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Certification exams

Neonatal Nurse Practitioner

NCC Certification as a Neonatal Nurse Practitioner (NNP-BC)

Computer testing

See Overview for more information

Apply for computer testing

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.

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.

Registration Catalog - Eligibility, Overview, Fees and Policies
Guide to Testing Methods - Rules, Procedures and What to Expect

Candidate Guides - Exam Content, Competency Statements, Study Resources and Scoring

Sample questions

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

Answer: A

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

A. bronchspasm
B. inflammation of the pleura
C. subglottic stensois

Answer: C

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

Answer: A

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

Initial Second Immunization Third Immunization
A. At birth 1 month 6 months
B. Before discharge 2 months 6 months
C. 0-7 days 1 month 12 months

Answer: A

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:

pH 7.38
PCO2 50 mmHg
HCO3 29 mEq/L (mmol)
Base excess +3 mEq/L

The best interpretation of the blood gas is

A. compensated metabolic acidosis
B. compensated respiratory acidosis
C. normal value

Answer: B

Merenstein, et. al., Handbook of Neonatal Intensive Care, Mosby, St. Louis, 2006, p. 213