RNC-MNN Study Guide Newest 2026/2027 Questions
and Correct Detailed Answers Already Graded A+
A newborn is noted at birth to be hypotonic with characteristics that include small
ears, flat appearance to the face, slanted palpebral tissues, and simian creases on
both palms. Based on the findings, the RN can expect a work up that includes
a. blood work sent for TORCH titers
b. genetic consult from chromosome studies
c. review of the prenatal history of maternal alcohol use - CORRECT ANSWER-
b. genetic consult from chromosome studies
Milk transfer, a key physiologic principle in lactation, is most efficient with
a. adequate prolactin levels
b. good lactation
c. strong negative pressure action by the baby - CORRECT ANSWER-b. good
lactation
,More than 2/3 of sentinel events reported to the Joint Commission were caused
by
a. communication failure among healthcare team members
b. fatigue and shift work related problems
c. inadequate staffing - CORRECT ANSWER-a. communication failure among
healthcare team members
During the recovery period following a rapid delivery, a woman had an elevated
BP, epigastric pain, and severe headache. IV mag sulfate was started at 2 gm/hr. 2
hours later, the woman is lethargic with worsening visual disturbances and has
now lapsed into a comatose state. She should be evaluated for
a. cerebral hemorrhage
b. HELLP syndrome
c. mag toxicity - CORRECT ANSWER-c. mag toxicity
A central venous hematocrit would be chosen over a heel stick sample to confirm
diagnosis of
a. hyperbilirubenemia
,b. polycythemia
c. vitamin K deficiency - CORRECT ANSWER-b. polycythemia
Polycythemia occurs more frequently in the IUGR neonate due to
a. decreased erythropoietin activity
b. immaturity of the hematologic system
c. physiologic response to hypoxia - CORRECT ANSWER-c. physiologic response
to hypoxia
Which of the following would be suggestive of a hydrocele?
a. a bluish-red colored swelling of the scrotum
b. irreducible swelling of the scrotum that transilluminates
c. presence of scrotal mass which does not transilluminate - CORRECT
ANSWER-b. irreducible swelling of the scrotum that transilluminates
A breastfeeding woman developed endomyometriosis 3 days after her cesarean.
She was treated with IV antibiotics and discharged home on oral antibiotics. On
her 6th postpartum day, she returns to the hospital with fever, shaking chills,
, tachycardia, and flank pain. She has urinary frequency and urgency. The patient
should be further assessed for
a. cystitis
b. pyelonephritis
c. wound infection - CORRECT ANSWER-b. pyelonephritis
Assessment of which of the following neonatal reflexes would be most important
in evaluation for brachial plexus nerve damage?
a. moro
b. rooting
c. stepping - CORRECT ANSWER-a. moro
A woman with preeclampsia is at greater risk for an eclamptic seizure if she has
a. developing epigastric abdominal pain
b. elevated BP despite being treated with mag sulfate
c. poor urinary output - CORRECT ANSWER-c. poor urinary output
and Correct Detailed Answers Already Graded A+
A newborn is noted at birth to be hypotonic with characteristics that include small
ears, flat appearance to the face, slanted palpebral tissues, and simian creases on
both palms. Based on the findings, the RN can expect a work up that includes
a. blood work sent for TORCH titers
b. genetic consult from chromosome studies
c. review of the prenatal history of maternal alcohol use - CORRECT ANSWER-
b. genetic consult from chromosome studies
Milk transfer, a key physiologic principle in lactation, is most efficient with
a. adequate prolactin levels
b. good lactation
c. strong negative pressure action by the baby - CORRECT ANSWER-b. good
lactation
,More than 2/3 of sentinel events reported to the Joint Commission were caused
by
a. communication failure among healthcare team members
b. fatigue and shift work related problems
c. inadequate staffing - CORRECT ANSWER-a. communication failure among
healthcare team members
During the recovery period following a rapid delivery, a woman had an elevated
BP, epigastric pain, and severe headache. IV mag sulfate was started at 2 gm/hr. 2
hours later, the woman is lethargic with worsening visual disturbances and has
now lapsed into a comatose state. She should be evaluated for
a. cerebral hemorrhage
b. HELLP syndrome
c. mag toxicity - CORRECT ANSWER-c. mag toxicity
A central venous hematocrit would be chosen over a heel stick sample to confirm
diagnosis of
a. hyperbilirubenemia
,b. polycythemia
c. vitamin K deficiency - CORRECT ANSWER-b. polycythemia
Polycythemia occurs more frequently in the IUGR neonate due to
a. decreased erythropoietin activity
b. immaturity of the hematologic system
c. physiologic response to hypoxia - CORRECT ANSWER-c. physiologic response
to hypoxia
Which of the following would be suggestive of a hydrocele?
a. a bluish-red colored swelling of the scrotum
b. irreducible swelling of the scrotum that transilluminates
c. presence of scrotal mass which does not transilluminate - CORRECT
ANSWER-b. irreducible swelling of the scrotum that transilluminates
A breastfeeding woman developed endomyometriosis 3 days after her cesarean.
She was treated with IV antibiotics and discharged home on oral antibiotics. On
her 6th postpartum day, she returns to the hospital with fever, shaking chills,
, tachycardia, and flank pain. She has urinary frequency and urgency. The patient
should be further assessed for
a. cystitis
b. pyelonephritis
c. wound infection - CORRECT ANSWER-b. pyelonephritis
Assessment of which of the following neonatal reflexes would be most important
in evaluation for brachial plexus nerve damage?
a. moro
b. rooting
c. stepping - CORRECT ANSWER-a. moro
A woman with preeclampsia is at greater risk for an eclamptic seizure if she has
a. developing epigastric abdominal pain
b. elevated BP despite being treated with mag sulfate
c. poor urinary output - CORRECT ANSWER-c. poor urinary output
