NCC NNP EXAM AND PRACTICE EXAM NEWEST 2026
TEST BANK| NEONATAL NURSE PRACTITIONER NCC
EXAM PREP WITH COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+
(BRAND NEW!!)
Phase I drug metabolism reactions are mediated by
A. Cytochrome P450 enzymes
B. Hepatic oxidation metabolites
C. Enzymatic reduction molecules
D. None of the Above - Correct Answer -A.
Cytochrome P450 (CYP450) enzymes mediate Phase I metabolism and
are present in many tissues, but they are most highly concentrated in
hepatic tissues (Allegaert et al., 2018, pp. 655-657; McClary, 2015b, pp.
420-421).
The translocation of a drug from the site of administration into the
systemic circulation is called
A. Absorption
B. Distribution
C. Drug delivery
D. None of the Above - Correct Answer -A.
Absorption is the process of drug movement from the administration site
(gastrointestinal, intravenous, intramuscular, intrapulmonary/inhaled,
and subcutaneous) across membranes and into the systemic circulation
(Allegaert et al., 2018, p. 419; Domonoske, 2015, pp. 220-221; Wade,
2015, p. 665).
pg. 1
,The recommendation for length of time to delay umbilical cord
clamping after delivery of a well newborn is
A. 0 to 20 seconds
B. 30 to 60 seconds
C. 70 to 100 seconds
D. 90 to 120 seconds - Correct Answer -B.
Delayed umbilical cord clamping is defined as a 30- to 60-second pause
before clamping the cord in order to allow for placental transfusion of
blood to the infant (Katheria & Finer, 2018, pp. 277-279).
A newborn infant's oxygen saturation at 10 minutes after birth should be
a minimum of
A. 80%
B. 85%
C. 90%
D. 95%- Correct Answer -B.
Preductal oxygen levels generally should be above 85% to 95% after 10
minutes (Pappas & Robey, 2015, p. 86).
The most appropriate value to use as an indicator of fetal and
uteroplacental states is the
A. Arterial cord blood
B. Placental cord volume
C. Venous cord blood flow
D. None of the Above - Correct Answer -A.
pg. 2
,The umbilical cord arterial blood gas is more valuable than the umbilical
cord venous blood gas for determining neonatal acid-base status because
it represents both the fetal and uteroplacental states (Lyndon, O'Brien-
Abel, & Rice Simpson, 2014, p. 481).
The neonatal nurse practitioner (NNP) notes during an examination that
the infant has positive Barlow and Ortolani tests; therefore, further
follow-up is necessary for
A. Pavilk harness
B. An abdominal girdle
C. An orthopedic casting
D. None of the Above - Correct Answer -A.
Developmental dysplasia of the hip (DDH) diagnosis is highly suspected
when Barlow and Ortolani tests are positive and there are asymmetric
thigh and gluteal skin folds, uneven knee levels (Allis or Galeazzi sign),
and the absence of normal knee flexion contractures (Son-Hing &
Thompson, 2015, p. 1796; Sterk, 2015, p. 783; Tappero, 2019, p. 157).
Interventions include accurate and early diagnosis, use of Pavlik harness,
and orthopedic referral (Kasser, p. 847; Tappero, p. 157; White &
Goldberg, 2018, p. 1351).
The neonatal nurse practitioner (NNP) should be knowledgeable about
education related to shift length and the relationship to the recognition of
fatigue and
A. By-laws adherence
B. Mental competence
C. System management
D. None of the Above - Correct Answer -C.
pg. 3
, Workplace fatigue remains a critical issue in healthcare. NNPs are
accountable for ensuring they are fit to care for their patients and their
families. NNPs are encouraged to create responsible staffing patterns
and work models in their institutions that would promote decrease in
fatigue and foster patient and personal safety (NANN, 2015, p. 9).
The most important step in the resuscitation of a newborn is to
A. Assign the Apgar
B. Circulate blood volume
C. Ventilate the lungs
D. None of the Above - Correct Answer -C.
Effective assisted ventilation is the single most important intervention in
newborn resuscitation (Katharina & Finer, 2018, p. 281; Wyckoff &
Goldsmith, 2015, p. 489).
The heart defect most commonly found in women who are or may
become pregnant is
A. An atrial septal defect
B. A sub-pulmonic stenosis
C. A ventricular septal defect
D. None of the Above - Correct Answer -A.
Atrial septal defect (ASD)—the most common heart defect in
pregnancy. Risk category depends on size of shunt (larger defect equals
greater risk). If there is no maternal pulmonary hypertension, there is
likely to be minimal effect on the fetus (Arafeh, 2013, p. 230; Blanchard
& Daniels, 2019, p. 927).
pg. 4
TEST BANK| NEONATAL NURSE PRACTITIONER NCC
EXAM PREP WITH COMPLETE 550 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+
(BRAND NEW!!)
Phase I drug metabolism reactions are mediated by
A. Cytochrome P450 enzymes
B. Hepatic oxidation metabolites
C. Enzymatic reduction molecules
D. None of the Above - Correct Answer -A.
Cytochrome P450 (CYP450) enzymes mediate Phase I metabolism and
are present in many tissues, but they are most highly concentrated in
hepatic tissues (Allegaert et al., 2018, pp. 655-657; McClary, 2015b, pp.
420-421).
The translocation of a drug from the site of administration into the
systemic circulation is called
A. Absorption
B. Distribution
C. Drug delivery
D. None of the Above - Correct Answer -A.
Absorption is the process of drug movement from the administration site
(gastrointestinal, intravenous, intramuscular, intrapulmonary/inhaled,
and subcutaneous) across membranes and into the systemic circulation
(Allegaert et al., 2018, p. 419; Domonoske, 2015, pp. 220-221; Wade,
2015, p. 665).
pg. 1
,The recommendation for length of time to delay umbilical cord
clamping after delivery of a well newborn is
A. 0 to 20 seconds
B. 30 to 60 seconds
C. 70 to 100 seconds
D. 90 to 120 seconds - Correct Answer -B.
Delayed umbilical cord clamping is defined as a 30- to 60-second pause
before clamping the cord in order to allow for placental transfusion of
blood to the infant (Katheria & Finer, 2018, pp. 277-279).
A newborn infant's oxygen saturation at 10 minutes after birth should be
a minimum of
A. 80%
B. 85%
C. 90%
D. 95%- Correct Answer -B.
Preductal oxygen levels generally should be above 85% to 95% after 10
minutes (Pappas & Robey, 2015, p. 86).
The most appropriate value to use as an indicator of fetal and
uteroplacental states is the
A. Arterial cord blood
B. Placental cord volume
C. Venous cord blood flow
D. None of the Above - Correct Answer -A.
pg. 2
,The umbilical cord arterial blood gas is more valuable than the umbilical
cord venous blood gas for determining neonatal acid-base status because
it represents both the fetal and uteroplacental states (Lyndon, O'Brien-
Abel, & Rice Simpson, 2014, p. 481).
The neonatal nurse practitioner (NNP) notes during an examination that
the infant has positive Barlow and Ortolani tests; therefore, further
follow-up is necessary for
A. Pavilk harness
B. An abdominal girdle
C. An orthopedic casting
D. None of the Above - Correct Answer -A.
Developmental dysplasia of the hip (DDH) diagnosis is highly suspected
when Barlow and Ortolani tests are positive and there are asymmetric
thigh and gluteal skin folds, uneven knee levels (Allis or Galeazzi sign),
and the absence of normal knee flexion contractures (Son-Hing &
Thompson, 2015, p. 1796; Sterk, 2015, p. 783; Tappero, 2019, p. 157).
Interventions include accurate and early diagnosis, use of Pavlik harness,
and orthopedic referral (Kasser, p. 847; Tappero, p. 157; White &
Goldberg, 2018, p. 1351).
The neonatal nurse practitioner (NNP) should be knowledgeable about
education related to shift length and the relationship to the recognition of
fatigue and
A. By-laws adherence
B. Mental competence
C. System management
D. None of the Above - Correct Answer -C.
pg. 3
, Workplace fatigue remains a critical issue in healthcare. NNPs are
accountable for ensuring they are fit to care for their patients and their
families. NNPs are encouraged to create responsible staffing patterns
and work models in their institutions that would promote decrease in
fatigue and foster patient and personal safety (NANN, 2015, p. 9).
The most important step in the resuscitation of a newborn is to
A. Assign the Apgar
B. Circulate blood volume
C. Ventilate the lungs
D. None of the Above - Correct Answer -C.
Effective assisted ventilation is the single most important intervention in
newborn resuscitation (Katharina & Finer, 2018, p. 281; Wyckoff &
Goldsmith, 2015, p. 489).
The heart defect most commonly found in women who are or may
become pregnant is
A. An atrial septal defect
B. A sub-pulmonic stenosis
C. A ventricular septal defect
D. None of the Above - Correct Answer -A.
Atrial septal defect (ASD)—the most common heart defect in
pregnancy. Risk category depends on size of shunt (larger defect equals
greater risk). If there is no maternal pulmonary hypertension, there is
likely to be minimal effect on the fetus (Arafeh, 2013, p. 230; Blanchard
& Daniels, 2019, p. 927).
pg. 4
