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Updated: Aug 28, 2026

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Nursing NCC-NNP Exam Overview:

Certification Vendor:National Certification Corporation (NCC)
Exam Name:Neonatal Nurse Practitioner Certification Examination
Exam Number:NCC-NNP
Certificate Validity Period:3 years
Passing Score:Determined by criterion-referenced scoring
Exam Format:Multiple-choice questions, Computer-based testing, Remote proctoring available
Exam Duration:180 minutes
Available Languages:English
Real Exam Qty:175 (150 scored, 25 pretest)
Exam Price:$325 USD
Related Certifications:RNC-NIC
NNP-BC Renewal
Recommended Training:NCC Official Candidate Guide & Resources
Exam Registration:NCC Official Registration
Sample Questions:Nursing NCC-NNP Sample Questions
Exam Way:Computer-based testing at authorized centers or live remote proctoring
Pre Condition:Current unencumbered RN or APRN license in US or Canada; Graduate from accredited master's/DNP/post-master's NNP program; Exam must be taken within 8 years of graduation
Official Syllabus URL:https://nccwebsite.org/content/documents/cms/nnp-content-outline.pdf

Nursing NCC-NNP Exam Syllabus Topics:

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

Nursing Neonatal Nurse Practitioner Sample Questions:

Question 1

The NP is assessing an infant with renal disease. Over the past 4 hours, he has had 100 mL of urine output. He weighs 6 lbs,or 2.73 kg. The initial interpretation of this would be

A. normal urine output for weight of the infant
B. severe oliguria
C. severe polyuria


Question 2

A neonate suffered perinatal asphyxia and developed moderate hypoxic ischemic encephalopathy (HIE) with neurological dysfunction. The treatment that is LEAST likely to be utilized to treat this condition is

A. fluid resuscitation
B. therapeutic hypothermia
C. phenobarbital


Question 3

A newborn in the NICU has been receiving gentamicin and ampicillin for the treatment of gram negative sepsis. He is on a fairly high dose of gentamicin and has been for the past 3 days. In addition to the risk of developing renal impairment from the medication, he is also at risk for

A. hearing loss
B. permanent discoloration of his teeth later in life
C. cataract development


Question 4

A newborn has an NG tube in place due to an intestinal obstruction. In order to prevent aspiration of saliva, it is very important to

A. the aspirate should drain into a drainage bag without any manual aspiration
B. the aspirate should drain into a drainage bag and the stomach contents should be aspirated
C. perform continuous oral suction


Question 5

What is a patent ductus arteriosus?

A. A widening of the mitral valve resulting in mitral regurgitation
B. An opening in the septal wall between the left and right ventricles
C. An opening between the pulmonary and aortic arteries


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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