
Answer: A

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