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Nursing NCC-NNP Exam Syllabus Topics:

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

Nursing Neonatal Nurse Practitioner Sample Questions:

1. What is the most common cause of a cardiac tamponade in the newborn?

A) Incorrect location of a central venous catheter tip
B) Chest wall trauma during passage through the birth canal
C) Chest compressions in the event of cardiac arrest


2. A neonate develops tremors of the chin and extremities with the following observations:
*Lack of ocular deviations or other abnormalities.
*Gentle restraint halts tremors.
*Stimulation elicits tremors.
*Clonic jerking has both fast and slow elements.
*Autonomic changes involving the heart rate, respirations, and blood pressure are not present.
*EEG is normal.
The most likely cause is

A) shivering
B) seizures
C) jitteriness


3. A neonate born with the genetic disorder cystic fibrosis must be monitored carefully for

A) apnea
B) meconium ileus
C) hypoglycemia


4. A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is

A) phenobarbital
B) therapeutic hypothermia
C) fluid resuscitation


5. 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


Solutions:

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

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