Nursing NCC-NNP : Neonatal Nurse Practitioner Exam

Exam Code: NCC-NNP

Exam Name: Neonatal Nurse Practitioner Exam

Updated: Oct 08, 2026

Q & A: 177 Questions and Answers

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Nursing NCC-NNP Exam Syllabus Topics:

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

Nursing Neonatal Nurse Practitioner Sample Questions:

Question #1

Parents of a newborn in the NICU are concerned about their baby having an IV placed in their scalp. To reassure them, the NP explains that

  • A. there are no mature nerve endings in the scalp and itis not painful for the infanttohavethe
  • B. the peripheral veins are not yet mature enough to handle IV therapy
  • C. the IV needs to be in an area with less fat so the vein can be clearly visualized
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #2

The NP is caring for an infant in the NICU. The newborn has not had a bowel movement in the first 48 hours of his life and has vomited whenever oral feedings are attempted. What is one of the problems that may be present?

  • A. Hirschsprungs disease
  • B. Short gut syndrome
  • C. Colitis
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #3

The mechanism of action of surfactant is to

  • A. dilate the pulmonary artery to allow the passage of more oxygen-rich blood into the heart
  • B. prevent the alveoli in the lungs from collapsing so that they can expand and contract
  • C. strengthen the diaphragm to make breathing easier for the premature infant
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #4

During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is

  • A. 36 cm
  • B. 34 cm
  • C. 32 cm
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #5

What are the most common symptoms of sudden withdrawal of a beta blocker medication?

  • A. Hypertension, increased heart rate, cardiac dysrhythmias, tremors, and sweating
  • B. Hallucinations, seizures, and irritability
  • C. Hypotension, decreased heart rate, fatigue, and lethargt
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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