NCC Exam reviewed
Practice Questions and
correct answers GRADED
A+ 2025-2026
Which of the following is a gram negative rod? - ANS-E. Coli
Which if the following could have a tentative identification of "cocci in chains"? - ANS-
Streptococcus
Which antibiotic best treats Chlamydia? - ANS-Erythromycin
Dark blue or magenta colored papules or nodules (blue berry muffin sign) sometimes
seen with congenital CMV are a result of what? - ANS-Extramedullary dermal
erythropoiesis
Fetal hemoglobin shifts the oxy-hemoglobin dissociated curve to the? - ANS-Left
Alkalosis shifts the oxy-hemoglobin dissociation curve to the? - ANS-Left
Which of the following is NOT a problem that can occur with chronic lasix therapy? -
ANS-Metabolic acidosis
When performing a needle aspiration for a pneumothorax, the needle should be places
where? - ANS-Above the rib
Which of the following is NOT a reason to use flucytosine in conjunction with
amphotericin B? - ANS-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 - ANS-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? - ANS-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? - ANS-8 mg/kg/minutes
When doing an LP, what is the most appropriate interspace? - ANS-L4-5
Low umbilical artery catheters should be places where? - ANS-L3-4
Soft tissue on an overpenetrated CXR will look? - ANS-dark
In utero blood going through the patent ductus arteriosus travels which direction? -
ANS-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? - ANS-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? - ANS-Pulmonary atresia
S1 is best heard where? - ANS-apex
,The CXR of an infant with hypoplastic left heart syndrome will most likely have? - ANS-
increased pulmonary vascular markings
When does the fastest myelination occur? - ANS-2nd trimester
Evidence suggests that maternal valproic acid may be related to? - ANS-Fetal neural
tube defects
What % of infants with congenital CMV are asymptomatic at birth? - ANS-90%
The best time to obtain a herpes culture in the neonate with suspected herpes is? -
ANS-24-48 hours of age
Which of the following is most likely to present with congenital cataracts? - ANS-
Rubella
Periventricular calcifications are most often seen in the which of the following
congenital infections? - ANS-CMV
Digestion of which of the following is LEAST dependent on bile salts? - ANS-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? - ANS-Hypercalcemia
Which is the correct I:T ratio of the following CBC:
WBC 3200
Segs 40%
Bands 21%
Lymphs 35%
metas 2%
, Eos 2% - ANS-0.36
What is the cause of pneumotosis in NEC? - ANS-gas forming bacteria within
submucosa
Testing the biceps reflex best tests? - ANS-Phasic tone
Which of the following drugs may cause improvement in the infant with transient
neonatal myasthenia gravis? - ANS-Neostigmine methylsulfate
The best definition of beneficence is: - ANS-The moral obligation to "do good".
When evaluating for early digitalis toxicity on an EKG the most reliable sign is: - ANS-
Prolongation of the PR interval
Which type of brachial plexus injury typically presents with the "waiter's tip position". -
ANS-Erb's Palsy
A defect affecting the lower motor neuron will generally present with: - ANS-Absent
deep tendon reflex
Which of the following syndromes will most likely be associated with macrocephaly? -
ANS-Achondroplasia
An infant has craniosynostosis of the sagittal suture. His head shape would most likely
be described as: - ANS-Scaphocephaly
How does surfactant work? - ANS-By decreasing surface tension
Low alpha-fetoprotein may be associated with what? - ANS-Trisomy disorders
Eisenmenger's complex is typically seen with what? - ANS-Left-to-right shunt defects
Practice Questions and
correct answers GRADED
A+ 2025-2026
Which of the following is a gram negative rod? - ANS-E. Coli
Which if the following could have a tentative identification of "cocci in chains"? - ANS-
Streptococcus
Which antibiotic best treats Chlamydia? - ANS-Erythromycin
Dark blue or magenta colored papules or nodules (blue berry muffin sign) sometimes
seen with congenital CMV are a result of what? - ANS-Extramedullary dermal
erythropoiesis
Fetal hemoglobin shifts the oxy-hemoglobin dissociated curve to the? - ANS-Left
Alkalosis shifts the oxy-hemoglobin dissociation curve to the? - ANS-Left
Which of the following is NOT a problem that can occur with chronic lasix therapy? -
ANS-Metabolic acidosis
When performing a needle aspiration for a pneumothorax, the needle should be places
where? - ANS-Above the rib
Which of the following is NOT a reason to use flucytosine in conjunction with
amphotericin B? - ANS-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 - ANS-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? - ANS-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? - ANS-8 mg/kg/minutes
When doing an LP, what is the most appropriate interspace? - ANS-L4-5
Low umbilical artery catheters should be places where? - ANS-L3-4
Soft tissue on an overpenetrated CXR will look? - ANS-dark
In utero blood going through the patent ductus arteriosus travels which direction? -
ANS-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? - ANS-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? - ANS-Pulmonary atresia
S1 is best heard where? - ANS-apex
,The CXR of an infant with hypoplastic left heart syndrome will most likely have? - ANS-
increased pulmonary vascular markings
When does the fastest myelination occur? - ANS-2nd trimester
Evidence suggests that maternal valproic acid may be related to? - ANS-Fetal neural
tube defects
What % of infants with congenital CMV are asymptomatic at birth? - ANS-90%
The best time to obtain a herpes culture in the neonate with suspected herpes is? -
ANS-24-48 hours of age
Which of the following is most likely to present with congenital cataracts? - ANS-
Rubella
Periventricular calcifications are most often seen in the which of the following
congenital infections? - ANS-CMV
Digestion of which of the following is LEAST dependent on bile salts? - ANS-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? - ANS-Hypercalcemia
Which is the correct I:T ratio of the following CBC:
WBC 3200
Segs 40%
Bands 21%
Lymphs 35%
metas 2%
, Eos 2% - ANS-0.36
What is the cause of pneumotosis in NEC? - ANS-gas forming bacteria within
submucosa
Testing the biceps reflex best tests? - ANS-Phasic tone
Which of the following drugs may cause improvement in the infant with transient
neonatal myasthenia gravis? - ANS-Neostigmine methylsulfate
The best definition of beneficence is: - ANS-The moral obligation to "do good".
When evaluating for early digitalis toxicity on an EKG the most reliable sign is: - ANS-
Prolongation of the PR interval
Which type of brachial plexus injury typically presents with the "waiter's tip position". -
ANS-Erb's Palsy
A defect affecting the lower motor neuron will generally present with: - ANS-Absent
deep tendon reflex
Which of the following syndromes will most likely be associated with macrocephaly? -
ANS-Achondroplasia
An infant has craniosynostosis of the sagittal suture. His head shape would most likely
be described as: - ANS-Scaphocephaly
How does surfactant work? - ANS-By decreasing surface tension
Low alpha-fetoprotein may be associated with what? - ANS-Trisomy disorders
Eisenmenger's complex is typically seen with what? - ANS-Left-to-right shunt defects
