To be fair, most things are trivial to bypass on a compromised machine. In fact what would even be the point of loading arbitrary code into Notepad++ on an already compromised machine?
The author of Notepad++ even said it, "It doesn't prevent your original notepad++.exe from being replaced by modified notepad++.exe while the CIA is controlling your PC."
If CIA is already on your compromised machine and they want to target user of Notepad++, then they would just patched Notepad++ itself.
https://github.com/notepad-plus-plus/notepad-plus-plus/commi...