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Nursing NCC-NNP Exam Syllabus Topics:

Nursing Neonatal Nurse Practitioner Sample Questions:

Question 1

An elevated serum lactate level in an infant in the Neonatal Intensive Care Unit is associated with

A. poor GI absorption of nutrients
B. rapid lung maturation
C. increased risk of death

Question 2

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

Question 3

A mother brings her term infant (and first child) for an exam at 2 weeks after birth. The baby has not regained birth weight, appears listless, face drawn, and skin turgor is poor. The mother is breastfeeding. The most appropriate first action is

A. report the mother to child protective services for neglect
B. advise the mother to stop breastfeeding and switch to formula
C. question mother about nursing technique and frequency, and observe the infant nursing

Question 4

On the APGAR scale, a good score is

A. ≥10
B. ≥7
C. ≥5

Question 5

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. fragile X
B. Down syndrome
C. achondroplasia

Solutions: