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University of Pennsylvania
(Pennsylvania)
NCC National Certification Corporation
NCC Neonatal Intensive Care Nursing RNC-NIC
Exam
Course Title and Number: NCC Neonatal Intensive Care Nursing RNC-NIC Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
**1. Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you have** **completed the Exam.
- This test has a time limit, The test will save and submit automatically** **when the time expires
- This is Exam which will assess your knowledge on the course Learning** Resources.
Good Luck!
📧 Hybridgrades101@gmail.com NCC National Certification Corporation 2024-2025 NCC Registered Nurse Certified in Neonatal Intensive Care Nursing RNC-NIC Exam Practice Review Questions with Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Correct ETT placement - Answer>> T1-T level of clavicles Correct UVC placement - Answer>> T 8- 0.5-1 cm above diaphragm Tip in inf. vena cava Correct UAC placement - Answer>> Low-L3- Below renal arteries High-T6- Correct PICC placement - Answer>> T3- Lower 1/3 of s. Vena cava Normal weight loss of preterm infant - Answer>> 10-15% Healthy term infant requires how many kcal/kg/day for normal growth? - Answer>> 100-120 kcal/kg/day Formula to calculate GIR - Answer>> ml/kg/day x %dextrose ➗1. Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Prolonged rupture of membranes - Answer>> Greater than 18 hours Difference in PaO2 of________ or greater documents ductal shunting - Answer>> 15% With PPHN goal is to keep PaO2 ________or > - Answer>> 50 Signs and symptoms of MAS - Answer>> Chest hyperinflated on x-ray Low PaO2 with O2 given Air leaks Prone to PPHN Treatment of micrognathia - Answer>> Prone positioning Oral airway placement Trach in rare cases Generally mandibular growth "catches up" by 6 to 12 months Surgery if significant compromise Micrognathia associated with - Answer>> Pierre Robin syndrome Trisomy 18 Trisomy 21 Cri-du-chat syndrome Causes of pulmonary hemorrhage - Answer>> Prematurity Erythroblastosis Intracranial hemorrhage Asphyxia Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Aspiration Heart diagnosis, PDA Sepsis Hypothermia Surfactant replacement Treatment of pulmonary hemorrhage - Answer>> Vent and use PEEP to decrease bleeding Transfused PRBC's as needed Treat clotting problems Assess and treat PDA Treat underlying disease processes Apneic event - Answer>> Cessation of respiration for 20 seconds, or less if accompanied by cyanosis, pallor, decreased tone, bradycardia Causes pulmonary hypoplasia - Answer>> 1) conditions that limit lung growth (CCAM, DH)
- oligohydramnios (thoracic compression)
- associated congenital malformations (Potters, phrenic nerve absence) Normal blood gas results - Answer>> ph 7.35-7. PaCO2 35- PaO2 50- HCO3 22- Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Look at chest wall movement Vent Setting PEEP - Answer>> Physiologic PEEP is about 2cm Usually set at 4-7cm
7 can cause air leaks Aids maintaining FRC Stabilizes and recruits atelectatic areas Increase compliance and V/Q mismatch Vent setting MAP - Answer>> Average distending pressure throughout complete respiratory cycle Major determinant of oxygenation Increased MAP causes barotrauma HFOV parameters - Answer>> 1) MAP
- Amplitude-volume delivered
- Frequency-3-15 Hz (1 Hz=60 breaths) Lasix dose - Answer>> 1-2mg/kg IV or po Digoxin works by - Answer>> Increasing intracellular calcium leading to a +inotropic effect which increases contractility Beta-lactam antibiotics include and work by - Answer>> PCN & cephalosporins Lysing bacterial cell walls Dexamethasone adverse effects - Answer>> -increased glucose levels Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com -increase blood pressure -Poor weight gain -Increased risk of sepsis iNO effects - Answer>> Smooth muscle relaxant. Promotes relaxation of the pulmonary smooth muscles to facilitate perfusion of the lung in gas exchange iNO side effects - Answer>> May cause methemoglobinemia & decreased platelet aggregation Suggested vent settings for extubation - Answer>> IMV- 10- 20/" PIP- 14- Vt - 3.5-5ml/kg FIO2- 21-30% Boot shaped heart on x-ray is diagnostic of - Answer>> Tetrology of Fallot CHD's with increased pulmonary bloodflow - Answer>> 1) PDA
- VSD
- ASD
- endocardial cushion defect Most common CHD - Answer>> VSD (nearly 50%) Treatment of VSD - Answer>> 50-75% of small VSDs close on their own Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Obstructive defects with decreased pulmonary blood flow - Answer>> 1) TOF
- pulmonary stenosis
- pulmonary atresia
- tricuspid atresia Most common cyanotic heart lesion - Answer>> TOF TOF on chest x-ray - Answer>> Boot shaped heart, normal size Components of TOF - Answer>> 1) pulmonary stenosis
- VSD
- aorta overrides VSD
- RV hypertrophy Mixed CHD - Answer>> 1) TGV
- Truncus arteriosus
- TAPVR
- HLHS Truncus arteriosus associated with which syndrome - Answer>> Di George Syndrome CXR heart has appearance of "egg on a string" - Answer>> TGV 4 pulmonary veins attached to the venous system, returning oxygenated blood to the right side of the heart instead of left atrium - Answer>> TAPVR Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com TAPVR - Answer>> Need patent foramen ovale or true ASD for survival Most common cardiac cause of death in the first week of life - Answer>> Hypoplastic left heart syndrome Presentation of hypoplastic left heart syndrome - Answer>> Asymptomatic at birth with rapid deterioration as PDA closes Hypoplastic left heart syndrome treatment - Answer>> PGE Afterload decreasing agents Aggressive management of acidosis Transcatheter balloon atrial septostomy to decompress LA Staged surgical repair or transplant PGE1 dosing - Answer>> 0.05-0.1 mcg/kg/min Side effects-apnea, hypotension Consistent finding that reflects RV volume overload - Answer>> Hyperdynamic precordial activity Cardiac anomalies associated with IDM - Answer>> VSD TGV PDA Endocardial cushion defect Apert's syndrome - Answer>> Pyloric stenosis TEF/EA Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Trisomy 18 - Answer>> Umbilical defect Pyloric stenosis Malrotation TEF/EA CHD Abnormal Muscle tone Microcephaly Short sternum Low-set malformed ears Single umbilical artery Rocker bottom feet Growth deficiencies Craniofacial defects Acutis aplasia Polydactyly Single Palmer crease hand posturing with second and fifth digits overlapping third and fourth Cri du chat syndrome - Answer>> Cardiac anomalies associated with IDM babies - Answer>> VSD TGV PDA Endocardial cushion defect Noonan's Syndrome - Answer>> Second most common genetic syndrome Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com -webbing of neck -Pectus excavatum -cryptorchism -pulmonary stenosis Pompe Disease - Answer>> -Glycogen storage disease type II -Autosomal recessive -marked cardiomyopathy -Profound hypotonia and muscle weakness
- Hepatomegaly -feeding difficulties -respiratory distress DIC Labs - Answer>> -Low platelets -prolonged PT and PTT -increased FSP -decreased fibrinogen -increased d-dimer which is the marker DIC Albumin - Answer>> -Synthesized in the liver -decreased in hepatocellular injury Alk Phos - Answer>> -derived from liver, also found in bone, kidney, and small intestine -increased an obstructed bile disease, hepatitis, bone disease AST & ALT - Answer>> -most sensitive test for hepatocellular necrosis -ALT more specific Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Infants with EA or TEF should have an evaluation of which three systems? - Answer>> 1) cardiac system
- renal system
- skeletal system Treatment of TEF/EA (pre-op) - Answer>> Elevate HOB Ventrol to drain Minimize crying to decrease swallow air No CPAP, intubate if need respiratory support Treatment of TEF/EA (post-op) - Answer>> Ventilate with low MAP Avoid need to re-intubate & only by experienced practitioners Suction length of ETT only Pyloric stenosis - Answer>> Obstruction of pylorus caused by hypertrophy of pyloric musculature Associated with Apert's syndrome trisomy 18 and trisomy 21 Pyloric stenosis incidence - Answer>> More common in white, full-term infants Trisomy 21 Males 5: Pyloric stenosis treatment - Answer>> May resolve spontaneously before one year of life Provide nutritional support May need surgical repair Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Duodenal stenosis atresia associated with - Answer>> Trisomy 21 CHD Intestinal malrotation TE abnormalities Anorectal defects Duodenal atresia stenosis s/s - Answer>> Polyhydramnios Abdominal distention No stools Bilious vomiting within 24 hours "Double bubble" on xray - Answer>> Duodenal atresia Malrotation - Answer>> Assortment of intestinal anomalies of rotation & retroperitoneal fixation (occurs 6-10 weeks gestation) Malrotation s/s - Answer>> Most have symptoms first week of life Bileous vomiting Abdominal distention Abdominal pain s/s shock /sepsis Rectal bleeding Meconion ileus - Answer>> Mechanical obstruction of distal ileum due to intraluminal accumulation of thick meconium Predominant cause cystic fibrosis Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Involved intestine unable to relax, leading to functional obstruction Hirschsprung disease associated anomalies - Answer>> Sensorineural deafness Cardiovascular, skeletal, and limb anomalies Seen with the DiGeorge and X-linked Acueductal stenosis syndromes 3 to 10% of trisomy 21 have Hirschsprung's disease Ocular neuropathies Hirschsprung's disease treatment - Answer>> Rectal biopsy to confirm Surgical repair to remove parts of affected bowel NEC - Answer>> Cause thought to be multifactorial
- bowel ischemia
- bacterial colonization of gut
- enteral feeding Short bowel syndrome - Answer>> 1) loss of stomach (well tolerated vitamin B 12 given to prevent anemia)
- loss of jejunum (major site of digestion and absorption) (tolerate well, other areas take over)
- loss of ileum (significant metabolic and nutritional consequences) Biliary atresia - Answer>> Obstruction of bile flow in bile duct system Bile fails to exit liver, leads to hepatic failure and fibrosis Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com Biliary atresia treatment - Answer>> Best outcome- portoenterostomy followed by liver transplant Eagle-Barrett Syndrome - Answer>> 1) absent abdominal musculature
- GU tract abnormalities
- undescended testicles Oligohydramnios Congenital diaphragmatic hernia Associated with - Answer>> Trisomy 13 Trisomy 18 Trisomy 21, Trisomy 45 Trisomy X Intestinal malrotation Congenital Diaphragmatic hernia S/s - Answer>> Hallmark finding- fluid filled stomach just below left atrium Congenital diaphragmatic hernia Care - Answer>> NPO, gastric decompression Avoid BVM, intubate Watch for pulmonary air leaks May need HFOV, INO, ECMO Erythema toxicum - Answer>> Newborn rash Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
