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Updated: Aug 25, 2026

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Nursing NCC-NNP Exam Overview:

Certification Vendor:National Certification Corporation (NCC)
Exam Name:Neonatal Nurse Practitioner Exam (NNP-BC)
Exam Number:NCC-NNP
Passing Score:Scaled score determined by NCC
Exam Format:Multiple Choice
Related Certifications:NNP-BC
Exam Price:$325 USD
Certificate Validity Period:3 years
Exam Duration:180 minutes
Real Exam Qty:175
Available Languages:English
Sample Questions:Nursing NCC-NNP Sample Questions
Exam Way:Computer-based testing at PSI test centers or live remote online proctoring.
Pre Condition:Current unrestricted RN or APRN license in the United States or Canada and graduation from an accredited Neonatal Nurse Practitioner program within the last 8 years.
Official Syllabus URL:https://www.nccwebsite.org/certification-exams/details/6/

Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: 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 2: Pharmacology9%- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Common drug therapies
  • 1. Medication administration
- Drugs and breastfeeding
  • 1. Medication safety
Topic 3: Embryology, Physiology, Pathophysiology and Systems Management54%- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Respiratory
  • 1. Respiratory distress and ventilation
- Neurological
  • 1. Neurological disorders
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Genetics
  • 1. Genetic syndromes
- Musculoskeletal
  • 1. Bone and muscle disorders
- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Gastrointestinal
  • 1. Digestive system disorders
- Infectious diseases
  • 1. Neonatal infections
- Hematopoietic
  • 1. Blood disorders
- Metabolic and endocrine
  • 1. Metabolic regulation
- Integumentary
  • 1. Skin conditions
Topic 4: General Management19%- Fluids and electrolytes
  • 1. Fluid balance management
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Thermoregulation
  • 1. Temperature stabilization
- Growth and nutrition
  • 1. Nutritional management
Topic 5: General Assessment15%- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- 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
- Family integration
  • 1. Parent communication
  • 2. Family-centered care

Nursing Neonatal Nurse Practitioner Sample Questions:

1. A neonate receiving mechanical ventilation has a PaC02 level of 33 mmHg with pH of 7.5 from a blood sample obtained from the umbilical artery. These values indicate

A) metabolic acidosis from decreased tissue perfusion
B) respiratory acidosis from hypoventilation
C) respiratory alkalosis from hyperventilation


2. Evidence that an infant is feeding appropriately for discharge includes

A) primary caregiver feeding the infant correctly at least 90% of the time
B) weight gain of 15-30 grams per day
C) feeds accomplished with minimal respiratory difficulty


3. A neonate born with the genetic disorder cystic fibrosis must be monitored carefully for

A) apnea
B) meconium ileus
C) hypoglycemia


4. A neonate exhibits signs of hypoglycemia after birth and is treated only with a bolus of glucose. This treatment puts the infant at risk for

A) bolus-associated hyperglycemia
B) hyperinsulinism
C) bolus-associated hypoglycemia


5. When administering blood or blood products

A) a patient with AB+ blood can receive blood from a donor of any blood type
B) a patient with A+ blood can receive blood from a donor who is AB+
C) a patient with A- blood can receive blood from a donor who is O- or 0+


Solutions:

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

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