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RNC-NIC Certification Exam 2024–2025 | Verified Questions with Correct Answers (Neonatal Intensive Care Nursing)

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This document provides a comprehensive collection of exam-style questions for the RNC-NIC (Registered Nurse Certified in Neonatal Intensive Care) certification, tailored for the 2024–2025 testing period. Each question is accompanied by a professor-verified correct answer, covering key neonatal topics such as pathophysiology, pharmacology, thermoregulation, neonatal resuscitation, and ventilatory management. Ideal for NICU nurses preparing for certification, this resource reflects the latest exam standards and clinical expectations.

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RNC - NIC Certification exam 2024/2025 QUESTIONS
AND CORRECT ANSWERS PROFESSOR VERIFIED

1. Perinatal cocaine exposure leads to?: Perinatal infection and respiratory
distress.
2. Amphetamine use leads to?: Cardiac arrhythmias and cleft lip.
3. Fetal alcohol exposure leads to?: Facial abnormalities and respiratory
distress.
4. Trisomy 18: Prominent occiput, low set ears, small eyes and jaw, clenched
hands with overlapping fingers, and rocker bottom feet.
5. Trisomy 21 (Down Syndrome): Brushfield spots, small ears, simian creases,
excess skin at the nape of the neck, up slanting palprebal fissures, hypotonia,
large protruding tongue, and cardiac anomalies.
6. Klinefelter Syndrome: Males, long limbs, elbow dysplasia, clindactyly,
hypospadias, hypogonadism, and cryptochidism.
7. Turner Syndrome: Female, SGA, broad chest, widely spaced nipples,
extremity edema, and a short webbed neck.




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, 8. Effects more common in Down's Syndrome infants?: Duodenal atresia,
esophageal fistula, and cardiac defects (i.e. ASD, VSD, PDA, Tetralogy of
Fallot, and endocardial cushion defects).
9. Trisomy 13 (Patau Syndrome): Cutis aplasia (absence of epidermis over
skull), microphthalmia, overlapping digits, low set ears, cleft palate,
microcephaly, rocker bottom feet, organ abnormalities (i.e. cardiac defects,
holoprosenceohaly, and genitourinary abnormalities), and polydactyly.
10. Pierre Robin Sequence: Micrognathia resulting in upper airway
compromise.
11. DiGeorge Syndrome (22q Depletion): Microcephaly with a long face with
prominent nose and small mouth and chin.
12. Craniotabes: Soft spots on the skull that collapse and recoil with pressure.
They are usually found in the parietal and occipital region and are thought to
result from bone reabsorption due to pressure of the skull against the maternal
pelvis.
13. Congenital Varciella: Findings include cicatricial scarring, limb hypoplasia,
and microphthalmia.
14. Congenital Cytomegalovirus (CMV): Findings include
hepatosplenomegaly, and "blueberry muffin" rash.
15. Congenital Rubella: Findings include microphthalmia, cataracts, glaucoma,
chorioretinitis, and congenital heart disease.
16. Toxoplasmosis: Characterized by chorioretinitis and intracerebral
calcifications.




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