NNP Boards Exam Actual Questions
and Answers 2026
Bell Stage 1 of NEC -
correct answer ✅SUSPECTED NEC
Temperature instability, A&Bs, increased gastric residual, mild
abdominal distension, occult blood in stool, normal or mild ileus on
x-ray
Bell State IIA of NEC -
correct answer ✅MILD NEC
Same as Stage 1 + prominent abdominal distension +/- tenderness,
absent bowel sounds, grossly bloody stools, ileus or distended
bowel loops wth *focal pneumatosis* on x-ray
Bell Stage IIB of NEC -
correct answer ✅MODERATE NEC
moderately ill infant with systemic clinical signs and pneumatosis
Mild acidosis and thrombocytopenia, abdominal wall edema and
tenderness +/- palpable masses, *extensive pneumatosis* +/-
portal venous gas and early ascites on x-ray
,NNP Boards Exam Actual Questions
and Answers 2026
Bell Stage IIIA of NEC -
correct answer ✅ADVANCED NEC
Concern for impending perforation
Respiratory and metabolic acidosis, mechanical ventilation,
hypotension, oliguria, DIC, worsening wall edema and erythema
with induration, prominent ascites with persistent bowel loop but
*no free air on x-ray*
Bell Stage IIIB of NEC -
correct answer ✅ADVANCED NEC
Vital signs and laboratory evidence of deterioration, shock,
evidence of perforation, and *pneumoperitoneum on x-ray*
The typical laboratory findings for primary hypothyroidism -
correct answer ✅elevated TSH, low T4/free T4
2 most common malignant tumors in newborn -
correct answer ✅Wilms and neuroblastoma
, NNP Boards Exam Actual Questions
and Answers 2026
Calculating OI: -
correct answer ✅FiO2 x MAP x 100 divided by
PaO2
The effectiveness of erythropoetin is based on high dietary intake of
-
correct answer ✅IRON (not folate)
The plasma protein primarily responsible for fibrinolysis is: -
correct answer ✅PLASMIN
Most effective volume expander for DIC? -
correct answer ✅FFP
AFP levels -
correct answer ✅AFP
Low → Trisomy 21
High → NTDs (or multiple gestation)
Infant born to a mom who received Mag has a higher risk for -
correct answer ✅hypocalcemia
and Answers 2026
Bell Stage 1 of NEC -
correct answer ✅SUSPECTED NEC
Temperature instability, A&Bs, increased gastric residual, mild
abdominal distension, occult blood in stool, normal or mild ileus on
x-ray
Bell State IIA of NEC -
correct answer ✅MILD NEC
Same as Stage 1 + prominent abdominal distension +/- tenderness,
absent bowel sounds, grossly bloody stools, ileus or distended
bowel loops wth *focal pneumatosis* on x-ray
Bell Stage IIB of NEC -
correct answer ✅MODERATE NEC
moderately ill infant with systemic clinical signs and pneumatosis
Mild acidosis and thrombocytopenia, abdominal wall edema and
tenderness +/- palpable masses, *extensive pneumatosis* +/-
portal venous gas and early ascites on x-ray
,NNP Boards Exam Actual Questions
and Answers 2026
Bell Stage IIIA of NEC -
correct answer ✅ADVANCED NEC
Concern for impending perforation
Respiratory and metabolic acidosis, mechanical ventilation,
hypotension, oliguria, DIC, worsening wall edema and erythema
with induration, prominent ascites with persistent bowel loop but
*no free air on x-ray*
Bell Stage IIIB of NEC -
correct answer ✅ADVANCED NEC
Vital signs and laboratory evidence of deterioration, shock,
evidence of perforation, and *pneumoperitoneum on x-ray*
The typical laboratory findings for primary hypothyroidism -
correct answer ✅elevated TSH, low T4/free T4
2 most common malignant tumors in newborn -
correct answer ✅Wilms and neuroblastoma
, NNP Boards Exam Actual Questions
and Answers 2026
Calculating OI: -
correct answer ✅FiO2 x MAP x 100 divided by
PaO2
The effectiveness of erythropoetin is based on high dietary intake of
-
correct answer ✅IRON (not folate)
The plasma protein primarily responsible for fibrinolysis is: -
correct answer ✅PLASMIN
Most effective volume expander for DIC? -
correct answer ✅FFP
AFP levels -
correct answer ✅AFP
Low → Trisomy 21
High → NTDs (or multiple gestation)
Infant born to a mom who received Mag has a higher risk for -
correct answer ✅hypocalcemia
