NCC EXAM PRACTICE QUESTIONS & ANSWERS
Which of the following is a gram negative rod? - Answers -E. Coli
Which if the following could have a tentative identification of "cocci in chains"? - A 33
week gestation infant displays the following characteristics at one minute of age:
HR 90
No respiratory effort
Some flexion of extremities
Weak reflex irritability
Blue and pale - Answers -3
A 900 gram infant is receiving NS flushes of 1mL every 4 hours. How many meq/kg/day
of Na+ is the infant receiving from flushes? - Answers -1 meq/kg/day
An IV of D12W is running at 6mL/hr. How many mg/kg/minute of glucose if a 1500 gram
infant receving? - Answers -8 mg/kg/minutes
When doing an LP, what is the most appropriate interspace? - Answers -L4-5
Low umbilical artery catheters should be places where? - Answers -L3-4
Soft tissue on an overpenetrated CXR will look? - Answers -dark
In utero blood going through the patent ductus arteriosus travels which direction? -
Answers -right to left
A 27 week gestation infant presents with bounding pulses, tachypnea, increased O2
requirement, and a Grade II holosystolic murmur on day 2 of life. Blood shunting
through the PDA is most likely being shunted which direction? - Answers -left to right
A full term infant presents with cyanosis that does not respond to O2 in the delivery
room and a single S2 is also noted. Which of the following defects does the infant most
likely have? - Answers -Pulmonary atresia
S1 is best heard where? - Answers -apex
The CXR of an infant with hypoplastic left heart syndrome will most likely have? -
Answers -increased pulmonary vascular markings
When does the fastest myelination occur? - Answers -2nd trimester
Evidence suggests that maternal valproic acid may be related to? - Answers -Fetal
neural tube defects
What % of infants with congenital CMV are asymptomatic at birth? - Answers -90%
,The best time to obtain a herpes culture in the neonate with suspected herpes is? -
Answers -24-48 hours of age
A 33 week gestation infant displays the following characteristics at one minute of age:
HR 90
No respiratory effort
Some flexion of extremities
Weak reflex irritability
Blue and pale - Answers -3
A 900 gram infant is receiving NS flushes of 1mL every 4 hours. How many meq/kg/day
of Na+ is the infant receiving from flushes? - Answers -1 meq/kg/day
An IV of D12W is running at 6mL/hr. How many mg/kg/minute of glucose if a 1500 gram
infant receving? - Answers -8 mg/kg/minutes
When doing an LP, what is the most appropriate interspace? - Answers -L4-5
Low umbilical artery catheters should be places where? - Answers -L3-4
Soft tissue on an overpenetrated CXR will look? - Answers -dark
In utero blood going through the patent ductus arteriosus travels which direction? -
Answers -right to left
A 27 week gestation infant presents with bounding pulses, tachypnea, increased O2
requirement, and a Grade II holosystolic murmur on day 2 of life. Blood shunting
through the PDA is most likely being shunted which direction? - Answers -left to right
A full term infant presents with cyanosis that does not respond to O2 in the delivery
room and a single S2 is also noted. Which of the following defects does the infant most
likely have? - Answers -Pulmonary atresia
S1 is best heard where? - Answers -apex
The CXR of an infant with hypoplastic left heart syndrome will most likely have? -
Answers -increased pulmonary vascular markings
When does the fastest myelination occur? - Answers -2nd trimester
Evidence suggests that maternal valproic acid may be related to? - Answers -Fetal
neural tube defects
What % of infants with congenital CMV are asymptomatic at birth? - Answers -90%
,The best time to obtain a herpes culture in the neonate with suspected herpes is? -
Answers -24-48 hours of age
Which of the following is most likely to present with congenital cataracts? - Answers –
Rubella
Which of the following is most likely to present with congenital cataracts? - Answers -
RubellaAnswers -Streptococcus
Which antibiotic best treats Chlamydia? - Answers -Erythromycin
Dark blue or magenta colored papules or nodules (blue berry muffin sign) sometimes
seen with congenital CMV are a result of what? - Answers -Extramedullary dermal
erythropoiesis
Fetal hemoglobin shifts the oxy-hemoglobin dissociated curve to the? - Answers -Left
Alkalosis shifts the oxy-hemoglobin dissociation curve to the? - Answers -Left
Which of the following is NOT a problem that can occur with chronic lasix therapy? -
Answers -Metabolic acidosis
When performing a needle aspiration for a pneumothorax, the needle should be places
where? - Answers -Above the rib
Which of the following is NOT a reason to use flucytosine in conjunction with
amphotericin B? - Answers -The incidence of adverse effects is decreased
Periventricular calcifications are most often seen in the which of the following congenital
infections? - Answers -CMV
Digestion of which of the following is LEAST dependent on bile salts? - Answers -
medium chain triglycerides (MCT)
An infant has several nodules that are diagnosed as subcutaneous fat necrosis. Which
of the following should the infant be monitored for? - Answers -Hypercalcemia
Which is the correct I:T ratio of the following CBC:
WBC 3200
Segs 40%
Bands 21%
Lymphs 35%
metas 2%
Eos 2% - Answers -0.36
, What is the cause of pneumotosis in NEC? - Answers -gas forming bacteria within
submucosa
Testing the biceps reflex best tests? - Answers -Phasic tone
Which of the following drugs may cause improvement in the infant with transient
neonatal myasthenia gravis? - Answers -Neostigmine methylsulfate
The best definition of beneficence is: - Answers -The moral obligation to "do good".
When evaluating for early digitalis toxicity on an EKG the most reliable sign is: -
Answers -Prolongation of the PR interval
Which type of brachial plexus injury typically presents with the "waiter's tip position". -
Answers -Erb's Palsy
A defect affecting the lower motor neuron will generally present with: - Answers -Absent
deep tendon reflex
Which of the following syndromes will most likely be associated with macrocephaly? -
Answers -Achondroplasia
An infant has craniosynostosis of the sagittal suture. His head shape would most likely
be described as: - Answers -Scaphocephaly
How does surfactant work? - Answers -By decreasing surface tension
Low alpha-fetoprotein may be associated with what? - Answers -Trisomy disorders
Eisenmenger's complex is typically seen with what? - Answers -Left-to-right shunt
defects
Cor pulmonale is most often associated with what? - Answers -Right ventricular
hypertrophy
Which of the following labs most represents an infant with congenital hypothyroidism? -
Answers -Low T4 & elevated TSH
Diabetes insipidus is most often associated with what? - Answers -Increased plasma
osmolality
What will be increased in rickets of prematurity? - Answers -Alkaline phosphatase levels
Scalded skin syndrome is seen with: - Answers -Staphylococcus aureus infection
The Ladd procedure is done for infants with what? - Answers -Malrotation
Which of the following is a gram negative rod? - Answers -E. Coli
Which if the following could have a tentative identification of "cocci in chains"? - A 33
week gestation infant displays the following characteristics at one minute of age:
HR 90
No respiratory effort
Some flexion of extremities
Weak reflex irritability
Blue and pale - Answers -3
A 900 gram infant is receiving NS flushes of 1mL every 4 hours. How many meq/kg/day
of Na+ is the infant receiving from flushes? - Answers -1 meq/kg/day
An IV of D12W is running at 6mL/hr. How many mg/kg/minute of glucose if a 1500 gram
infant receving? - Answers -8 mg/kg/minutes
When doing an LP, what is the most appropriate interspace? - Answers -L4-5
Low umbilical artery catheters should be places where? - Answers -L3-4
Soft tissue on an overpenetrated CXR will look? - Answers -dark
In utero blood going through the patent ductus arteriosus travels which direction? -
Answers -right to left
A 27 week gestation infant presents with bounding pulses, tachypnea, increased O2
requirement, and a Grade II holosystolic murmur on day 2 of life. Blood shunting
through the PDA is most likely being shunted which direction? - Answers -left to right
A full term infant presents with cyanosis that does not respond to O2 in the delivery
room and a single S2 is also noted. Which of the following defects does the infant most
likely have? - Answers -Pulmonary atresia
S1 is best heard where? - Answers -apex
The CXR of an infant with hypoplastic left heart syndrome will most likely have? -
Answers -increased pulmonary vascular markings
When does the fastest myelination occur? - Answers -2nd trimester
Evidence suggests that maternal valproic acid may be related to? - Answers -Fetal
neural tube defects
What % of infants with congenital CMV are asymptomatic at birth? - Answers -90%
,The best time to obtain a herpes culture in the neonate with suspected herpes is? -
Answers -24-48 hours of age
A 33 week gestation infant displays the following characteristics at one minute of age:
HR 90
No respiratory effort
Some flexion of extremities
Weak reflex irritability
Blue and pale - Answers -3
A 900 gram infant is receiving NS flushes of 1mL every 4 hours. How many meq/kg/day
of Na+ is the infant receiving from flushes? - Answers -1 meq/kg/day
An IV of D12W is running at 6mL/hr. How many mg/kg/minute of glucose if a 1500 gram
infant receving? - Answers -8 mg/kg/minutes
When doing an LP, what is the most appropriate interspace? - Answers -L4-5
Low umbilical artery catheters should be places where? - Answers -L3-4
Soft tissue on an overpenetrated CXR will look? - Answers -dark
In utero blood going through the patent ductus arteriosus travels which direction? -
Answers -right to left
A 27 week gestation infant presents with bounding pulses, tachypnea, increased O2
requirement, and a Grade II holosystolic murmur on day 2 of life. Blood shunting
through the PDA is most likely being shunted which direction? - Answers -left to right
A full term infant presents with cyanosis that does not respond to O2 in the delivery
room and a single S2 is also noted. Which of the following defects does the infant most
likely have? - Answers -Pulmonary atresia
S1 is best heard where? - Answers -apex
The CXR of an infant with hypoplastic left heart syndrome will most likely have? -
Answers -increased pulmonary vascular markings
When does the fastest myelination occur? - Answers -2nd trimester
Evidence suggests that maternal valproic acid may be related to? - Answers -Fetal
neural tube defects
What % of infants with congenital CMV are asymptomatic at birth? - Answers -90%
,The best time to obtain a herpes culture in the neonate with suspected herpes is? -
Answers -24-48 hours of age
Which of the following is most likely to present with congenital cataracts? - Answers –
Rubella
Which of the following is most likely to present with congenital cataracts? - Answers -
RubellaAnswers -Streptococcus
Which antibiotic best treats Chlamydia? - Answers -Erythromycin
Dark blue or magenta colored papules or nodules (blue berry muffin sign) sometimes
seen with congenital CMV are a result of what? - Answers -Extramedullary dermal
erythropoiesis
Fetal hemoglobin shifts the oxy-hemoglobin dissociated curve to the? - Answers -Left
Alkalosis shifts the oxy-hemoglobin dissociation curve to the? - Answers -Left
Which of the following is NOT a problem that can occur with chronic lasix therapy? -
Answers -Metabolic acidosis
When performing a needle aspiration for a pneumothorax, the needle should be places
where? - Answers -Above the rib
Which of the following is NOT a reason to use flucytosine in conjunction with
amphotericin B? - Answers -The incidence of adverse effects is decreased
Periventricular calcifications are most often seen in the which of the following congenital
infections? - Answers -CMV
Digestion of which of the following is LEAST dependent on bile salts? - Answers -
medium chain triglycerides (MCT)
An infant has several nodules that are diagnosed as subcutaneous fat necrosis. Which
of the following should the infant be monitored for? - Answers -Hypercalcemia
Which is the correct I:T ratio of the following CBC:
WBC 3200
Segs 40%
Bands 21%
Lymphs 35%
metas 2%
Eos 2% - Answers -0.36
, What is the cause of pneumotosis in NEC? - Answers -gas forming bacteria within
submucosa
Testing the biceps reflex best tests? - Answers -Phasic tone
Which of the following drugs may cause improvement in the infant with transient
neonatal myasthenia gravis? - Answers -Neostigmine methylsulfate
The best definition of beneficence is: - Answers -The moral obligation to "do good".
When evaluating for early digitalis toxicity on an EKG the most reliable sign is: -
Answers -Prolongation of the PR interval
Which type of brachial plexus injury typically presents with the "waiter's tip position". -
Answers -Erb's Palsy
A defect affecting the lower motor neuron will generally present with: - Answers -Absent
deep tendon reflex
Which of the following syndromes will most likely be associated with macrocephaly? -
Answers -Achondroplasia
An infant has craniosynostosis of the sagittal suture. His head shape would most likely
be described as: - Answers -Scaphocephaly
How does surfactant work? - Answers -By decreasing surface tension
Low alpha-fetoprotein may be associated with what? - Answers -Trisomy disorders
Eisenmenger's complex is typically seen with what? - Answers -Left-to-right shunt
defects
Cor pulmonale is most often associated with what? - Answers -Right ventricular
hypertrophy
Which of the following labs most represents an infant with congenital hypothyroidism? -
Answers -Low T4 & elevated TSH
Diabetes insipidus is most often associated with what? - Answers -Increased plasma
osmolality
What will be increased in rickets of prematurity? - Answers -Alkaline phosphatase levels
Scalded skin syndrome is seen with: - Answers -Staphylococcus aureus infection
The Ladd procedure is done for infants with what? - Answers -Malrotation
