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Exam (elaborations)

RNC-NIC Test Questions and Answers 2024/2025 – A+ Grade Comprehensive Exam Review

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This document contains a collection of RNC-NIC (Neonatal Intensive Care Nursing) test questions and detailed answers, updated for the 2024/2025 certification cycle. It covers key neonatal intensive care topics such as respiratory management, cardiovascular disorders, neonatal pharmacology, thermoregulation, and family-centered care. Designed for nurses aiming for an A+ grade, this material aligns with current NCC RNC-NIC exam standards and clinical guidelines.

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Institution
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Uploaded on
August 2, 2025
Number of pages
25
Written in
2025/2026
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RNC-NIC questions and answers
2024\2025 A+ Grade

Correct ETT placement - correct answer T1-T2

level of clavicles



Correct UVC placement - correct answer T 8-9

0.5-1 cm above diaphragm

Tip in inf. vena cava



Correct UAC placement - correct answer Low-L3-4

Below renal arteries



High-T6-10



Correct PICC placement - correct answer T3-5

Lower 1/3 of s. Vena cava



Normal weight loss of preterm infant - correct answer 10-15%



Healthy term infant requires how many kcal/kg/day for normal growth? - correct answer 100-120
kcal/kg/day



Formula to calculate GIR - correct answer ml/kg/day x %dextrose ➗1.44



Normal GIR - correct answer 4-6 ml/kg/min initially May go as high as 12

,Anomalies associated with esophageal atresia - correct answer SGA

VATER synd.

-vertebral

-imperf anus

-renal dysplasia



Increased risk of mec plug? - correct answer -premature

-IDM

-small left colon

-cystic fibrosis



Signs of pyloric stenosis - correct answer 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 - correct answer 36.5 to 37.4°C



TTN vs RDS - correct answer Usually requires less than 40% FI O2

Improves quicker

Larger lung volumes



Natural diuresis occurs at_____________ hours of age as condition improves - correct answer 48-72
hours



Prolonged rupture of membranes - correct answer Greater than 18 hours



Difference in PaO2 of________ or greater documents ductal shunting - correct answer 15%

, With PPHN goal is to keep PaO2 ________or > - correct answer 50



Signs and symptoms of MAS - correct answer Chest hyperinflated on x-ray

Low PaO2 with O2 given

Air leaks

Prone to PPHN



Treatment of micrognathia - correct answer 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 - correct answer Pierre Robin syndrome

Trisomy 18

Trisomy 21

Cri-du-chat syndrome



Causes of pulmonary hemorrhage - correct answer Prematurity

Erythroblastosis

Intracranial hemorrhage

Asphyxia

Aspiration

Heart diagnosis, PDA

Sepsis

Hypothermia

Surfactant replacement



Treatment of pulmonary hemorrhage - correct answer Vent and use PEEP to decrease bleeding

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