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University of Pennsylvania
(Pennsylvania)
NCC National Certification Corporation
NCC Registered Nurse Certified in 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:
- 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- Registered Nurse Certified in Neonatal Intensive Care Nursing NCC RNC-NIC Nursing Certification Exam Review Questions with Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - 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 When is amniocentesis performed? - Answer>> 2nd trimester Biophysical profile - Answer>> APGAR score for the fetus preeclampsia - Answer>> hypotension with or without proteinuria eclampsia - Answer>> seizures Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com polyhydramnios - Answer>> >2 L at 36 weeks Causes of polyhydramnios - Answer>> GI obstructions, neurological deficits, impaired fetal swallowing L/S ratio - Answer>> measures lung maturation L/S ratio results - Answer>> >2 normal, <2 immature VEAL CHOP - Answer>> Variable - Cord compression Early - Head Compression Acceleration - Okay Late - Placental insufficiency Sustained fetal tachycardia- think? - Answer>> infection tocolytics - Answer>> magnesium sulfate, indomethacin, terbutaline what does magnesium sulfate cause? - Answer>> respiratory depression, neuromuscular depression; anticipate intubation what does indomethacin cause? - Answer>> Premature PDA closure, PPHN, decreased UOP what does terbutaline cause? - Answer>> hypoglycemia due to hyperinsulinemia Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com if you see bruising, think? - Answer>> hyperbilirubinemia red reflex? - Answer>> light reflecting off the funds of the eye APGAR score components - Answer>> HR, respiratory effort, tone, reflex irritability, color acrocyanosis is normal for how long? - Answer>> first 48hrs of life jaundice in the first 24hrs of life? - Answer>> always abnormal; think ABO incompatibility cutis aplasia - Answer>> scalp defects associated with trisomy 13 caput succedaneum - Answer>> Crosses the suture lines; watch for hyperbili cephalohematoma - Answer>> does not cross suture line vessels in umbilical cord? - Answer>> 2 arteries, 1 vein 2 vessel cords associated with? - Answer>> renal anomalies, ear anomalies fetal alcohol syndrome associated with? - Answer>> flattened philtrum Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com how to treat conjunctivitis due to chlamydia? - Answer>> erythromycin; most common infection in the neonatal period choanal atresia - Answer>> cyanotic at rest, pink when crying what places an infant at high risk of sensorineural hearing loss? - Answer>> congenital infections, bacterial meningitis ototoxic meds? - Answer>> lasix, gentamicin what to do for at track that frequently plugs off? - Answer>> needs more humidification reason for the major cause of heat loss in newborns? - Answer>> increased surface area what starts brown fat metabolism? - Answer>> norepinephrine turns proteins & fat into glucose - Answer>> gluconeogenesis conduction - Answer>> transfer of heat from a warm surface to cold surface example of conduction - Answer>> placing an infant on a cold scale Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com convection - Answer>> transfer of heat to the colder air of the environment example of convection - Answer>> baby in draft area, cool room temp, open warmer evaporation - Answer>> transfer of heat through water loss what is the #1 mode of heat loss in the first week of life? - Answer>> evaporation how to prevent heat loss through evaporation - Answer>> humidification radiation - Answer>> transfer of heat between 2 objects that don't touch each other what is the #1 mode of heat loss after 1st week of life? - Answer>> radiation example of heat lost through radiation - Answer>> bed near a cold window what could a skin temp mask? - Answer>> signs of temperature instability normal Na levels - Answer>> 135- normal K levels - Answer>> 3.5-5. Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com what is the total calorie goal for infants? - Answer>> 80-120kcal/kg/day GIR requirements? - Answer>> 4-6mg/kg/min how to calculate GIR? - Answer>> ml/kg/day x % dextrose /
how to treat hypoglycemia - Answer>> 2ml/kg IV glucose followed by a continuous IV infusion. recheck in 15-30 mins osmotic diuresis can lead to? - Answer>> dehydration by spilling glucose into urine zinc is important for? - Answer>> skin and wound healing at what age does the gag/cough reflex develop? - Answer>> 32 weeks at what age does the suck/swallow/breathe reflex develop?
- Answer>> 34-35 weeks What is premature EBM deficient in? - Answer>> calcium and phosphorous; need to fortify neuroendocrine respone to pain - Answer>> release of cortisol/plasma renin @ 23 weeks; suppression of insulin leads to hyperglycemia Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com low pH, high CO2 - Answer>> respiratory acidosis; causes are lung disease, apnea high pH, low CO2 - Answer>> respiratory alkalosis; causes are over ventilation low pH, low bicarb - Answer>> metabolic acidosis; causes are diarrhea, renal tubular acidosis, lactic acidosis high pH, high bicarb - Answer>> metabolic alkalosis; causes are vomiting, suctioning, bicarb use factors that shift oxyhemoglobin dissociation curve to the LEFT - Answer>> High pH, low temp, low DBG, fetal HGB (ALKALOTIC, LITTLE, COLD) factors that shift oxyhemoglobin dissociation curve to the RIGHT - Answer>> low pH, high temp hypoxemia - Answer>> blood hypoxic - Answer>> tissue when hypoxia exists, metabolism continues via? - Answer>> anaerobic metabolism, producing lactic acid what is the most sensitive indicator of ventilation? - Answer>> CO Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com mean airway pressure - Answer>> PIP + PEEP increasing the MAP will? - Answer>> improve oxygenation and ventilation HFOV/HFJV; how to decrease CO2 - Answer>> high CO2, go down on the rate in order to slow down for gas exchange what to watch for as a sign of recovery from RDS? - Answer>> diuresis most common neonatal infection? - Answer>> pneumonia what is the drug of choice for ureoplasma/chlamydia pneumonia? - Answer>> erythromycin assessment finding with PIE - Answer>> crepitus; air dissection up into the neck how to position a patient with PIE - Answer>> affected side down diagnostic findings of meconium aspiration - Answer>> ball valve phenomenon; gas trapping; hyperinflation of lungs with flattened diaphragm PPHN begins by - Answer>> PVR decrease doesn't occur Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com BPD - Answer>> O2 dependence beyond 28 days or 36 weeks adjusted bell shaped thoracic cavity - Answer>> pulmonary hypoplasia what to avoid with CDH - Answer>> bag/mask ventilation where to give IM injections - Answer>> vastus lateralis first pass effect - Answer>> PO med doses > IV med doses because it has to be metabolized by GI tract first what does the half life determine - Answer>> how often to give the drug examples of drugs with a narrow therapeutic index - Answer>> gentamicin, vancomicin side effects of steroids - Answer>> hyperglycemia, hypertension side effects of indocin - Answer>> renal failure, dilutional hyponatermia from the decreased UOP what risks are increased with use of gentamicin - Answer>> nephrotoxicity and ototoxicity what to watch for when a patient is on PGE's - Answer>> apnea Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com hyperparathyroid - Answer>> low calcium hypoparathyroid - Answer>> high calcium how to treat hypocalcemia - Answer>> calcium gluconate; stop immediately if brady occurs 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 Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com 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 when infants need a higher CO, what do they do? - Answer>> increase their HR central cyanosis - Answer>> blue discoloration of skin and nailbeds IDM has a high risk of? - Answer>> transposition, VSD, coarc Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com immune hydrops - Answer>> Rh- mom and Rh+ baby; has to be 2nd pregnancy polycythemia - Answer>> Hct > 65% how to treat polycythemia - Answer>> partial exchange or 5% albumin blood volume for ptnb - Answer>> 85 x weight blood volume for tnb - Answer>> 80 x weight how to calculate replacement volume - Answer>> observed hot - desired hct/observed hot x blood volume most common bleeding disorder in newborn - Answer>> thrombocytopenia what transports bilirubin to the liver - Answer>> albumin non-physiologic jaundice - Answer>> ABO incompatibility breast feeding jaundice - Answer>> early onset (2-4 days), peaks at 3-6 days; because baby is dehydrated and mom doesn't have much milk breast milk jaundice - Answer>> late onset 4-7 days, peaks at 5-15 days; something in milk causes jaundice Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
📧 Hybridgrades101@gmail.com immature wbc's - Answer>> bands, metamyelocyte mature wbc's - Answer>> segmented neutrophils a left shift in a CBC indicates - Answer>> inflammation and infection neutrophils - Answer>> primary defense against bacterial infection how to calculate ANC - Answer>> multiply abc's by all neutrophil percentages what level ANC is suggestive of infection - Answer>> < eosinophils - Answer>> seen with allergic responses lymphocytes - Answer>> increased with viral infections igg - Answer>> mom gives to baby igm - Answer>> baby makes for itself csf findings for meningitis - Answer>> high wbc, high protein, low glucose gram - rods - Answer>> e coli or neisseria gram + cocci - Answer>> staph or strep Need Writing 📧Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📧
