- Exam Code: NCC-NNP
- Exam Name: Neonatal Nurse Practitioner Exam
- Updated: Jul 22, 2026
- Q & A: 177 Questions and Answers
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| Section | Weight | Objectives |
|---|---|---|
| General Assessment | 15% | - Interpretation of diagnostic data - Systematic physical assessment - Growth and development assessment - Perinatal history collection |
| Embryology, Physiology, Pathophysiology & Systems Management | 54% | - Musculoskeletal and integumentary system - Hematopoietic and immune system - Renal and genitourinary system - Metabolic and endocrine system - Infectious diseases - Cardiovascular system - Gastrointestinal system - Eyes, ears, nose and throat - Neurological system - Genetics and congenital anomalies - Respiratory system |
| Professional Issues | 3% | - Quality improvement and patient safety - Scope and standards of practice - Interprofessional collaboration - Ethics and legal aspects |
| General Management | 19% | - Resuscitation and stabilization - Fluids, electrolytes and acid-base balance - Thermoregulation - Nutrition and growth support - Pain management and sedation - Care coordination and family education |
| Pharmacology | 9% | - Safe administration principles - Common medications and dosages - Pharmacokinetics and pharmacodynamics in neonates - Adverse effects and interactions |
1. The NP is evaluating a newborn. The infant is having retractions with respirations and a low grunting sound can be heard with his rapid breathing. The most likely diagnosis is
A) neonatal sepsis
B) cyanotic congestive heart failure
C) meconium aspiration syndrome
2. A neonate at 37 weeks gestation is born to a mother who has abused cocaine throughout pregnancy. The neonate exhibits persistent hypertonia, startles easily, and shows signs of distress at any disturbance. The most appropriate treatment is
A) sedative
B) swaddling and reduction in external stimuli
C) anticonvulsant
3. The NP has received a lab report on the CSF of a newborn who underwent a lumbar puncture. The lab report shows the glucose level in the sample is 100 mg/dL. This value is interpreted to mean
A) the newborn is most likely diabetic
B) the newborn likely has meningitis
C) the newborn has a normal CSF glucose level
4. A neonate born to an HIV-infected mother should receive the first dose of antiretroviral medication within
A) 6-12 hours after birth
B) 6-12 weeks after birth
C) 1 year after birth
5. What is the ideal timeframe in which surfactant should be given to the newborn with respiratory distress?
A) At least 24 hours after birth
B) Within 1 hour of birth
C) At 12 hours of birth
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: B |
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