NCC EXAM PRACTICE QUESTIONS 2025
Which of the following is a gram negative rod?
- answers-E. Coli
Which if the following could have a tentative identification of "cocci in chains"?
- answers-Streptococcus
Which antibiotic best treats Chlamydia?
- answers-Erythromycin
Dark blue or magenta colored papules or nodules (blue berry muffin sign)
sometimes seen with congenital CMV are a result of what?
- answers-Extramedullary dermal erythropoiesis
Fetal hemoglobin shifts the oxy-hemoglobin dissociated curve to the?
- answers-Left
Alkalosis shifts the oxy-hemoglobin dissociation curve to the?
- answers-Left
Which of the following is NOT a problem that can occur with chronic lasix
therapy?
- answers-Metabolic acidosis
When performing a needle aspiration for a pneumothorax, the needle should be
places where?
- answers-Above the rib
,Which of the following is NOT a reason to use flucytosine in conjunction with
amphotericin B?
- answers-The incidence of adverse effects is decreased
A 33 week gestation infant displays the following characteristics at one minute of
age:
HR 90
No respiratory effort
Some flexion of extremities
Weak reflex irritability
Blue and pale
- answers-3
A 900 gram infant is receiving NS flushes of 1mL every 4 hours. How many
meq/kg/day of Na+ is the infant receiving from flushes?
- answers-1 meq/kg/day
An IV of D12W is running at 6mL/hr. How many mg/kg/minute of glucose if a
1500 gram infant receving?
- answers-8 mg/kg/minutes
When doing an LP, what is the most appropriate interspace?
- answers-L4-5
Low umbilical artery catheters should be places where?
- answers-L3-4
Soft tissue on an overpenetrated CXR will look?
- answers-dark
In utero blood going through the patent ductus arteriosus travels which direction?
- answers-right to left
A 27 week gestation infant presents with bounding pulses, tachypnea, increased O2
requirement, and a Grade II holosystolic murmur on day 2 of life. Blood shunting
,through the PDA is most likely being shunted which direction?
- answers-left to right
A full term infant presents with cyanosis that does not respond to O2 in the
delivery room and a single S2 is also noted. Which of the following defects does
the infant most likely have?
- answers-Pulmonary atresia
S1 is best heard where?
- answers-apex
The CXR of an infant with hypoplastic left heart syndrome will most likely have?
- answers-increased pulmonary vascular markings
When does the fastest myelination occur?
- answers-2nd trimester
Evidence suggests that maternal valproic acid may be related to?
- answers-Fetal neural tube defects
What % of infants with congenital CMV are asymptomatic at birth?
- answers-90%
The best time to obtain a herpes culture in the neonate with suspected herpes is?
- answers-24-48 hours of age
Which of the following is most likely to present with congenital cataracts?
- answers-Rubella
Periventricular calcifications are most often seen in the which of the following
congenital infections?
- answers-CMV
Digestion of which of the following is LEAST dependent on bile salts?
- answers-medium chain triglycerides (MCT)
, An infant has several nodules that are diagnosed as subcutaneous fat necrosis.
Which of the following should the infant be monitored for?
- answers-Hypercalcemia
Which is the correct I:T ratio of the following CBC:
WBC 3200
Segs 40%
Bands 21%
Lymphs 35%
metas 2%
Eos 2%
- answers-0.36
What is the cause of pneumotosis in NEC?
- answers-gas forming bacteria within submucosa
Testing the biceps reflex best tests?
- answers-Phasic tone
Which of the following drugs may cause improvement in the infant with transient
neonatal myasthenia gravis?
- answers-Neostigmine methylsulfate
The best definition of beneficence is:
- answers-The moral obligation to "do good".
When evaluating for early digitalis toxicity on an EKG the most reliable sign is:
- answers-Prolongation of the PR interval
Which type of brachial plexus injury typically presents with the "waiter's tip
position".
- answers-Erb's Palsy
Which of the following is a gram negative rod?
- answers-E. Coli
Which if the following could have a tentative identification of "cocci in chains"?
- answers-Streptococcus
Which antibiotic best treats Chlamydia?
- answers-Erythromycin
Dark blue or magenta colored papules or nodules (blue berry muffin sign)
sometimes seen with congenital CMV are a result of what?
- answers-Extramedullary dermal erythropoiesis
Fetal hemoglobin shifts the oxy-hemoglobin dissociated curve to the?
- answers-Left
Alkalosis shifts the oxy-hemoglobin dissociation curve to the?
- answers-Left
Which of the following is NOT a problem that can occur with chronic lasix
therapy?
- answers-Metabolic acidosis
When performing a needle aspiration for a pneumothorax, the needle should be
places where?
- answers-Above the rib
,Which of the following is NOT a reason to use flucytosine in conjunction with
amphotericin B?
- answers-The incidence of adverse effects is decreased
A 33 week gestation infant displays the following characteristics at one minute of
age:
HR 90
No respiratory effort
Some flexion of extremities
Weak reflex irritability
Blue and pale
- answers-3
A 900 gram infant is receiving NS flushes of 1mL every 4 hours. How many
meq/kg/day of Na+ is the infant receiving from flushes?
- answers-1 meq/kg/day
An IV of D12W is running at 6mL/hr. How many mg/kg/minute of glucose if a
1500 gram infant receving?
- answers-8 mg/kg/minutes
When doing an LP, what is the most appropriate interspace?
- answers-L4-5
Low umbilical artery catheters should be places where?
- answers-L3-4
Soft tissue on an overpenetrated CXR will look?
- answers-dark
In utero blood going through the patent ductus arteriosus travels which direction?
- answers-right to left
A 27 week gestation infant presents with bounding pulses, tachypnea, increased O2
requirement, and a Grade II holosystolic murmur on day 2 of life. Blood shunting
,through the PDA is most likely being shunted which direction?
- answers-left to right
A full term infant presents with cyanosis that does not respond to O2 in the
delivery room and a single S2 is also noted. Which of the following defects does
the infant most likely have?
- answers-Pulmonary atresia
S1 is best heard where?
- answers-apex
The CXR of an infant with hypoplastic left heart syndrome will most likely have?
- answers-increased pulmonary vascular markings
When does the fastest myelination occur?
- answers-2nd trimester
Evidence suggests that maternal valproic acid may be related to?
- answers-Fetal neural tube defects
What % of infants with congenital CMV are asymptomatic at birth?
- answers-90%
The best time to obtain a herpes culture in the neonate with suspected herpes is?
- answers-24-48 hours of age
Which of the following is most likely to present with congenital cataracts?
- answers-Rubella
Periventricular calcifications are most often seen in the which of the following
congenital infections?
- answers-CMV
Digestion of which of the following is LEAST dependent on bile salts?
- answers-medium chain triglycerides (MCT)
, An infant has several nodules that are diagnosed as subcutaneous fat necrosis.
Which of the following should the infant be monitored for?
- answers-Hypercalcemia
Which is the correct I:T ratio of the following CBC:
WBC 3200
Segs 40%
Bands 21%
Lymphs 35%
metas 2%
Eos 2%
- answers-0.36
What is the cause of pneumotosis in NEC?
- answers-gas forming bacteria within submucosa
Testing the biceps reflex best tests?
- answers-Phasic tone
Which of the following drugs may cause improvement in the infant with transient
neonatal myasthenia gravis?
- answers-Neostigmine methylsulfate
The best definition of beneficence is:
- answers-The moral obligation to "do good".
When evaluating for early digitalis toxicity on an EKG the most reliable sign is:
- answers-Prolongation of the PR interval
Which type of brachial plexus injury typically presents with the "waiter's tip
position".
- answers-Erb's Palsy
