NCC RNC-NIC EXAM SCRIPT 2026 COMPLETE
QUESTIONS AND SOLUTIONS 100% CORRECT
◉ D10 Bolus. Answer: 2mL/kg
◉ Fluid Volume Bolus. Answer: 10mL/kg
◉ Term Parenteral Fluid Requirement. Answer: 80mL/kg/day
Enteral 100-150 mlk/kg/day
◉ Preterm Parenteral Fluid Requirement. Answer: 120
Enteral 150-200ml/kig/day
◉ GIR Calculation. Answer: (%dextrose x IV rate) / (6 x wt in kg)
◉ I/T ratio. Answer: %Metas + Bands / %Metas + Bands + Segs
I/T ratio greater than >0.2 to >.25 suggestive of infection
>0.8 associated with shock
,◉ Absolute Neutrophil COUNT. Answer: WBC x (%) Segmented
neutrophils + band neutrophils + metamyelocytes
Example. 15,000 x 35 segs + 15 bands + 3 metas (turns into percent)
15,000 x .53 = 7950
ANC <1800 suggestive of infection
Normal Range
◉ Mature WBCs. Answer: Poly, Segs, Neutrophils
◉ Immature WBCs. Answer: Meta, Bands, Stabs
◉ Platelet Range. Answer: 150-400k
Thrombocytopenia (< 100,000/mm 3 ): possible association with
bacterial sepsis or viral infection, but usual onset does not occur until 1
to 3 days after infection onset (late indicator). May also occur with
maternal HELLP syndrome ( h emolysis, e levated l iver function test
results, and l ow p latelet count), pregnancy-induced hypertension, and
intrauterine growth restriction, as well as some syndromes such as
trisomies 13, 18, and 21, Turner's syndrome, and hemolytic disease.
◉ CRP level. Answer: CRP level usually <1.6 for the first two days of
life
,Elevated cord blood CRP levels are associated with chorioamnionitis
with prolonged rupture of membranes.
◉ Most common pathogens. Answer: Currently, GBS
E. coli
◉ Candidas. Answer: -Diaper dermatitis presents with intense erythema
and satellite lesions.
-Congenital candidiasis presents with widespread erythematous
maculopapular rash, and preterm infants may present with pneumonia.
◉ Congenital CMV infection. Answer: congenital infection include:
intrauterine growth restriction, hepatosplenomegaly, jaundice, purpura,
pneumonitis, microcephaly, hydrocephalus, intracerebral calcifications,
hearing loss, chorioretinitis, and optic atrophy.
◉ Endotracheal Measurement. Answer: 6 + wt in kg
Proper placement on an endotracheal tube is midway between the
thoracic inlet and the carina.
, ◉ Polyethelane Wrap for Infant < 29 weeks. Answer: Dry infants head
only
Place infant in bag, from neck down
Remove bag once infant is in an NTE and humidified environment
◉ UAC Placement. Answer: High Placement T6-T9
Low Placement L3-L4
◉ UVC Placement. Answer: 1 to 2cm above the diaghragm
Low Lying 2-4cm in the cord
◉ Chest Tube Placement. Answer: Mid Clavicular line with distal chest
tube hole inside the thoracic space
◉ lecithin/sphingomyelin (L/S) ratio. Answer: An L/S ratio greater than
2:1 is considered to indicate fetal lung maturity.
◉ Anatomic events Five stages of lung development. Answer: 1.
Embryonic development (weeks 1 to 5). The endoderm-derived
embryonic foregut provides a single lung bud that begins to divide
ventrocaudally through the mesenchyme surrounding the foregut. The
pulmonary vein develops and extends to join the lung bud. The trachea
develops at the end of the embryonic period. There are three divisions on
the right side and two on the left side that will eventually become the
lobes of the lungs.
QUESTIONS AND SOLUTIONS 100% CORRECT
◉ D10 Bolus. Answer: 2mL/kg
◉ Fluid Volume Bolus. Answer: 10mL/kg
◉ Term Parenteral Fluid Requirement. Answer: 80mL/kg/day
Enteral 100-150 mlk/kg/day
◉ Preterm Parenteral Fluid Requirement. Answer: 120
Enteral 150-200ml/kig/day
◉ GIR Calculation. Answer: (%dextrose x IV rate) / (6 x wt in kg)
◉ I/T ratio. Answer: %Metas + Bands / %Metas + Bands + Segs
I/T ratio greater than >0.2 to >.25 suggestive of infection
>0.8 associated with shock
,◉ Absolute Neutrophil COUNT. Answer: WBC x (%) Segmented
neutrophils + band neutrophils + metamyelocytes
Example. 15,000 x 35 segs + 15 bands + 3 metas (turns into percent)
15,000 x .53 = 7950
ANC <1800 suggestive of infection
Normal Range
◉ Mature WBCs. Answer: Poly, Segs, Neutrophils
◉ Immature WBCs. Answer: Meta, Bands, Stabs
◉ Platelet Range. Answer: 150-400k
Thrombocytopenia (< 100,000/mm 3 ): possible association with
bacterial sepsis or viral infection, but usual onset does not occur until 1
to 3 days after infection onset (late indicator). May also occur with
maternal HELLP syndrome ( h emolysis, e levated l iver function test
results, and l ow p latelet count), pregnancy-induced hypertension, and
intrauterine growth restriction, as well as some syndromes such as
trisomies 13, 18, and 21, Turner's syndrome, and hemolytic disease.
◉ CRP level. Answer: CRP level usually <1.6 for the first two days of
life
,Elevated cord blood CRP levels are associated with chorioamnionitis
with prolonged rupture of membranes.
◉ Most common pathogens. Answer: Currently, GBS
E. coli
◉ Candidas. Answer: -Diaper dermatitis presents with intense erythema
and satellite lesions.
-Congenital candidiasis presents with widespread erythematous
maculopapular rash, and preterm infants may present with pneumonia.
◉ Congenital CMV infection. Answer: congenital infection include:
intrauterine growth restriction, hepatosplenomegaly, jaundice, purpura,
pneumonitis, microcephaly, hydrocephalus, intracerebral calcifications,
hearing loss, chorioretinitis, and optic atrophy.
◉ Endotracheal Measurement. Answer: 6 + wt in kg
Proper placement on an endotracheal tube is midway between the
thoracic inlet and the carina.
, ◉ Polyethelane Wrap for Infant < 29 weeks. Answer: Dry infants head
only
Place infant in bag, from neck down
Remove bag once infant is in an NTE and humidified environment
◉ UAC Placement. Answer: High Placement T6-T9
Low Placement L3-L4
◉ UVC Placement. Answer: 1 to 2cm above the diaghragm
Low Lying 2-4cm in the cord
◉ Chest Tube Placement. Answer: Mid Clavicular line with distal chest
tube hole inside the thoracic space
◉ lecithin/sphingomyelin (L/S) ratio. Answer: An L/S ratio greater than
2:1 is considered to indicate fetal lung maturity.
◉ Anatomic events Five stages of lung development. Answer: 1.
Embryonic development (weeks 1 to 5). The endoderm-derived
embryonic foregut provides a single lung bud that begins to divide
ventrocaudally through the mesenchyme surrounding the foregut. The
pulmonary vein develops and extends to join the lung bud. The trachea
develops at the end of the embryonic period. There are three divisions on
the right side and two on the left side that will eventually become the
lobes of the lungs.
