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Exam (elaborations)

NCC Board Review NNP-BC Exam Questions And Correct Answers

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NCC Board Review NNP-BC Exam Questions And Correct Answers...

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  • October 13, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCC Board NNP-BC
  • NCC Board NNP-BC
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NCC Board Review NNP-BC Exam Questions And
Correct Answers

Barlow maneuver- ANSWER newborn hip evaluation-adduction of hip-examines for
congenital dislocation, dislocates head of femur



Fractional Excretion of Sodium (FENa)- ANSWER (urine Na * serum Cr) / (serum Na *
urine Cr) * 100



endocardial cushion defect- ANSWER Anomaly in the walls between all four chambers
of the heart. This anomaly is associated with Down syndrome. Separates atria and
ventricles



Tetralogy of Fallot - ANSWER congenital malformation involving four (tetra-) distinct
heart defects:

Overriding aorta

VSD

Pulmonary stenosis

RV hypertrophy

**Cyanosis depends on degree of PS



5 T's of Cyanotic Heart Disease - ANSWER TOF (VSD, pulmonic stenosis, overriding
aorta, R. Ventricle hypertrophy)



WBC count - ANSWER 5,000-10,000



ANC - ANSWER 1500-8000

<1500- neutropenic

,Amphotericin B - ANSWER Antifungal for candida sepsis



Flucystosine - ANSWER Analog of the nucleotide cytosine

May be used to treat certain cutaneous mycoses

Usually used in combination with amphotericin B for CNS infection.



Fanconi anemia - ANSWER FANCA, B, C, D2, E, F, G Mostly Ar but some X-linked

short stature, abnl pigmentation,, AML, tumors of head and neck, radial polydactyly

Cafe au lait spots



oxyhemoglobin dissociation curve - ANSWER Relationship between available oxygen
and amount of oxygen carried by hemoglobin.

Left: fetal HgB, alkalosis, heat, increased 2,3 DPG

Right: adult HgB, acidosis, cool, decreased 2,3 DPG



Ballard Exam - ANSWER for gestational age



assessment of passive flexor tone via

- passive flexion

- resistance to passive flexion

- angles of recoil



physical assessment

- skin texture

- lanugo

- plantar surfaces creases (appear from 28 weeks-term)

,- breast

- ear/eyes ( eyes fuse @ 23 wks, open btwn 26-28 wks)

- genitals

Bradykinin - ANSWER a potent vasodilator that increases capillary permeability and
smooth muscle constriction

Ortolani maneuver (checks if OUT) - ANSWER check hips for congenital dislocation,
done till 1 yr old, should be smooth w/ no sounds

, abnormal= feels like a clunk as head of femur pops back into place - positive ortolani
sign



Transposition of Great Vessels (shows thin mediastinum on CXR ("egg on string"))



Snow storm CXR? -lots of fluid, total anomalous venous return



DiGeorge is associated with? Truncus arteriosis.



Tricuspid Atresia



Ampicillin - ANSWER A penicillin that is effective against gram-negative and
gram-positive bacteria



Gentamicin - ANSWER Aminoglycoside prototype: bactericidal inhibitor of protein
synthesis (30S); active against many aerobic gram−negative bacteria. Narrow
therapeutic window; dose reduction required in renal impairment. Tox: renal
dysfunction, ototoxicity; once−daily dosing is effective (post−antibiotic effect) and less
toxic



Gentamicin levels - ANSWER Trough < 2

Peak 5-12

, Vancomycin levels - ANSWER Trough <10

Peak 20-40



Cefotaxime - ANSWER 3rd generation cephalosporin



Pharmacokinetics - ANSWER the study of drug movement throughout the body (ADME)



Pharmacodynamics - ANSWER The study of what the drug does to the body



Volume of distribution - ANSWER Vd = (amount of drug in the body) / (plasma drug
concentration)



Thrombocytopenia - ANSWER low platelet count



Neonatal Alloimmune Thrombocytopenia - ANSWER Mom becomes alloimmunized
against paternal antibodies on infant platelets leading to low platelets, maternal
platelets normal- give maternal platelets to baby



Neonatal autoimmune thrombocytopenia - ANSWER Maternal condition (SLE) causes
low platelets in mom and baby - give steroids



IL-1 - ANSWER -Secreted by macrophages

-Also called osteoclast-activating factor. Causes fever, acute inflammation.

-Activates endothelium to express adhesion molecules.

-Induces chemokine secretion to recruit WBCs.



TNF- ANSWER Produced by macrophages. Mediates septic shock. Leukocyte
recruitment, vascular leak.

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