RNC-NIC Exam Questions and Answers
100% Solved | Graded A+
Correct ETT placement - ✔✔T1-T2
level of clavicles
Correct UVC placement - ✔✔T 8-9
0.5-1 cm above diaphragm
Tip in inf. vena cava
Correct UAC placement - ✔✔Low-L3-4
Below renal arteries
High-T6-10
Correct PICC placement - ✔✔T3-5
Lower 1/3 of s. Vena cava
Normal weight loss of preterm infant - ✔✔10-15%
Healthy term infant requires how many kcal/kg/day for normal growth? -
✔✔100-120 kcal/kg/day
Formula to calculate GIR - ✔✔ml/kg/day x %dextrose ➗1.44
Normal GIR - ✔✔4-6 ml/kg/min initially May go as high as 12
1|Page
©KERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
,Anomalies associated with esophageal atresia - ✔✔SGA
VATER synd.
-vertebral
-imperf anus
-renal dysplasia
Increased risk of mec plug? - ✔✔-premature
-IDM
-small left colon
-cystic fibrosis
Signs of pyloric stenosis - ✔✔Distended stomach on x-ray with little or no gas
below duodenum
Can palpate "olive"
Present at 2 to 3 weeks of life with Bile stained vomiting
Normal temp range axillary - ✔✔36.5 to 37.4°C
TTN vs RDS - ✔✔Usually requires less than 40% FI O2
Improves quicker
Larger lung volumes
2|Page
©KERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
,Natural diuresis occurs at_____________ hours of age as condition improves -
✔✔48-72 hours
Prolonged rupture of membranes - ✔✔Greater than 18 hours
Difference in PaO2 of________ or greater documents ductal shunting - ✔✔15%
With PPHN goal is to keep PaO2 ________or > - ✔✔50
Signs and symptoms of MAS - ✔✔Chest hyperinflated on x-ray
Low PaO2 with O2 given
Air leaks
Prone to PPHN
Treatment of micrognathia - ✔✔Prone positioning
Oral airway placement
Trach in rare cases
Generally mandibular growth "catches up" by 6 to 12 months
Surgery if significant compromise
Micrognathia associated with - ✔✔Pierre Robin syndrome
Trisomy 18
Trisomy 21
Cri-du-chat syndrome
3|Page
©KERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
, Causes of pulmonary hemorrhage - ✔✔Prematurity
Erythroblastosis
Intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnosis, PDA
Sepsis
Hypothermia
Surfactant replacement
Treatment of pulmonary hemorrhage - ✔✔Vent and use PEEP to decrease
bleeding
Transfused PRBC's as needed
Treat clotting problems
Assess and treat PDA
Treat underlying disease processes
Apneic event - ✔✔Cessation of respiration for 20 seconds, or less if
accompanied by cyanosis, pallor, decreased tone, bradycardia
Causes pulmonary hypoplasia - ✔✔1) conditions that limit lung growth (CCAM,
DH)
4|Page
©KERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
100% Solved | Graded A+
Correct ETT placement - ✔✔T1-T2
level of clavicles
Correct UVC placement - ✔✔T 8-9
0.5-1 cm above diaphragm
Tip in inf. vena cava
Correct UAC placement - ✔✔Low-L3-4
Below renal arteries
High-T6-10
Correct PICC placement - ✔✔T3-5
Lower 1/3 of s. Vena cava
Normal weight loss of preterm infant - ✔✔10-15%
Healthy term infant requires how many kcal/kg/day for normal growth? -
✔✔100-120 kcal/kg/day
Formula to calculate GIR - ✔✔ml/kg/day x %dextrose ➗1.44
Normal GIR - ✔✔4-6 ml/kg/min initially May go as high as 12
1|Page
©KERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
,Anomalies associated with esophageal atresia - ✔✔SGA
VATER synd.
-vertebral
-imperf anus
-renal dysplasia
Increased risk of mec plug? - ✔✔-premature
-IDM
-small left colon
-cystic fibrosis
Signs of pyloric stenosis - ✔✔Distended stomach on x-ray with little or no gas
below duodenum
Can palpate "olive"
Present at 2 to 3 weeks of life with Bile stained vomiting
Normal temp range axillary - ✔✔36.5 to 37.4°C
TTN vs RDS - ✔✔Usually requires less than 40% FI O2
Improves quicker
Larger lung volumes
2|Page
©KERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
,Natural diuresis occurs at_____________ hours of age as condition improves -
✔✔48-72 hours
Prolonged rupture of membranes - ✔✔Greater than 18 hours
Difference in PaO2 of________ or greater documents ductal shunting - ✔✔15%
With PPHN goal is to keep PaO2 ________or > - ✔✔50
Signs and symptoms of MAS - ✔✔Chest hyperinflated on x-ray
Low PaO2 with O2 given
Air leaks
Prone to PPHN
Treatment of micrognathia - ✔✔Prone positioning
Oral airway placement
Trach in rare cases
Generally mandibular growth "catches up" by 6 to 12 months
Surgery if significant compromise
Micrognathia associated with - ✔✔Pierre Robin syndrome
Trisomy 18
Trisomy 21
Cri-du-chat syndrome
3|Page
©KERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
, Causes of pulmonary hemorrhage - ✔✔Prematurity
Erythroblastosis
Intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnosis, PDA
Sepsis
Hypothermia
Surfactant replacement
Treatment of pulmonary hemorrhage - ✔✔Vent and use PEEP to decrease
bleeding
Transfused PRBC's as needed
Treat clotting problems
Assess and treat PDA
Treat underlying disease processes
Apneic event - ✔✔Cessation of respiration for 20 seconds, or less if
accompanied by cyanosis, pallor, decreased tone, bradycardia
Causes pulmonary hypoplasia - ✔✔1) conditions that limit lung growth (CCAM,
DH)
4|Page
©KERRYMARTIN 2025/2026. YEAR PUBLISHED 2025.
