RNC-NIC FINAL TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED
A+
◍ Neonates born to mothers with uncontrolled asthma are at increased risk
fora. acidosisb. apneac. low birth weight.
Answer: C-Neonates born to women with asthma that is not under control
are at increased risk for prematurity and low birth weight. If asthma is
controlled, neonatal outcomes are similar to those neonates born to mothers
WITHOU asthma.
◍ Pregnancy outcomes of women with renal disease most relates to a. etiology
of renal diseaseb. degree of renal insufficiencyc. length of time since onset
of the disease.
Answer: B-regardless of etiology of the renal disease in pregnancy, the two
factors that most influence pregnancy outcomes is the degree of renal
insufficiency and the presence of hypertension.
◍ Correct ETT placement.
Answer: T1-T2 level of clavicles
◍ Untreated maternal thyrotoxicosis can lead toa. congenital anomaliesb.
neonatal hypothyroidismc. preterm delivery.
Answer: C-If a woman with hypothyroidism or thyrotoxicosis is not treated
during pregnancy, there is a high incidence of preterm delivery, low birth
weight and still births. Congenital anomalies are not common.
Hypothyroidism may result in the neonate due to the thyroid medications
not the maternal disease.
◍ Correct UVC placement.
Answer: T 8-90.5-1 cm above diaphragmTip in inf. vena cava
,◍ Correct UAC placement.
Answer: Low-L3-4Below renal arteriesHigh-T6-10
◍ Unregulated glucose control in a woman with diabetes early in pregnancy
can predispose the fetus toa. chromosomal damageb. embryonic growth
delaysc. teratogenic effects.
Answer: C-Preconception counseling and early prenatal care are essential
for women with diabetes when contemplating childbirth. Uncontrolled
glucose levels early in pregnancy can lead to organogenesis and the
development of congenital anomalies.
◍ Infants with fetal alchohol syndrome demonstrate tremors, irritability and
hypertonus due toa. central nervous system injuryb. interferance with
protein synthesisc. withdrawal from alcohol.
Answer: C-Infants born with fetal alcohol syndrome usually presents with
tremors, irritability, and hypertonus. These symptoms are primarily due to
alcohol withdrawal.
◍ Common manifestations of neonates who were exposed to cocaine in utero
includea. apnea and lethargyb. neonatal abstinence syndromec. touch
aversion and overstimulation.
Answer: C-Exposure to cocaine in utero leaves infants with a wide variety
of problems. Teratogenicity has had some association with cocaine exposure
but its direct link has not not been confirmed. Neonates are hypertonic,
irritable and easily overstimulated by sensory input or direct contact. To
avoid any stimulation, the neonate may totally shut down going into a deep
sleep or alternatively the infant may cry incessantly. There is no specific
pattern of withdrawal as there is with neonatal abstinence syndrome and
heroin exposure.
◍ Correct PICC placement.
Answer: T3-5Lower 1/3 of s. Vena cava
◍ The primary route of the transmission of neonatal systemic lupus
erythematosus is a. familial tendencyb. multifactorial inheritance c.
, placental transfer of antibodies.
Answer: C-Neonates born to mothers with systemic lupus erythematosus can
demonstrate various symptoms, known as neonatal systemic lupus
erythematosus. These include rash, thrombocytopenia and cardiac
abnormalities, specificallly congenital heart block. The attributed antecedent
for neonatal disease is placental transfer of anti-bodies from mother to fetus.
◍ In a 34 week gestational age neonate, the expected muscle development
would indicate a a. complete Moro reflexb. poor grasp reflexc. weak
sucking reflex.
Answer: A-At 34 weeks of gestation, the examination of muscle tone
development would include: strong synchronized sucking reflex, a strong
grasp reflex, complete Moro reflex and good extension with no tendency to
adduction.
◍ A physical finding consistent with prematurity is a. abundant lanugab.
accelerated plantar creasingc. stippled areola with raised edges.
Answer: A-External criteria of determination of gestational age involve a
wide variety of physical parameters including: presence of edema, skin
texture, color and opacity, presence of lanugo, plantar creases, nipple
formation and amount of breast tissue, ear form and firmness and
appearance of genitalia. Based on the options provided in the question, the
abundant lanugo is consistent with prematurity. As the infant achieves a
greater gestational age, lanugo diminishes. Plantar creases are not prominent
in the premature infant and becomes more pronounced with increasing
gestational age. The nipples of premature infants are usually flat with no
definition.
◍ Three neonates are plotted on a growth curve shown. Because of weight and
gestational age, they are at increased risk fora. Congenital anomaliesb.
hypoglycemiac. respiratory distress syndrome.
Answer: A-Of the choices given, the only risk all these babies share is
increased of congenital anomalies. Hypoglycemia no RDS is increased for
Baby B who is term, AGA. Baby C, who is post-term, is not at risk for RDS.
, ◍ Normal weight loss of preterm infant.
Answer: 10-15%
◍ Healthy term infant requires how many kcal/kg/day for normal growth?.
Answer: 100-120 kcal/kg/day
◍ When performing a gestational age assessment, the nurse should recognize
that a finding that correlates with advancing gestational age is increaseda.
degree of arm flexion with arm recoil maneuverb. resistance with scarf sign
maneuverc. square window angle.
Answer: B-In gestational age assessment, the degress of arm flexion or arm
recoil decreases with advancing gestational age as does the square window
angle. With scarf sign maneuver, increased resistance correlates with
advancing gestational age.
◍ Formula to calculate GIR.
Answer: ml/kg/day x %dextrose 1.44
◍ Normal GIR.
Answer: 4-6 ml/kg/min initially May go as high as 12
◍ A neonate can be assumed to be at and an advanced gestational age if
neuromuscular development demonstrates increaseda. hip flexion and
adductionb. popliteal anglec. 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 lensb. opacity of the lensc. 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.
WITH CORRECT ANSWERS GRADED
A+
◍ Neonates born to mothers with uncontrolled asthma are at increased risk
fora. acidosisb. apneac. low birth weight.
Answer: C-Neonates born to women with asthma that is not under control
are at increased risk for prematurity and low birth weight. If asthma is
controlled, neonatal outcomes are similar to those neonates born to mothers
WITHOU asthma.
◍ Pregnancy outcomes of women with renal disease most relates to a. etiology
of renal diseaseb. degree of renal insufficiencyc. length of time since onset
of the disease.
Answer: B-regardless of etiology of the renal disease in pregnancy, the two
factors that most influence pregnancy outcomes is the degree of renal
insufficiency and the presence of hypertension.
◍ Correct ETT placement.
Answer: T1-T2 level of clavicles
◍ Untreated maternal thyrotoxicosis can lead toa. congenital anomaliesb.
neonatal hypothyroidismc. preterm delivery.
Answer: C-If a woman with hypothyroidism or thyrotoxicosis is not treated
during pregnancy, there is a high incidence of preterm delivery, low birth
weight and still births. Congenital anomalies are not common.
Hypothyroidism may result in the neonate due to the thyroid medications
not the maternal disease.
◍ Correct UVC placement.
Answer: T 8-90.5-1 cm above diaphragmTip in inf. vena cava
,◍ Correct UAC placement.
Answer: Low-L3-4Below renal arteriesHigh-T6-10
◍ Unregulated glucose control in a woman with diabetes early in pregnancy
can predispose the fetus toa. chromosomal damageb. embryonic growth
delaysc. teratogenic effects.
Answer: C-Preconception counseling and early prenatal care are essential
for women with diabetes when contemplating childbirth. Uncontrolled
glucose levels early in pregnancy can lead to organogenesis and the
development of congenital anomalies.
◍ Infants with fetal alchohol syndrome demonstrate tremors, irritability and
hypertonus due toa. central nervous system injuryb. interferance with
protein synthesisc. withdrawal from alcohol.
Answer: C-Infants born with fetal alcohol syndrome usually presents with
tremors, irritability, and hypertonus. These symptoms are primarily due to
alcohol withdrawal.
◍ Common manifestations of neonates who were exposed to cocaine in utero
includea. apnea and lethargyb. neonatal abstinence syndromec. touch
aversion and overstimulation.
Answer: C-Exposure to cocaine in utero leaves infants with a wide variety
of problems. Teratogenicity has had some association with cocaine exposure
but its direct link has not not been confirmed. Neonates are hypertonic,
irritable and easily overstimulated by sensory input or direct contact. To
avoid any stimulation, the neonate may totally shut down going into a deep
sleep or alternatively the infant may cry incessantly. There is no specific
pattern of withdrawal as there is with neonatal abstinence syndrome and
heroin exposure.
◍ Correct PICC placement.
Answer: T3-5Lower 1/3 of s. Vena cava
◍ The primary route of the transmission of neonatal systemic lupus
erythematosus is a. familial tendencyb. multifactorial inheritance c.
, placental transfer of antibodies.
Answer: C-Neonates born to mothers with systemic lupus erythematosus can
demonstrate various symptoms, known as neonatal systemic lupus
erythematosus. These include rash, thrombocytopenia and cardiac
abnormalities, specificallly congenital heart block. The attributed antecedent
for neonatal disease is placental transfer of anti-bodies from mother to fetus.
◍ In a 34 week gestational age neonate, the expected muscle development
would indicate a a. complete Moro reflexb. poor grasp reflexc. weak
sucking reflex.
Answer: A-At 34 weeks of gestation, the examination of muscle tone
development would include: strong synchronized sucking reflex, a strong
grasp reflex, complete Moro reflex and good extension with no tendency to
adduction.
◍ A physical finding consistent with prematurity is a. abundant lanugab.
accelerated plantar creasingc. stippled areola with raised edges.
Answer: A-External criteria of determination of gestational age involve a
wide variety of physical parameters including: presence of edema, skin
texture, color and opacity, presence of lanugo, plantar creases, nipple
formation and amount of breast tissue, ear form and firmness and
appearance of genitalia. Based on the options provided in the question, the
abundant lanugo is consistent with prematurity. As the infant achieves a
greater gestational age, lanugo diminishes. Plantar creases are not prominent
in the premature infant and becomes more pronounced with increasing
gestational age. The nipples of premature infants are usually flat with no
definition.
◍ Three neonates are plotted on a growth curve shown. Because of weight and
gestational age, they are at increased risk fora. Congenital anomaliesb.
hypoglycemiac. respiratory distress syndrome.
Answer: A-Of the choices given, the only risk all these babies share is
increased of congenital anomalies. Hypoglycemia no RDS is increased for
Baby B who is term, AGA. Baby C, who is post-term, is not at risk for RDS.
, ◍ Normal weight loss of preterm infant.
Answer: 10-15%
◍ Healthy term infant requires how many kcal/kg/day for normal growth?.
Answer: 100-120 kcal/kg/day
◍ When performing a gestational age assessment, the nurse should recognize
that a finding that correlates with advancing gestational age is increaseda.
degree of arm flexion with arm recoil maneuverb. resistance with scarf sign
maneuverc. square window angle.
Answer: B-In gestational age assessment, the degress of arm flexion or arm
recoil decreases with advancing gestational age as does the square window
angle. With scarf sign maneuver, increased resistance correlates with
advancing gestational age.
◍ Formula to calculate GIR.
Answer: ml/kg/day x %dextrose 1.44
◍ Normal GIR.
Answer: 4-6 ml/kg/min initially May go as high as 12
◍ A neonate can be assumed to be at and an advanced gestational age if
neuromuscular development demonstrates increaseda. hip flexion and
adductionb. popliteal anglec. 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 lensb. opacity of the lensc. 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.
