Detailed Answers – Neonatal Intensive Care
Certification (A+ Graded, Updated Version)
Introduction:
This document provides the full set of verified and graded A+
questions and detailed answers for the NCC RNC–NIC (Neonatal
Intensive Care Nursing Certification) exam. It covers neonatal
pathophysiology, pharmacology, respiratory management,
thermoregulation, infection control, genetic disorders, and maternal-
fetal health. Each question includes the correct and comprehensive
explanation, aligned with current NCC standards and clinical practice
guidelines. Ideal for NICU nurses preparing for certification or
review.
Questions and Answers:
symptoms of hypocalcemia, hypomagnesemia, hypoglycemia -
Answer:-irritability, tremors, seizures
hypermagnesemia -Answer:->2.8; may not want to start feeds until
gut wakes up
education for PKU -Answer:-lifelong phenylalanine restriction; NO
breastfeeding
,what type of heat loss with an omphalocele -Answer:-radiant
another name for prune belly syndrome -Answer:-eagle barrett
findings of prune belly syndrome -Answer:-lack of abdominal
musculature, undescended testes
first sign of esophageal atresia -Answer:-inability to pass OG tube
xray finding of duodenal atresia -Answer:-double bubble
meconium ileus -Answer:-associated with CF
#1 risk factor for NEC -Answer:-prematurity
most common pathogen of NEC -Answer:-e coli
goal treatment for NEC -Answer:-spare as much bowel as possible,
including ileocecal valve; slow introduction of feedings to prevent
gut atrophy
, reliability -Answer:-research tool; ability to get the same consistent
results when used repeatedly
validity -Answer:-ability to measure what it is supposed to measure
bicuspid/mitral -Answer:-left
tricuspid -Answer:-right
HR + SV = -Answer:-CO
Maternal serum alpha-fetoprotein (MSAFP) -Answer:-indicates an
open neural tube defect
When is MSAFP tested? -Answer:-16-18 weeks gestation
chorionic villus sampling -Answer:-a test made in early pregnancy
to detect congenital abnormalities in the fetus.
When is CVS performed? -Answer:-1st trimester
Amniocentesis -Answer:-assesses fetal lung maturity