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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Professional Issues3%- Legal and ethical principles
  • 1. Professional responsibility
- Quality improvement and patient safety
  • 1. Healthcare quality management
- Evidence-based practice
  • 1. Clinical research application
Topic 2: Embryology, Physiology, Pathophysiology and Systems Management54%- Metabolic and endocrine
  • 1. Metabolic regulation
- Musculoskeletal
  • 1. Bone and muscle disorders
- Hematopoietic
  • 1. Blood disorders
- Gastrointestinal
  • 1. Digestive system disorders
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Genetics
  • 1. Genetic syndromes
- Respiratory
  • 1. Respiratory distress and ventilation
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Infectious diseases
  • 1. Neonatal infections
- Integumentary
  • 1. Skin conditions
- Neurological
  • 1. Neurological disorders
Topic 3: Pharmacology9%- Drugs and breastfeeding
  • 1. Medication safety
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Common drug therapies
  • 1. Medication administration
Topic 4: General Assessment15%- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
- Family integration
  • 1. Parent communication
  • 2. Family-centered care
Topic 5: General Management19%- Growth and nutrition
  • 1. Nutritional management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Fluids and electrolytes
  • 1. Fluid balance management
- Thermoregulation
  • 1. Temperature stabilization

Nursing Neonatal Nurse Practitioner Sample Questions:

1. An infant in the Neonatal Intensive Care Unit is being treated for meningitis with ampicillin. The dosage is 400 mg/kg/day divided over every 8 hours. The infant being cared for weighs 6 pounds 8 ounces. How many milligrams should be given with each dose?

A) 393 mg
B) 325 mg
C) 300 mg


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

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


3. The lab abnormalities seen with HELLP syndrome are

A) no hemolysis, lower than normal liver enzymes, and elevated platelets
B) elevated white blood cell count, lower than normal liver enzymes, and low platelets
C) hemolysis, elevated liver enzymes, and low platelets


4. The purpose of quality improvement is to

A) monitor the leadership skills of the administration of a healthcare facility
B) implement specific changes, which have a measurable improvement for a group of patients
C) improve employee satisfaction


5. Which of the following will have the greatest amount of insensible water loss?

A) Small size and full-term
B) Small size and decreased gestational age
C) Normal size and full-term


Solutions:

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

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