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Nursing NCC-NNP

NCC-NNP

Exam Code: NCC-NNP

Exam Name: Neonatal Nurse Practitioner Exam

Updated: Sep 29, 2026

Q & A: 177 Questions and Answers

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Nursing NCC-NNP Exam Syllabus Topics:

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

Nursing Neonatal Nurse Practitioner Sample Questions:

Question #1
A neonate receiving mechanical ventilation has a PaC02 level of 33 mmHg with pH of 7.5 from a blood sample obtained from the umbilical artery. These values indicate

A. metabolic acidosis from decreased tissue perfusion
B. respiratory alkalosis from hyperventilation
C. respiratory acidosis from hypoventilation


Question #2
A premature infant in the NICU has a nasogastric drain. The results ofher arterial blood gases are as follows:
*ph -7.5
*HCOs - 29
*pC02 - 37
Based on these values, which acid-base disorder has this infant developed?

A. Metabolic acidosis
B. Respiratory alkalosis
C. Metabolic alkalosis


Question #3
If a patient's membranes rupture and meconium-stained amniotic fluid is noted, the next step should be

A. fetal scalp blood sampling
B. Cesarean
C. increased fetal monitoring


Question #4
An infant with fetal alcohol syndrome may also have a facial deformity known as

A. macrocephaly
B. micrognathia
C. macrognathia


Question #5
To ingest 120 calories/kg/day, an infant breastfeeding or receiving unfortified formula needs to ingest

A. 3 ounces/kg/day
B. 8 ounces/kg/day
C. 6 ounces/kg/day


Solutions:

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

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