Neonatal Nurse Practitioner
NCC Certification as a Neonatal Nurse Practitioner (NNP-BC)
Paper & Pencil testing
See Overview for more information
Only online registrations on this website are accepted. Applications submitted by mail, fax or email will not be accepted and will be returned to the individual.
Download Candidate Guide for what is tested, procedures, rules and policies
- Download Registration Catalog for detailed overview of the testing process
This registration portal is only for those taking the test via computer or individual paper and pencil testing. If you are taking the test as part of a group or at a PEC course, select Special Testing Opportunities from the menu on the right or contact your PEC sponsor, ICP sponsor or NCC at
for further instructions.
Listed below are five sample questions to acquaint you with the test question format. These questions do not reflect the scope or the difficulty level of the questions on the actual examination. The reference from which each question is derived is also cited. However, other references might substantiate a different answer, and the answer shown here might be substantiated by other references. The rigorous review to which actual test questions are subject is not applied to these sample questions. The focus that should be attended to in reviewing these items is format, not content.
1. The goal of treatment of gastroesophageal reflux in the premature neonate is to
A. achieve normal gastric emptying
B. decrease lower esophageal sphincter pressure
C. increase gastric pH
Martin, et al., Neonatal-Perinatal Medicine, Diseases of the Fetus and Infant, Elsivier Mosby, Philadelphia, 2006, pp. 1379-1380.
2. When auscultating the lungs of a neonate, the nurse practitioner hears stridor. This most likely indicates
B. inflammation of the pleura
C. subglottic stensois
Taeusch, et al., Diseases of the Newborn, Elsevier Saunders, Philadelphia, 2005, p. 739.
3. Upper and lower extremity blood pressures should be taken for the neonate with decreased femoral pulses to evaluate for
A. coarctation of the aorta
B. patent ductus arteriosus
C. transposition of the great arteries
Fanaroff, et al., Neonatal-Perinatal Medicine, Diseases of the Fetus and Infant, , Mosby, St. Louis, 2006, pp. 1234-35.
4. The recommended hepatitis B immunization schedule for a neonate born to a hepatitis B surface antigen (HBsAg) positive mother is
|A. At birth
|B. Before discharge
|C. 0-7 days
Kenner et al., Comprehensive Neonatal Care: An Interdisciplinary Approach, Saunders Elsevier, St. Louis, 2007, p. 216
5. A neonate with bronchopulmonary dysplasia has the following blood gas values:
||29 mEq/L (mmol)
The best interpretation of the blood gas is
A. compensated metabolic acidosis
B. compensated respiratory acidosis
C. normal value
Merenstein, et. al., Handbook of Neonatal Intensive Care, Mosby, St. Louis, 2006, p. 213