NCC RNC-NIC COMPREHENSIVE EXAM 2026
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
◉ Correct UVC placement. Answer: T 8-9
0.5-1 cm above diaphragm
Tip in inf. vena cava
◉ Correct UAC placement. Answer: Low-L3-4
Below renal arteries
High-T6-10
◉ Correct PICC placement. Answer: T3-5
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 1.44
◉ Normal GIR. Answer: 4-6 ml/kg/min initially May go as high as 12
◉ Anomalies associated with esophageal atresia. Answer: SGA
VATER synd.
-vertebral
-imperf anus
-renal dysplasia
◉ Increased risk of mec plug?. Answer: -premature
-IDM
-small left colon
-cystic fibrosis
◉ Signs of pyloric stenosis. Answer: 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
◉ Normal temp range axillary. Answer: 36.5 to 37.4°C
,◉ TTN vs RDS. Answer: Usually requires less than 40% FI O2
Improves quicker
Larger lung volumes
◉ Natural diuresis occurs at_____________ hours of age as condition
improves. Answer: 48-72 hours
◉ 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
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
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
◉ Correct UVC placement. Answer: T 8-9
0.5-1 cm above diaphragm
Tip in inf. vena cava
◉ Correct UAC placement. Answer: Low-L3-4
Below renal arteries
High-T6-10
◉ Correct PICC placement. Answer: T3-5
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 1.44
◉ Normal GIR. Answer: 4-6 ml/kg/min initially May go as high as 12
◉ Anomalies associated with esophageal atresia. Answer: SGA
VATER synd.
-vertebral
-imperf anus
-renal dysplasia
◉ Increased risk of mec plug?. Answer: -premature
-IDM
-small left colon
-cystic fibrosis
◉ Signs of pyloric stenosis. Answer: 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
◉ Normal temp range axillary. Answer: 36.5 to 37.4°C
,◉ TTN vs RDS. Answer: Usually requires less than 40% FI O2
Improves quicker
Larger lung volumes
◉ Natural diuresis occurs at_____________ hours of age as condition
improves. Answer: 48-72 hours
◉ 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
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
