RNC NIC 2026 CREDENTIALING EXAM
PREPARATION STRATEGY OUTCOMES
BLUEPRINT
◉ Suggested vent settings for extubation
Answer: IMV- 10-20/"
PIP- 14-18
Vt - 3.5-5ml/kg
FIO2- 21-30%
◉ Boot shaped heart on x-ray is diagnostic of
Answer: Tetrology of Fallot
◉ CHD's with increased pulmonary bloodflow
Answer: 1) PDA
2) VSD
3) ASD
4) endocardial cushion defect
◉ Most common CHD
Answer: VSD (nearly 50%)
,◉ Treatment of VSD
Answer: 50-75% of small VSDs close on their own
Large VSDs may get smaller
Treat mild CHF with Digoxin and diuretics
Surgery at 6 to 12 months of age if needed
◉ ASD s/s
Answer: Failure to thrive
Recurrent respiratory infections
◉ Most common CHD with Trisomy 21
Answer: Endocardial cushion defect
◉ Obstructive CHD's with pulmonary venous congestion
Answer: 1) coarctation of aorta
2) aortic stenosis
◉ Most common CHD associated with Turner's syndrome
Answer: Coarctation of aorta
◉ Treatment of coarctation of aorta
,Answer: Treat CHF aggressively
PGE1 to maintain DA
Surgical repair (can reoccur)
◉ Aortic stenosis signs/symptoms
Answer: None at birth
Grade 2-6 harsh systolic murmur in upper RSB
CHF S/S delayed by weeks but progresses rapidly
◉ Aortic stenosis treatment
Answer: If critical PGE to maintain DA.
First, balloon valvuloplasty (usually successful)
Surgery if fails
◉ Obstructive defects with decreased pulmonary blood flow
Answer: 1) TOF
2) pulmonary stenosis
3) pulmonary atresia
4) tricuspid atresia
◉ Most common cyanotic heart lesion
Answer: TOF
, ◉ TOF on chest x-ray
Answer: Boot shaped heart, normal size
◉ Components of TOF
Answer: 1) pulmonary stenosis
2) VSD
3) aorta overrides VSD
4) RV hypertrophy
◉ Mixed CHD
Answer: 1) TGV
2) Truncus arteriosus
3) TAPVR
4) HLHS
◉ Truncus arteriosus associated with which syndrome
Answer: Di George Syndrome
◉ CXR heart has appearance of "egg on a string"
Answer: TGV
PREPARATION STRATEGY OUTCOMES
BLUEPRINT
◉ Suggested vent settings for extubation
Answer: IMV- 10-20/"
PIP- 14-18
Vt - 3.5-5ml/kg
FIO2- 21-30%
◉ Boot shaped heart on x-ray is diagnostic of
Answer: Tetrology of Fallot
◉ CHD's with increased pulmonary bloodflow
Answer: 1) PDA
2) VSD
3) ASD
4) endocardial cushion defect
◉ Most common CHD
Answer: VSD (nearly 50%)
,◉ Treatment of VSD
Answer: 50-75% of small VSDs close on their own
Large VSDs may get smaller
Treat mild CHF with Digoxin and diuretics
Surgery at 6 to 12 months of age if needed
◉ ASD s/s
Answer: Failure to thrive
Recurrent respiratory infections
◉ Most common CHD with Trisomy 21
Answer: Endocardial cushion defect
◉ Obstructive CHD's with pulmonary venous congestion
Answer: 1) coarctation of aorta
2) aortic stenosis
◉ Most common CHD associated with Turner's syndrome
Answer: Coarctation of aorta
◉ Treatment of coarctation of aorta
,Answer: Treat CHF aggressively
PGE1 to maintain DA
Surgical repair (can reoccur)
◉ Aortic stenosis signs/symptoms
Answer: None at birth
Grade 2-6 harsh systolic murmur in upper RSB
CHF S/S delayed by weeks but progresses rapidly
◉ Aortic stenosis treatment
Answer: If critical PGE to maintain DA.
First, balloon valvuloplasty (usually successful)
Surgery if fails
◉ Obstructive defects with decreased pulmonary blood flow
Answer: 1) TOF
2) pulmonary stenosis
3) pulmonary atresia
4) tricuspid atresia
◉ Most common cyanotic heart lesion
Answer: TOF
, ◉ TOF on chest x-ray
Answer: Boot shaped heart, normal size
◉ Components of TOF
Answer: 1) pulmonary stenosis
2) VSD
3) aorta overrides VSD
4) RV hypertrophy
◉ Mixed CHD
Answer: 1) TGV
2) Truncus arteriosus
3) TAPVR
4) HLHS
◉ Truncus arteriosus associated with which syndrome
Answer: Di George Syndrome
◉ CXR heart has appearance of "egg on a string"
Answer: TGV
