RNC NIC 2026 LICENSURE EVALUATION
PRACTICAL REVIEW ANSWERS KEY STUDY
SHEET
◉ A neonate can be assumed to be at and an advanced gestational
age if neuromuscular development demonstrates increased
a. hip flexion and adduction
b. popliteal angle
c. square window angle measurement
Answer: A-Neuromuscular criteria can be a good indicator of
gestational age. Those findings that indicate advanced gestational
age include increased hip flexion and adduction, decreased square
angle, flexed response to arm recoil, increasing resistance with scarf
sign maneuver and a low popliteal angle.
◉ In examining the black newborn's eyes, a bright light directed
toward the lens reveals a red color that is reflected back to the
examiner. This finding is consistent with
a. an intact lens
b. opacity of the lens
c. retinal detachment
, Answer: A-In examination of the eyes, a red color should be reflected
from the retina when a bright light is directed towrds the lens. This
indicates an intact lens.
◉ On physical examination of the hip, a sharp click is heard. This is
suggestive of
a. dislocation
b. fracture
c. normal variant
Answer: A-hip dislocation should be suspected if a sharp click occurs
when the examiner abducts the neonate's legs into the frog position.
Soft clicks can be heard and are common but a sharp click indicates
hip dislocation. Clicks are not related to diagnosis of fractures.
◉ During a physical examination of a 34 week gestational age
neonate, the suck/swallow relfex is intact but the gag reflex cannot
be elicited. The nurse should recognize that this is due to
a. esophageal atresia
b. neurological impairment
c. prematurity
Answer: C-Neonatal reflexes appear in a systematic manner based
on maturation of the CNS. In a 34 week gestational age neonate,
PRACTICAL REVIEW ANSWERS KEY STUDY
SHEET
◉ A neonate can be assumed to be at and an advanced gestational
age if neuromuscular development demonstrates increased
a. hip flexion and adduction
b. popliteal angle
c. square window angle measurement
Answer: A-Neuromuscular criteria can be a good indicator of
gestational age. Those findings that indicate advanced gestational
age include increased hip flexion and adduction, decreased square
angle, flexed response to arm recoil, increasing resistance with scarf
sign maneuver and a low popliteal angle.
◉ In examining the black newborn's eyes, a bright light directed
toward the lens reveals a red color that is reflected back to the
examiner. This finding is consistent with
a. an intact lens
b. opacity of the lens
c. retinal detachment
, Answer: A-In examination of the eyes, a red color should be reflected
from the retina when a bright light is directed towrds the lens. This
indicates an intact lens.
◉ On physical examination of the hip, a sharp click is heard. This is
suggestive of
a. dislocation
b. fracture
c. normal variant
Answer: A-hip dislocation should be suspected if a sharp click occurs
when the examiner abducts the neonate's legs into the frog position.
Soft clicks can be heard and are common but a sharp click indicates
hip dislocation. Clicks are not related to diagnosis of fractures.
◉ During a physical examination of a 34 week gestational age
neonate, the suck/swallow relfex is intact but the gag reflex cannot
be elicited. The nurse should recognize that this is due to
a. esophageal atresia
b. neurological impairment
c. prematurity
Answer: C-Neonatal reflexes appear in a systematic manner based
on maturation of the CNS. In a 34 week gestational age neonate,
