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Nursing NCC-NNP Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: General Assessment | 15% | - Growth and development assessment - Systematic physical assessment - Interpretation of diagnostic data - Perinatal history collection |
| Topic 2: Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Genetics and congenital anomalies - Respiratory system - Infectious diseases - Neurological system - Hematopoietic and immune system - Eyes, ears, nose and throat - Cardiovascular system - Musculoskeletal and integumentary system - Metabolic and endocrine system - Gastrointestinal system - Renal and genitourinary system |
| Topic 3: General Management | 19% | - Pain management and sedation - Nutrition and growth support - Resuscitation and stabilization - Thermoregulation - Fluids, electrolytes and acid-base balance - Care coordination and family education |
| Topic 4: Professional Issues | 3% | - Ethics and legal aspects - Interprofessional collaboration - Quality improvement and patient safety - Scope and standards of practice |
| Topic 5: Pharmacology | 9% | - Pharmacokinetics and pharmacodynamics in neonates - Safe administration principles - Adverse effects and interactions - Common medications and dosages |
Nursing Neonatal Nurse Practitioner Sample Questions:
1. On examining the neonate, the NP notes 9 cafe au lait spots with a diameter greater than
5 mm and freckles on the axilla and inguinal are
a. The infant should be tested for
A) neurofibromatosis type 1
B) Addison's disease
C) Sturge-Weber syndrome
2. An infant with a known congenital diaphragmatic hernia is born at 38 weeks gestation.
He requires resuscitation shortly after delivery due to the weakening of the diaphragm from the herni a. Generally speaking, survival rate for this infant is
A) higher than another infant requiring resuscitation without a diaphragmatic hernia
B) lower than another infant requiring resuscitation without a diaphragmatic hernia
C) equal to that of another infant requiring resuscitation without a diaphragmatic hernia
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) coarctation of the aorta
B) hypoplastic left heart syndrome
C) patent ductus arteriosus
4. If a patient's membranes rupture and meconium-stained amniotic fluid is noted, the next step should be
A) fetal scalp blood sampling
B) increased fetal monitoring
C) Cesarean
5. An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with
A) increased risk of death
B) rapid lung maturation
C) poor GI absorption of nutrients
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: A |


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