Nursing NCC-NNP : Neonatal Nurse Practitioner Exam

  • Exam Code: NCC-NNP
  • Exam Name: Neonatal Nurse Practitioner Exam
  • Updated: Aug 23, 2026
  • Q & A: 177 Questions and Answers

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Nursing NCC-NNP Exam Syllabus Topics:

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

Nursing Neonatal Nurse Practitioner Sample Questions:

1. The parents of a newborn with strabismus express concern about how this is going to be treated. The most appropriate response is

A) there is no treatment and the condition will resolve on its own in a few months
B) the surgery is usually tolerated very well by children
C) usually patching and eye glasses to strengthen the eye muscles are affective at resolving this condition


2. The syndrome affecting almost half of the infants of diabetic mothers is

A) fetal macrosomia
B) hydrocephalus
C) cleft lip and palate


3. What is the ideal timeframe in which surfactant should be given to the newborn with respiratory distress?

A) Within 1 hour of birth
B) At 12 hours of birth
C) At least 24 hours after birth


4. 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) jitteriness
C) seizures


5. The NP is assessing a newborn and notices faint perioral cyanosis. The first response should be to

A) activate the Code Blue protocol for your facility
B) start oxygen via a mask
C) assess the rest of their body to see if there is any cyanosis present in the extremities or if the infant is exhibiting any retractions or other signs of respiratory distress


Solutions:

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

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