Nursing Neonatal Nurse Practitioner : NCC-NNP Exam Questions

  • Exam Code: NCC-NNP
  • Exam Name: Neonatal Nurse Practitioner Exam
  • Updated: Sep 30, 2026
  • Q&As: 177 Questions and Answers

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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: General Assessment15%- Discharge planning and follow-up care
  • 1. Post-discharge monitoring
  • 2. Care transition
- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
- Family integration
  • 1. Family-centered care
  • 2. Parent communication
Topic 2: General Management19%- Fluids and electrolytes
  • 1. Fluid balance management
- Thermoregulation
  • 1. Temperature stabilization
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Growth and nutrition
  • 1. Nutritional management
Topic 3: Professional Issues3%- Quality improvement and patient safety
  • 1. Healthcare quality management
- Evidence-based practice
  • 1. Clinical research application
- Legal and ethical principles
  • 1. Professional responsibility
Topic 4: Pharmacology9%- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Common drug therapies
  • 1. Medication administration
- Drugs and breastfeeding
  • 1. Medication safety
Topic 5: Embryology, Physiology, Pathophysiology and Systems Management54%- Gastrointestinal
  • 1. Digestive system disorders
- Hematopoietic
  • 1. Blood disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Metabolic and endocrine
  • 1. Metabolic regulation
- Genetics
  • 1. Genetic syndromes
- Integumentary
  • 1. Skin conditions
- Infectious diseases
  • 1. Neonatal infections
- Musculoskeletal
  • 1. Bone and muscle disorders
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Respiratory
  • 1. Respiratory distress and ventilation
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Neurological
  • 1. Neurological disorders

Nursing Neonatal Nurse Practitioner Sample Questions:

Question #1

A neonate born to an HIV-infected mother should receive the first dose of antiretroviral medication within

  • A. 1 year after birth
  • B. 6-12 hours after birth
  • C. 6-12 weeks after birth
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

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. strengthen the diaphragm to make breathing easier for the premature infant
  • C. prevent the alveoli in the lungs from collapsing so that they can expand and contract
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #3

Which of the following routes is NOT recommended when administering naloxone (Narcan) to infants?

  • A. Intravenous
  • B. Intramuscular
  • C. Endotracheal
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #4

When the NP is assessing a newborn, the reflex that results in abduction and extension of the infant's arms as the hands open is the

  • A. Moro reflex
  • B. asymmetrical tonic reflex
  • C. grasp reflex
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #5

A 64-year-old female has been told that her husband has terminal, metastatic cancer and life expectancy is most likely less than 6 months. She is feeling very anxious, depressed, and moody since he received this diagnosis. These emotions are part of

  • A. exaggerated grief
  • B. delayed grief
  • C. anticipatory grief
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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