Page |1
RNC-NIC ACTUAL EXAM VERSION 1& 2 NEWEST / RNC-NIC
EXAM PREPARATION /RNC-NIC PRACTICE EXAM 2025/2026
NEWEST ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
A NICU nurse is caring for a 42-week-gestation infant diagnosed
with meconium aspiration. Which of the following substances
would likely be administered to this infant?
IndomethacinAmphotericin BNitroxSurfactant - ANSWER-
Surfactant
Feedback
Surfactant is indicated in infants with meconium aspiration as well
as in preterm infants and those with pneumonia or PPHN.
In infants with bronchopulmonary dysplasia or chronic lung
disease, it may take years for new lung tissue to overcome the
damage done from being born prematurely. This is because they
have which of the following?
Decreased airway resistance and reactivity Increased lung
compliance Hypocarbia Increased airway resistance - ANSWER-
Increased airway resistance
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Feedback
Chronically ventilated infants have increased airway resistance
and reactivity, decreased compliance, continued ventilation-
perfusion mismatching, and hypercarbia that persist for years.
These lung changes are due to the damage done to the lungs
from being born.
The parents of a preterm newborn diagnosed with a Grade IV
intraventricular hemorrhage visit their child's bedside following a
conference with the healthcare practitioner team. Which of the
following patterns of parental behaviors would warrant further
investigation by the nurse?
Taking multiple pictures of their child's face Being overly optimistic
Asking numerous questions about the current plan of care Visiting
regularly during feeding times - ANSWER-Being overly optimistic
Feedback
Parents who display overt optimism about their child's
development that does not align with typical prognosis may need
further education about their child's condition, or may need further
assistance working through denial associated with the grieving
process.
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When is the best time to assess the level of alertness on a stable
neonate?
During a feeding time In between feeding times After feeding time
While the mother is breastfeeding - ANSWER-In between feeding
times
Feedback
If interrupted during a feed or breastfeeding session, the baby
may cry excessively, limiting the examination. If the neonate is
examined immediately after a feed, the baby may be too sleepy to
obtain an optimal examination. The best time to assess the level
of alertness is in-between feeding times.
To stop the acute bleeding associated with a pulmonary
hemorrhage, the provider may order which of the following
treatment measures?
Add heparin to the IV fluid A thoracentesis Chest physiotherapy
Increase the ventilator PEEP - ANSWER-Increase the ventilator
PEEP
Feedback
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The management of pulmonary hemorrhage comprises
maintaining cardiac output, transfusion of blood products as
necessary and correction of acidosis. The initiation of mechanical
ventilation with increase in PEEP or PIP may potentially
tamponade small pulmonary vessels.
A 1-week-old, former term infant is admitted to the critical care
unit with septic shock accompanied by acute renal failure. Which
of the following abnormal serum laboratory values should be of
GREATEST concern at this time?
Calcium 8.3 mg/dL Sodium 149 mEq/LChloride 112
mEq/LPotassium 6.5 mEq/L - ANSWER-Potassium 6.5 mEq/L
Feedback
The elevated potassium level should be of greatest concern, as
this electrolyte (along with calcium and magnesium) influences
cardiac rhythms.
According to current NRP recommendations, naloxone (Narcan)
should be administered:
To an infant whose mother had received narcotics within 1 hour
prior to delivery When persistent respiratory depression causes
RNC-NIC ACTUAL EXAM VERSION 1& 2 NEWEST / RNC-NIC
EXAM PREPARATION /RNC-NIC PRACTICE EXAM 2025/2026
NEWEST ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
A NICU nurse is caring for a 42-week-gestation infant diagnosed
with meconium aspiration. Which of the following substances
would likely be administered to this infant?
IndomethacinAmphotericin BNitroxSurfactant - ANSWER-
Surfactant
Feedback
Surfactant is indicated in infants with meconium aspiration as well
as in preterm infants and those with pneumonia or PPHN.
In infants with bronchopulmonary dysplasia or chronic lung
disease, it may take years for new lung tissue to overcome the
damage done from being born prematurely. This is because they
have which of the following?
Decreased airway resistance and reactivity Increased lung
compliance Hypocarbia Increased airway resistance - ANSWER-
Increased airway resistance
, Page |2
Feedback
Chronically ventilated infants have increased airway resistance
and reactivity, decreased compliance, continued ventilation-
perfusion mismatching, and hypercarbia that persist for years.
These lung changes are due to the damage done to the lungs
from being born.
The parents of a preterm newborn diagnosed with a Grade IV
intraventricular hemorrhage visit their child's bedside following a
conference with the healthcare practitioner team. Which of the
following patterns of parental behaviors would warrant further
investigation by the nurse?
Taking multiple pictures of their child's face Being overly optimistic
Asking numerous questions about the current plan of care Visiting
regularly during feeding times - ANSWER-Being overly optimistic
Feedback
Parents who display overt optimism about their child's
development that does not align with typical prognosis may need
further education about their child's condition, or may need further
assistance working through denial associated with the grieving
process.
, Page |3
When is the best time to assess the level of alertness on a stable
neonate?
During a feeding time In between feeding times After feeding time
While the mother is breastfeeding - ANSWER-In between feeding
times
Feedback
If interrupted during a feed or breastfeeding session, the baby
may cry excessively, limiting the examination. If the neonate is
examined immediately after a feed, the baby may be too sleepy to
obtain an optimal examination. The best time to assess the level
of alertness is in-between feeding times.
To stop the acute bleeding associated with a pulmonary
hemorrhage, the provider may order which of the following
treatment measures?
Add heparin to the IV fluid A thoracentesis Chest physiotherapy
Increase the ventilator PEEP - ANSWER-Increase the ventilator
PEEP
Feedback
, Page |4
The management of pulmonary hemorrhage comprises
maintaining cardiac output, transfusion of blood products as
necessary and correction of acidosis. The initiation of mechanical
ventilation with increase in PEEP or PIP may potentially
tamponade small pulmonary vessels.
A 1-week-old, former term infant is admitted to the critical care
unit with septic shock accompanied by acute renal failure. Which
of the following abnormal serum laboratory values should be of
GREATEST concern at this time?
Calcium 8.3 mg/dL Sodium 149 mEq/LChloride 112
mEq/LPotassium 6.5 mEq/L - ANSWER-Potassium 6.5 mEq/L
Feedback
The elevated potassium level should be of greatest concern, as
this electrolyte (along with calcium and magnesium) influences
cardiac rhythms.
According to current NRP recommendations, naloxone (Narcan)
should be administered:
To an infant whose mother had received narcotics within 1 hour
prior to delivery When persistent respiratory depression causes
