RNC-NIC ACTUAL UPDATED ACTUAL EXAM COMPLETE
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
1. Correct ETT placement ✓ T1-T2
level of clavicles
2. Correct UVC placement ✓ T 8-9
0.5-1 cm above diaphragm
Tip in inf. vena cava
3. Correct UAC placement ✓ Low-L3-4
Below renal arteries
High-T6-10
4. Correct PICC placement ✓ T3-5
Lower 1/3 of s. Vena cava
5. Normal weight loss of preterm infant ✓ 10-15%
6. Healthy term infant requires how many ✓ 100-120 kcal/kg/day
kcal/kg/day for normal growth?
,7. Formula to calculate GIR ✓ ml/kg/day x %dextrose ➗1.44
8. Normal GIR ✓ 4-6 ml/kg/min initially May go as
high as 12
9. Anomalies associated with esophageal ✓ SGA
atresia VATER synd.
-vertebral
-imperf anus
-renal dysplasia
10. Increased risk of mec plug? ✓ -premature
-IDM
-small left colon
-cystic fibrosis
11. Signs of pyloric stenosis ✓ Distended stomach on x-ray
with little or no gas below
duodenum
Can palpate "olive"
Present at 2 to 3 weeks of life
with Bile stained vomiting
12. Normal temp range axillary ✓ 36.5 to 37.4°C
13. TTN vs RDS ✓ Usually requires less than 40%
FI O2
Improves quicker
Larger lung volumes
,14. Natural diuresis occurs ✓ 48-72 hours
at_____________ hours of age as
condition improves
15. Prolonged rupture of membranes ✓ Greater than 18 hours
16. Difference in PaO2 of________ or ✓ 15%
greater documents ductal shunting
17. With PPHN goal is to keep PaO2 ✓ 50
________or >
18. Signs and symptoms of MAS ✓ Chest hyperinflated on x-ray
Low PaO2 with O2 given
Air leaks
Prone to PPHN
19. Treatment of micrognathia ✓ Prone positioning
Oral airway placement
Trach in rare cases
Generally mandibular growth
"catches up" by 6 to 12 months
Surgery if significant
compromise
20. Micrognathia associated with ✓ Pierre Robin syndrome
Trisomy 18
Trisomy 21
Cri-du-chat syndrome
, 21. Causes of pulmonary hemorrhage ✓ Prematurity
Erythroblastosis
Intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnosis, PDA
Sepsis
Hypothermia
Surfactant replacement
22. Treatment of pulmonary hemorrhage ✓ Vent and use PEEP to
decrease bleeding
Transfused PRBC's as needed
Treat clotting problems
Assess and treat PDA
Treat underlying disease
processes
23. Apneic event ✓ Cessation of respiration for 20
seconds, or less if accompanied
by cyanosis, pallor, decreased
tone, bradycardia
24. Causes pulmonary hypoplasia ✓ 1) conditions that limit lung
growth (CCAM, DH)
2) oligohydramnios (thoracic
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
1. Correct ETT placement ✓ T1-T2
level of clavicles
2. Correct UVC placement ✓ T 8-9
0.5-1 cm above diaphragm
Tip in inf. vena cava
3. Correct UAC placement ✓ Low-L3-4
Below renal arteries
High-T6-10
4. Correct PICC placement ✓ T3-5
Lower 1/3 of s. Vena cava
5. Normal weight loss of preterm infant ✓ 10-15%
6. Healthy term infant requires how many ✓ 100-120 kcal/kg/day
kcal/kg/day for normal growth?
,7. Formula to calculate GIR ✓ ml/kg/day x %dextrose ➗1.44
8. Normal GIR ✓ 4-6 ml/kg/min initially May go as
high as 12
9. Anomalies associated with esophageal ✓ SGA
atresia VATER synd.
-vertebral
-imperf anus
-renal dysplasia
10. Increased risk of mec plug? ✓ -premature
-IDM
-small left colon
-cystic fibrosis
11. Signs of pyloric stenosis ✓ Distended stomach on x-ray
with little or no gas below
duodenum
Can palpate "olive"
Present at 2 to 3 weeks of life
with Bile stained vomiting
12. Normal temp range axillary ✓ 36.5 to 37.4°C
13. TTN vs RDS ✓ Usually requires less than 40%
FI O2
Improves quicker
Larger lung volumes
,14. Natural diuresis occurs ✓ 48-72 hours
at_____________ hours of age as
condition improves
15. Prolonged rupture of membranes ✓ Greater than 18 hours
16. Difference in PaO2 of________ or ✓ 15%
greater documents ductal shunting
17. With PPHN goal is to keep PaO2 ✓ 50
________or >
18. Signs and symptoms of MAS ✓ Chest hyperinflated on x-ray
Low PaO2 with O2 given
Air leaks
Prone to PPHN
19. Treatment of micrognathia ✓ Prone positioning
Oral airway placement
Trach in rare cases
Generally mandibular growth
"catches up" by 6 to 12 months
Surgery if significant
compromise
20. Micrognathia associated with ✓ Pierre Robin syndrome
Trisomy 18
Trisomy 21
Cri-du-chat syndrome
, 21. Causes of pulmonary hemorrhage ✓ Prematurity
Erythroblastosis
Intracranial hemorrhage
Asphyxia
Aspiration
Heart diagnosis, PDA
Sepsis
Hypothermia
Surfactant replacement
22. Treatment of pulmonary hemorrhage ✓ Vent and use PEEP to
decrease bleeding
Transfused PRBC's as needed
Treat clotting problems
Assess and treat PDA
Treat underlying disease
processes
23. Apneic event ✓ Cessation of respiration for 20
seconds, or less if accompanied
by cyanosis, pallor, decreased
tone, bradycardia
24. Causes pulmonary hypoplasia ✓ 1) conditions that limit lung
growth (CCAM, DH)
2) oligohydramnios (thoracic
