NCC NNP CORE EXAM MANUAL UPDATED QUESTIONS
AND ANSWERS GRADED A+
✔✔omphalocele - ✔✔will have sac but may rupture
✔✔Midgut volvulus - ✔✔a. Surgical emergency
b. Ligament of Treitz to the left of the spine
bilious emesis
abdominal distention with tenderness
bloody emesis or stools
signs of shock/sepsis
✔✔CF - ✔✔associated finding with meconium ileus
✔✔barium enema - ✔✔used to dx hirschsprungs
✔✔NEC stage 2 - ✔✔pneumatosis
bloody stools
mild metabolic acidosis and thrombocytopenia
✔✔NEC stage 1 - ✔✔temp issues
residuals
abd distention
events
blood in stool
ileus
✔✔NEC stage 3 - ✔✔resp and metabolic acidosis
hypotension
DIC
pneumoperitoneum
✔✔Clindomycin - ✔✔WHat 3rd antibiotic do you add with NEC
✔✔terminal ileus - ✔✔most common site of perferation
✔✔proteolytic enzymes - ✔✔digests proteins
✔✔islet cells - ✔✔hyperglycemia stimulate what
✔✔Duodenal atresia s/s - ✔✔bilious vomiting in 1st few hours
polyhydramnios
double bubble
,✔✔annular pancreas - ✔✔pancreatic cells encircle descending duodenum
complete or partial obstruction
✔✔small intestions - ✔✔where majority of water is absorbed
✔✔4-6wks of age - ✔✔when to start iron
✔✔Cutis aplasia - ✔✔trisomy 13
look for bone defect under it
✔✔neutrophils - ✔✔what cells are found in pustular melanosis
✔✔Milia - ✔✔small raised white spots on nose, chin, and forehead
pearly white/yellow
✔✔Ecchymosis - ✔✔bruise
does not blanch
✔✔sebacious gland hyperplasia - ✔✔many very small milia
✔✔cutis mamrorata - ✔✔mottling of skin
common in trisomy 21
response to cold
✔✔Harlequin sign - ✔✔immature autonomic nervous system sign
✔✔melanocytes - ✔✔what are part of a Mongolian spot
✔✔oak leaf macules - ✔✔TSC
✔✔Harlequin Ichtyocis - ✔✔massive shiney plates with deep red fissures that form
geometric pattern
✔✔collodian baby - ✔✔baby born with shiny yellow membrane over it
✔✔Vesicle - ✔✔elevated skin lesion filled with serous fluid less than 1 cm
✔✔Pustule - ✔✔vesicle filled with pus
✔✔macule - ✔✔discolored flat spot less than 1 cm
✔✔patch - ✔✔macule greater than 1 cm
, ✔✔papule - ✔✔elevated circumscribed lesion solid and less than 1 cm
✔✔plague - ✔✔a elevated circumscribed lesion greater than 1 cm or a fusion of
papules
✔✔Cafe au lait spots - ✔✔more than 6
or more than 3cm in length- NF
✔✔Neurofibromatosis - ✔✔cafe au lait spots
glaucoma
neurofibroma
pseudoarthrosis
✔✔nevus simplex - ✔✔blanch with pressure. flat red with irregular borders
✔✔purpura - ✔✔multiple pinpoint hemorrhages and accumulation of blood under the
skin
✔✔carnevous hemangioma - ✔✔Kippel Taurnay or Kasselbat Merritt
reddish purple hemagioma that involves dermis and sub q
✔✔steroids - ✔✔tx for carnevous hemangioma
✔✔millaria - ✔✔also known as heat rash and prickly heat, is an intensly itchy rash
caused by blockage of the sweat glands by bacteria and dead cells
✔✔48hrs - ✔✔how long is acrocyanosis normal for
✔✔Erythema neonatorum toxicum - ✔✔"Newborn rash" or flea bite rash. A generalized
rash characterized by red, elevated papules appearing around 24-48 hours of age.
Resolves without treatment.
✔✔pigmented nevus - ✔✔black or brown macule
✔✔malignant - ✔✔a hairy nevus can become
✔✔sebaceous nevus - ✔✔orange peel defect
✔✔Sub q fat necrosis - ✔✔hard non-pitting sharply circumscribed nodule.
check calcium level
✔✔nevus flammeus - ✔✔Permanent purple birthmark; also called port-wine stain. does
not blanch
AND ANSWERS GRADED A+
✔✔omphalocele - ✔✔will have sac but may rupture
✔✔Midgut volvulus - ✔✔a. Surgical emergency
b. Ligament of Treitz to the left of the spine
bilious emesis
abdominal distention with tenderness
bloody emesis or stools
signs of shock/sepsis
✔✔CF - ✔✔associated finding with meconium ileus
✔✔barium enema - ✔✔used to dx hirschsprungs
✔✔NEC stage 2 - ✔✔pneumatosis
bloody stools
mild metabolic acidosis and thrombocytopenia
✔✔NEC stage 1 - ✔✔temp issues
residuals
abd distention
events
blood in stool
ileus
✔✔NEC stage 3 - ✔✔resp and metabolic acidosis
hypotension
DIC
pneumoperitoneum
✔✔Clindomycin - ✔✔WHat 3rd antibiotic do you add with NEC
✔✔terminal ileus - ✔✔most common site of perferation
✔✔proteolytic enzymes - ✔✔digests proteins
✔✔islet cells - ✔✔hyperglycemia stimulate what
✔✔Duodenal atresia s/s - ✔✔bilious vomiting in 1st few hours
polyhydramnios
double bubble
,✔✔annular pancreas - ✔✔pancreatic cells encircle descending duodenum
complete or partial obstruction
✔✔small intestions - ✔✔where majority of water is absorbed
✔✔4-6wks of age - ✔✔when to start iron
✔✔Cutis aplasia - ✔✔trisomy 13
look for bone defect under it
✔✔neutrophils - ✔✔what cells are found in pustular melanosis
✔✔Milia - ✔✔small raised white spots on nose, chin, and forehead
pearly white/yellow
✔✔Ecchymosis - ✔✔bruise
does not blanch
✔✔sebacious gland hyperplasia - ✔✔many very small milia
✔✔cutis mamrorata - ✔✔mottling of skin
common in trisomy 21
response to cold
✔✔Harlequin sign - ✔✔immature autonomic nervous system sign
✔✔melanocytes - ✔✔what are part of a Mongolian spot
✔✔oak leaf macules - ✔✔TSC
✔✔Harlequin Ichtyocis - ✔✔massive shiney plates with deep red fissures that form
geometric pattern
✔✔collodian baby - ✔✔baby born with shiny yellow membrane over it
✔✔Vesicle - ✔✔elevated skin lesion filled with serous fluid less than 1 cm
✔✔Pustule - ✔✔vesicle filled with pus
✔✔macule - ✔✔discolored flat spot less than 1 cm
✔✔patch - ✔✔macule greater than 1 cm
, ✔✔papule - ✔✔elevated circumscribed lesion solid and less than 1 cm
✔✔plague - ✔✔a elevated circumscribed lesion greater than 1 cm or a fusion of
papules
✔✔Cafe au lait spots - ✔✔more than 6
or more than 3cm in length- NF
✔✔Neurofibromatosis - ✔✔cafe au lait spots
glaucoma
neurofibroma
pseudoarthrosis
✔✔nevus simplex - ✔✔blanch with pressure. flat red with irregular borders
✔✔purpura - ✔✔multiple pinpoint hemorrhages and accumulation of blood under the
skin
✔✔carnevous hemangioma - ✔✔Kippel Taurnay or Kasselbat Merritt
reddish purple hemagioma that involves dermis and sub q
✔✔steroids - ✔✔tx for carnevous hemangioma
✔✔millaria - ✔✔also known as heat rash and prickly heat, is an intensly itchy rash
caused by blockage of the sweat glands by bacteria and dead cells
✔✔48hrs - ✔✔how long is acrocyanosis normal for
✔✔Erythema neonatorum toxicum - ✔✔"Newborn rash" or flea bite rash. A generalized
rash characterized by red, elevated papules appearing around 24-48 hours of age.
Resolves without treatment.
✔✔pigmented nevus - ✔✔black or brown macule
✔✔malignant - ✔✔a hairy nevus can become
✔✔sebaceous nevus - ✔✔orange peel defect
✔✔Sub q fat necrosis - ✔✔hard non-pitting sharply circumscribed nodule.
check calcium level
✔✔nevus flammeus - ✔✔Permanent purple birthmark; also called port-wine stain. does
not blanch
