RNC NIC ACTUAL 2026 EXAM QUESTIONS AND SOLUTIONS
RATED A+
✔✔Sirenomelia - ✔✔Imperforate anus
✔✔Trisomy 13 - ✔✔Malrotation
CHD
Coloboma
Growth restriction
Microcephaly
Low-set malformed ears
Cleft lip & palate
Holoproencephaly
Cardiac malformation
Omphalocele
Renal malformation
✔✔Trisomy 18 - ✔✔Umbilical defect
Pyloric stenosis
Malrotation
TEF/EA
CHD
Abnormal Muscle tone
Microcephaly
Short sternum
Low-set malformed ears
Single umbilical artery
Rocker bottom feet
Growth deficiencies
Craniofacial defects
Acutis aplasia
Polydactyly
Single Palmer crease
hand posturing with second and fifth digits overlapping third and fourth
✔✔Cri du chat syndrome - ✔✔
✔✔Cardiac anomalies associated with IDM babies - ✔✔VSD
TGV
PDA
Endocardial cushion defect
✔✔Noonan's Syndrome - ✔✔Second most common genetic syndrome
-webbing of neck
-Pectus excavatum
, -cryptorchism
-pulmonary stenosis
✔✔Pompe Disease - ✔✔-Glycogen storage disease type II
-Autosomal recessive
-marked cardiomyopathy
-Profound hypotonia and muscle weakness
- Hepatomegaly
-feeding difficulties
-respiratory distress
✔✔DIC Labs - ✔✔-Low platelets
-prolonged PT and PTT
-increased FSP
-decreased fibrinogen
-increased d-dimer which is the marker DIC
✔✔Albumin - ✔✔-Synthesized in the liver
-decreased in hepatocellular injury
✔✔Alk Phos - ✔✔-derived from liver, also found in bone, kidney, and small intestine
-increased an obstructed bile disease, hepatitis, bone disease
✔✔AST & ALT - ✔✔-most sensitive test for hepatocellular necrosis
-ALT more specific
-greater than 300+ Jaundice equals liver disease
✔✔Gastroschisis - ✔✔Herniation of bowel through abdominal wall defect
Predominately to right side
Associated with prematurity, intestinal malrotation, and atresia
✔✔Omphalocele - ✔✔Defective of abdominal wall into umbilical cord
Often associated with a syndrome or other defects
✔✔Diagnosis of gastroschisis or omphalocele - ✔✔Elevated AFP
✔✔Treatment of gastroschisis or omphalocele - ✔✔Place in sterile owl bag
Cover defect with warm sterile moist dressings
Maintain NPO and gastric decompression
Maintain sidelying position
✔✔Bilious vomiting - ✔✔An obstruction distal to Ampulla of Vater
✔✔s/s of TEF/EA - ✔✔Copious oral secretions, drooling
Polyhydramnios
RATED A+
✔✔Sirenomelia - ✔✔Imperforate anus
✔✔Trisomy 13 - ✔✔Malrotation
CHD
Coloboma
Growth restriction
Microcephaly
Low-set malformed ears
Cleft lip & palate
Holoproencephaly
Cardiac malformation
Omphalocele
Renal malformation
✔✔Trisomy 18 - ✔✔Umbilical defect
Pyloric stenosis
Malrotation
TEF/EA
CHD
Abnormal Muscle tone
Microcephaly
Short sternum
Low-set malformed ears
Single umbilical artery
Rocker bottom feet
Growth deficiencies
Craniofacial defects
Acutis aplasia
Polydactyly
Single Palmer crease
hand posturing with second and fifth digits overlapping third and fourth
✔✔Cri du chat syndrome - ✔✔
✔✔Cardiac anomalies associated with IDM babies - ✔✔VSD
TGV
PDA
Endocardial cushion defect
✔✔Noonan's Syndrome - ✔✔Second most common genetic syndrome
-webbing of neck
-Pectus excavatum
, -cryptorchism
-pulmonary stenosis
✔✔Pompe Disease - ✔✔-Glycogen storage disease type II
-Autosomal recessive
-marked cardiomyopathy
-Profound hypotonia and muscle weakness
- Hepatomegaly
-feeding difficulties
-respiratory distress
✔✔DIC Labs - ✔✔-Low platelets
-prolonged PT and PTT
-increased FSP
-decreased fibrinogen
-increased d-dimer which is the marker DIC
✔✔Albumin - ✔✔-Synthesized in the liver
-decreased in hepatocellular injury
✔✔Alk Phos - ✔✔-derived from liver, also found in bone, kidney, and small intestine
-increased an obstructed bile disease, hepatitis, bone disease
✔✔AST & ALT - ✔✔-most sensitive test for hepatocellular necrosis
-ALT more specific
-greater than 300+ Jaundice equals liver disease
✔✔Gastroschisis - ✔✔Herniation of bowel through abdominal wall defect
Predominately to right side
Associated with prematurity, intestinal malrotation, and atresia
✔✔Omphalocele - ✔✔Defective of abdominal wall into umbilical cord
Often associated with a syndrome or other defects
✔✔Diagnosis of gastroschisis or omphalocele - ✔✔Elevated AFP
✔✔Treatment of gastroschisis or omphalocele - ✔✔Place in sterile owl bag
Cover defect with warm sterile moist dressings
Maintain NPO and gastric decompression
Maintain sidelying position
✔✔Bilious vomiting - ✔✔An obstruction distal to Ampulla of Vater
✔✔s/s of TEF/EA - ✔✔Copious oral secretions, drooling
Polyhydramnios
