RNC-NIC Test Questions and Answers
2024/2025 – A+ Grade Comprehensive Exam
Review
GIR - Correct Answer ✔✔ - 6-8mcg/kg/min caloric intake
D10 Bolus - Correct Answer ✔✔ - 2mL/kg
Fluid Volume Bolus - Correct Answer ✔✔ - 10mL/kg
Term Parenteral Fluid Requirement - Correct Answer ✔✔ - 80mL/kg/day
Enteral 100-150 mlk/kg/day
Preterm Parenteral Fluid Requirement - Correct Answer ✔✔ - 120
Enteral 150-200ml/kig/day
GIR Calculation - Correct Answer ✔✔ - (%dextrose x IV rate) / (6 x wt in kg)
I/T ratio - Correct Answer ✔✔ - %Metas + Bands / %Metas + Bands + Segs
I/T ratio greater than >0.2 to >.25 suggestive of infection
>0.8 associated with shock
Absolute Neutrophil COUNT - Correct Answer ✔✔ - WBC x (%) Segmented
neutrophils + band neutrophils + metamyelocytes
Example. 15,000 x 35 segs + 15 bands + 3 metas (turns into percent)
15,000 x .53 = 7950
ANC <1800 suggestive of infection
Normal Range
Mature WBCs - Correct Answer ✔✔ - Poly, Segs, Neutrophils
Immature WBCs - Correct Answer ✔✔ - Meta, Bands, Stabs
, RNC-NIC Test Questions and Answers
2024/2025 – A+ Grade Comprehensive Exam
Review
Platelet Range - Correct Answer ✔✔ - 150-400k
Thrombocytopenia (< 100,000/mm 3 ): possible association with bacterial sepsis or viral
infection, but usual onset does not occur until 1 to 3 days after infection onset (late
indicator). May also occur with maternal HELLP syndrome ( h emolysis, e levated l iver
function test results, and l ow p latelet count), pregnancy-induced hypertension, and
intrauterine growth restriction, as well as some syndromes such as trisomies 13, 18,
and 21, Turner's syndrome, and hemolytic disease.
CRP level - Correct Answer ✔✔ - CRP level usually <1.6 for the first two days of life
Elevated cord blood CRP levels are associated with chorioamnionitis with prolonged
rupture of membranes.
Most common pathogens - Correct Answer ✔✔ - Currently, GBS
E. coli
Candidas - Correct Answer ✔✔ - -Diaper dermatitis presents with intense erythema
and satellite lesions.
-Congenital candidiasis presents with widespread erythematous maculopapular rash,
and preterm infants may present with pneumonia.
Congenital CMV infection - Correct Answer ✔✔ - congenital infection include:
intrauterine growth restriction, hepatosplenomegaly, jaundice, purpura, pneumonitis,
microcephaly, hydrocephalus, intracerebral calcifications, hearing loss, chorioretinitis,
and optic atrophy.
Endotracheal Measurement - Correct Answer ✔✔ - 6 + wt in kg
Proper placement on an endotracheal tube is midway between the thoracic inlet and the
carina.
, RNC-NIC Test Questions and Answers
2024/2025 – A+ Grade Comprehensive Exam
Review
Polyethelane Wrap for Infant < 29 weeks - Correct Answer ✔✔ - Dry infants head only
Place infant in bag, from neck down
Remove bag once infant is in an NTE and humidified environment
UAC Placement - Correct Answer ✔✔ - High Placement T6-T9
Low Placement L3-L4
UVC Placement - Correct Answer ✔✔ - 1 to 2cm above the diaghragm
Low Lying 2-4cm in the cord
Chest Tube Placement - Correct Answer ✔✔ - Mid Clavicular line with distal chest
tube hole inside the thoracic space
lecithin/sphingomyelin (L/S) ratio - Correct Answer ✔✔ - An L/S ratio greater than 2:1
is considered to indicate fetal lung maturity.
Anatomic events Five stages of lung development - Correct Answer ✔✔ - 1.
Embryonic development (weeks 1 to 5). The endoderm-derived embryonic foregut
provides a single lung bud that begins to divide ventrocaudally through the
mesenchyme surrounding the foregut. The pulmonary vein develops and extends to join
the lung bud. The trachea develops at the end of the embryonic period. There are three
divisions on the right side and two on the left side that will eventually become the lobes
of the lungs.
2. Pseudoglandular period (weeks 6 to 16). All conducting airways are formed. Cartilage
appears; main bronchi are formed; demarcation of major lobes occurs; formation of new
bronchi is complete; capillary bed is formed with connecting bronchial blood supply; no
connection made with terminal air sacs. The lung at this time undergoes 14 more
generations of branching and the formation of the terminal bronchioles. The lung
resembles an exocrine organ because of surrounding loose mesenchymal tissues,
hence the name pseudoglandular .
, RNC-NIC Test Questions and Answers
2024/2025 – A+ Grade Comprehensive Exam
Review
3. Canalicular period (weeks 16 to 26). Formation of gas-exchanging acinar units (i.e.,
respiratory units). The appearance of glycogen-rich cuboidal cells and inclusions for
surface-active material storage are seen; capillaries invade terminal airway walls; type II
alveolar epithelial cells appear. Airway changes from glandular to tubular and increases
in length and diameter. Vascular system proliferates and the capillaries are now closer
to the epithelium-conducting airways. Respiratory bronchioles that will participate in gas
exchange can be differentiated.
4. Terminal sac period (weeks 26 to birth). Around week 26 alveolar sacs are formed;
air-blood surface area is limited for gas exchange; and type II cells are unable to
release surfactant in sufficient quantity to maintain air breathing. Capillary loops
increase; type II cells cluster at alveolar ducts, beco
IUGR asymmetrical - Correct Answer ✔✔ - Weight low for Gestation Age
Head Sparing (less restriction on brain growth)
Old man appearance
Appear wasted, thin
Results from: Poor Placental function
Maternal Hypertension*
Smoking
IUGR Symmetric - Correct Answer ✔✔ - Lower weight, height, length, and head
circumference for gestational age
Results from intrauterine viral infection, chromosomal genetic abnormalities, long
standing disease
Prostaglandin E1 (alprostadil) - Correct Answer ✔✔ - Prevent premature closure of the
PDA
Side Effects: Apnea, hypotension, hyperthermia, bradycardia
2024/2025 – A+ Grade Comprehensive Exam
Review
GIR - Correct Answer ✔✔ - 6-8mcg/kg/min caloric intake
D10 Bolus - Correct Answer ✔✔ - 2mL/kg
Fluid Volume Bolus - Correct Answer ✔✔ - 10mL/kg
Term Parenteral Fluid Requirement - Correct Answer ✔✔ - 80mL/kg/day
Enteral 100-150 mlk/kg/day
Preterm Parenteral Fluid Requirement - Correct Answer ✔✔ - 120
Enteral 150-200ml/kig/day
GIR Calculation - Correct Answer ✔✔ - (%dextrose x IV rate) / (6 x wt in kg)
I/T ratio - Correct Answer ✔✔ - %Metas + Bands / %Metas + Bands + Segs
I/T ratio greater than >0.2 to >.25 suggestive of infection
>0.8 associated with shock
Absolute Neutrophil COUNT - Correct Answer ✔✔ - WBC x (%) Segmented
neutrophils + band neutrophils + metamyelocytes
Example. 15,000 x 35 segs + 15 bands + 3 metas (turns into percent)
15,000 x .53 = 7950
ANC <1800 suggestive of infection
Normal Range
Mature WBCs - Correct Answer ✔✔ - Poly, Segs, Neutrophils
Immature WBCs - Correct Answer ✔✔ - Meta, Bands, Stabs
, RNC-NIC Test Questions and Answers
2024/2025 – A+ Grade Comprehensive Exam
Review
Platelet Range - Correct Answer ✔✔ - 150-400k
Thrombocytopenia (< 100,000/mm 3 ): possible association with bacterial sepsis or viral
infection, but usual onset does not occur until 1 to 3 days after infection onset (late
indicator). May also occur with maternal HELLP syndrome ( h emolysis, e levated l iver
function test results, and l ow p latelet count), pregnancy-induced hypertension, and
intrauterine growth restriction, as well as some syndromes such as trisomies 13, 18,
and 21, Turner's syndrome, and hemolytic disease.
CRP level - Correct Answer ✔✔ - CRP level usually <1.6 for the first two days of life
Elevated cord blood CRP levels are associated with chorioamnionitis with prolonged
rupture of membranes.
Most common pathogens - Correct Answer ✔✔ - Currently, GBS
E. coli
Candidas - Correct Answer ✔✔ - -Diaper dermatitis presents with intense erythema
and satellite lesions.
-Congenital candidiasis presents with widespread erythematous maculopapular rash,
and preterm infants may present with pneumonia.
Congenital CMV infection - Correct Answer ✔✔ - congenital infection include:
intrauterine growth restriction, hepatosplenomegaly, jaundice, purpura, pneumonitis,
microcephaly, hydrocephalus, intracerebral calcifications, hearing loss, chorioretinitis,
and optic atrophy.
Endotracheal Measurement - Correct Answer ✔✔ - 6 + wt in kg
Proper placement on an endotracheal tube is midway between the thoracic inlet and the
carina.
, RNC-NIC Test Questions and Answers
2024/2025 – A+ Grade Comprehensive Exam
Review
Polyethelane Wrap for Infant < 29 weeks - Correct Answer ✔✔ - Dry infants head only
Place infant in bag, from neck down
Remove bag once infant is in an NTE and humidified environment
UAC Placement - Correct Answer ✔✔ - High Placement T6-T9
Low Placement L3-L4
UVC Placement - Correct Answer ✔✔ - 1 to 2cm above the diaghragm
Low Lying 2-4cm in the cord
Chest Tube Placement - Correct Answer ✔✔ - Mid Clavicular line with distal chest
tube hole inside the thoracic space
lecithin/sphingomyelin (L/S) ratio - Correct Answer ✔✔ - An L/S ratio greater than 2:1
is considered to indicate fetal lung maturity.
Anatomic events Five stages of lung development - Correct Answer ✔✔ - 1.
Embryonic development (weeks 1 to 5). The endoderm-derived embryonic foregut
provides a single lung bud that begins to divide ventrocaudally through the
mesenchyme surrounding the foregut. The pulmonary vein develops and extends to join
the lung bud. The trachea develops at the end of the embryonic period. There are three
divisions on the right side and two on the left side that will eventually become the lobes
of the lungs.
2. Pseudoglandular period (weeks 6 to 16). All conducting airways are formed. Cartilage
appears; main bronchi are formed; demarcation of major lobes occurs; formation of new
bronchi is complete; capillary bed is formed with connecting bronchial blood supply; no
connection made with terminal air sacs. The lung at this time undergoes 14 more
generations of branching and the formation of the terminal bronchioles. The lung
resembles an exocrine organ because of surrounding loose mesenchymal tissues,
hence the name pseudoglandular .
, RNC-NIC Test Questions and Answers
2024/2025 – A+ Grade Comprehensive Exam
Review
3. Canalicular period (weeks 16 to 26). Formation of gas-exchanging acinar units (i.e.,
respiratory units). The appearance of glycogen-rich cuboidal cells and inclusions for
surface-active material storage are seen; capillaries invade terminal airway walls; type II
alveolar epithelial cells appear. Airway changes from glandular to tubular and increases
in length and diameter. Vascular system proliferates and the capillaries are now closer
to the epithelium-conducting airways. Respiratory bronchioles that will participate in gas
exchange can be differentiated.
4. Terminal sac period (weeks 26 to birth). Around week 26 alveolar sacs are formed;
air-blood surface area is limited for gas exchange; and type II cells are unable to
release surfactant in sufficient quantity to maintain air breathing. Capillary loops
increase; type II cells cluster at alveolar ducts, beco
IUGR asymmetrical - Correct Answer ✔✔ - Weight low for Gestation Age
Head Sparing (less restriction on brain growth)
Old man appearance
Appear wasted, thin
Results from: Poor Placental function
Maternal Hypertension*
Smoking
IUGR Symmetric - Correct Answer ✔✔ - Lower weight, height, length, and head
circumference for gestational age
Results from intrauterine viral infection, chromosomal genetic abnormalities, long
standing disease
Prostaglandin E1 (alprostadil) - Correct Answer ✔✔ - Prevent premature closure of the
PDA
Side Effects: Apnea, hypotension, hyperthermia, bradycardia
