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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: General Management19%- Thermoregulation
  • 1. Temperature stabilization
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Growth and nutrition
  • 1. Nutritional management
- Fluids and electrolytes
  • 1. Fluid balance management
Topic 2: Pharmacology9%- Common drug therapies
  • 1. Medication administration
- Drugs and breastfeeding
  • 1. Medication safety
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
Topic 3: Embryology, Physiology, Pathophysiology and Systems Management54%- Infectious diseases
  • 1. Neonatal infections
- Integumentary
  • 1. Skin conditions
- Respiratory
  • 1. Respiratory distress and ventilation
- Metabolic and endocrine
  • 1. Metabolic regulation
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Gastrointestinal
  • 1. Digestive system disorders
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Genetics
  • 1. Genetic syndromes
- Neurological
  • 1. Neurological disorders
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Musculoskeletal
  • 1. Bone and muscle disorders
- Hematopoietic
  • 1. Blood disorders
Topic 4: 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
Topic 5: General Assessment15%- Family integration
  • 1. Parent communication
  • 2. Family-centered care
- Neonatal assessment
  • 1. Gestational age evaluation
  • 2. Physical examination
- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
- Discharge planning and follow-up care
  • 1. Post-discharge monitoring
  • 2. Care transition

Nursing Neonatal Nurse Practitioner Sample Questions:

Question 1

A neonate develops early-onset bacterial meningitis. Typical early symptoms include

A. temperature instability, lethargy, poor feeding, and hypotension
B. hyperthermia, lethargy, nuchal rigidity
C. bulging fontanels, seizures, nuchal rigidity


Question 2

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

A. Down syndrome
B. fragile X
C. achondroplasia


Question 3

When a neonate is diagnosed with a terminal disease, the mother cries inconsolably, but the father appears detached and calm. The father's reaction is probably an indication of

A. incongruent grief
B. anticipatory grief
C. delayed grief


Question 4

A neonate delivered by Cesarean to a mother who smokes exhibits dyspnea, mild sternal retraction, expiratory grunt, nasal flaring, and poor feeding. ABGs show mild hypoxemia.
The most likely cause is

A. birth asphyxia
B. meconium aspiration syndrome (MAS)
C. transient tachypnea of newborn (TTN)


Question 5

The most immediate concern for fetuses of mothers who have used cocaine during their pregnancy is

A. premature delivery
B. cleft lip or palate
C. patent ductus arteriosus


Solutions:

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

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