NC-NIC Actual Exam Version 1& 2
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Causes of pulmonary hemorrhage - ANSWER>>Prematurity
Erythroblastosis
Intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnosis, PDA
Sepsis
Hypothermia
Surfactant replacement
Treatment of pulmonary hemorrhage - ANSWER>>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 - ANSWER>>Cessation of respiration for 20 seconds, or less if
accompanied by cyanosis, pallor, decreased tone, bradycardia
Causes pulmonary hypoplasia - ANSWER>>1) conditions that limit lung growth
(CCAM, DH)
2) oligohydramnios (thoracic compression)
,3) associated congenital malformations (Potters, phrenic nerve absence)
Normal blood gas results - ANSWER>>ph 7.35-7.45
PaCO2 35-45
PaO2 50-80
HCO3 22-26
BE -2 to +2
Vent Setting VT (tidal volume) - ANSWER>>-Primary factor affecting oxygenation
and ventilation
-should be 4-5 ml/kg
Vent Settings
-To increase ventilation - ANSWER>>Increase rate
Vent settings
-to increase oxygenation - ANSWER>>Increase FiO2, PEEP, or VT
Inclusion criteria for ECMO - ANSWER>>1) GA > 34 weeks
2) BE > 2000 grams
3) reversible lung disease
4) no lethal anomalies or brain injuries
5) IVH Gr 2 or <
6) no significant bleeding issues
Vent Setting Rate - ANSWER>>Set rate at 30-40/minute for respiratory failure
Set rate at 20-30/minute for no respiratory failure
Adjust to maintain PCO2 40-50
Rate >40/minute can lead to air trapping
, Vent setting PIP - ANSWER>>Determines VT and affects PaO2
Determined by weight, GA, lung compliance, & airway resistance
20 is appropriate for most preterm infants
Look at chest wall movement
Vent Setting PEEP - ANSWER>>Physiologic PEEP is about 2cm
Usually set at 4-7cm
>7 can cause air leaks
Aids maintaining FRC
Stabilizes and recruits atelectatic areas
Increase compliance and V/Q mismatch
Vent setting MAP - ANSWER>>Average distending pressure throughout complete
respiratory cycle
Major determinant of oxygenation
Increased MAP causes barotrauma
HFOV parameters - ANSWER>>1) MAP
2) Amplitude-volume delivered
3) Frequency-3-15 Hz (1 Hz=60 breaths)
Lasix dose - ANSWER>>1-2mg/kg IV or po
Digoxin works by - ANSWER>>Increasing intracellular calcium leading to a
+inotropic effect which increases contractility
Beta-lactam antibiotics include and work by - ANSWER>>PCN & cephalosporins
Lysing bacterial cell walls
Dexamethasone adverse effects - ANSWER>>-increased glucose levels
-increase blood pressure
-Poor weight gain
Newest / RNC-NIC Exam Preparation
/RNC-NIC Practice Exam With Complete
Questions And Correct Detailed Answers
|Already Graded A+(Newest Version!)
Causes of pulmonary hemorrhage - ANSWER>>Prematurity
Erythroblastosis
Intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnosis, PDA
Sepsis
Hypothermia
Surfactant replacement
Treatment of pulmonary hemorrhage - ANSWER>>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 - ANSWER>>Cessation of respiration for 20 seconds, or less if
accompanied by cyanosis, pallor, decreased tone, bradycardia
Causes pulmonary hypoplasia - ANSWER>>1) conditions that limit lung growth
(CCAM, DH)
2) oligohydramnios (thoracic compression)
,3) associated congenital malformations (Potters, phrenic nerve absence)
Normal blood gas results - ANSWER>>ph 7.35-7.45
PaCO2 35-45
PaO2 50-80
HCO3 22-26
BE -2 to +2
Vent Setting VT (tidal volume) - ANSWER>>-Primary factor affecting oxygenation
and ventilation
-should be 4-5 ml/kg
Vent Settings
-To increase ventilation - ANSWER>>Increase rate
Vent settings
-to increase oxygenation - ANSWER>>Increase FiO2, PEEP, or VT
Inclusion criteria for ECMO - ANSWER>>1) GA > 34 weeks
2) BE > 2000 grams
3) reversible lung disease
4) no lethal anomalies or brain injuries
5) IVH Gr 2 or <
6) no significant bleeding issues
Vent Setting Rate - ANSWER>>Set rate at 30-40/minute for respiratory failure
Set rate at 20-30/minute for no respiratory failure
Adjust to maintain PCO2 40-50
Rate >40/minute can lead to air trapping
, Vent setting PIP - ANSWER>>Determines VT and affects PaO2
Determined by weight, GA, lung compliance, & airway resistance
20 is appropriate for most preterm infants
Look at chest wall movement
Vent Setting PEEP - ANSWER>>Physiologic PEEP is about 2cm
Usually set at 4-7cm
>7 can cause air leaks
Aids maintaining FRC
Stabilizes and recruits atelectatic areas
Increase compliance and V/Q mismatch
Vent setting MAP - ANSWER>>Average distending pressure throughout complete
respiratory cycle
Major determinant of oxygenation
Increased MAP causes barotrauma
HFOV parameters - ANSWER>>1) MAP
2) Amplitude-volume delivered
3) Frequency-3-15 Hz (1 Hz=60 breaths)
Lasix dose - ANSWER>>1-2mg/kg IV or po
Digoxin works by - ANSWER>>Increasing intracellular calcium leading to a
+inotropic effect which increases contractility
Beta-lactam antibiotics include and work by - ANSWER>>PCN & cephalosporins
Lysing bacterial cell walls
Dexamethasone adverse effects - ANSWER>>-increased glucose levels
-increase blood pressure
-Poor weight gain
