RNC-NIC QUESTIONS CH 8-10 GENERAL ASSESSMENT
AND MANAGEMENT WITH COMPLETE ANSWERS 100%
CORRECT | NEW 2026/27 UPDATE
Correct
Incorrect
, B. Minimal enteral or trophic feedings facilitate intestinal maturation with small volumes
(typically less than 24 mL/kg/day). Minimal enteral or trophic feedings are hypocaloric and do
not contain sufficient calories to sustain somatic growth. Minimal enteral or trophic feedings
facilitate intestinal maturation, and the lack of any enteral feedings may lead to intestinal villous
atrophy. Minimal enteral or trophic feedings are hypocaloric, low-volume feeds and do not
replace the need for parenteral nutrition.
B. Lactose is the main disaccharide in human milk and is hydrolyzed into glucose
and galactose in the small intestine by the enzyme lactase. Sucrose is a
disaccharide and is hydrolyzed into glucose and fructose in the small intestine.
Fructose is a monosaccharide that is predominately found in plants. Glucose is a
monosaccharide that is predominately found in food as a building block in complex
carbohydrates.
D. Duodenal atresia is classically seen radiologically as a double bubble as air in the
stomach presents as the first bubble and the dilated duodenum filled with air is the
second bubble. Colonic obstruction and meconium ileus reflect multiple dilated loops of
bowel per abdominal x-ray. Pneumoperitoneum is a large, single, dark area of free air on
abdominal x-ray.
Don't know?
2 of 54
Term
,The nurse admitting a 26-week infant who is on high-frequency ventilation and
vasopressors is talking with the parents of the infant. The parents would like to
start infant massage on their son now. The most appropriate response by the
nurse to this request is:
A. "Infant massage has shown to have positive effects for preterminfants."
B. "Your son is too sick to be touched at this time."
C. "Touch is important and your son needs you to make contact withhim but
massage may be too much stimulation for him at this time." D. "Massage
can only be done by a certified infant massage therapist."
Give this one a try later!
C. A minimum of 75 mL/kg/day of enteral nutrition should be achieved before parenteral
amino acids are tapered in the ELBW and VLBW infants. Protein
malnutrition can easily develop in this patient population during the transition from
parenteral to enteral nutrition. Enteral intake of 20mL/kg/day involves hypocaloric low-
volume feeds and does not supply enough enteral protein to warrant parenteral amino acid
tapering. A significant part of the enteral protein intake does not reach the systemic
circulation and is not immediately available for the growth of other tissues. Enteral intake of
40 mL/kg/day, although greater in volume than trophic feeds, still does not supply enough
enteral protein to warrant parenteral amino acid tapering. Enteral intake of 140 mL/kg/day is
approaching a full enteral feeding volume, and the infant will most likely not require
parenteral nutrition.
B. Back to Sleep "dressing" may include a sleep sac or blanket up to the nipple line.
Infants should always have access to their hands for self-consoling behaviors. Back to Sleep
protocols need to be initiated in the NICU, giving the infant enough time to adjust to the supine
sleeping and to pattern the behavior for families. Infants may be excluded based on airway
obstructions or birth defects, for example. Once Back to Sleep protocols are started, an infant
is placed supine after feeds. The infant's needs are assessed and individualized. Infants who are
, "Back to Sleep" should not be completely swaddled. Appropriately identified NICU infants
should be in a sleeper and/or wrapped only to the nipple level. Patterning behavior for the
family with the Back to Sleep program would include minimizing the amount of blankets and
bedding in the bed.
A. Maternal breast milk is the optimal primary nutritional source for premature neonates
because evidence has shown that it reduces the incidence of necrotizing enterocolitis.
Maternal breast milk does not completely meet all the nutritional
needs of premature infants. Therefore premature infants fed human milk may have slower
growth rates compared with infants fed formula. Maternal breast milk does contain bacteria
and viruses.
C. Current research has shown that infant massage is best utilized for medically stable
preterm infants at a variety of gestational ages. At this time their son may be too
overstimulated by massage when he is dealing with respiratory and blood pressure
problems. The nurse can guide the family to more appropriate types of touch such as
facilitated tuck. Infant massage has been demonstrated to have many positive effects in
stable preterm infants; currently their son is too unstable for this intervention. The infant,
although sick, can have appropriate touch and does need that. It is the nurse and the
parents working together who can identify what will be the appropriate type of touch for
the infant currently. Massage can be done by parents, health care personnel, and a
massage therapist.
Don't know?
AND MANAGEMENT WITH COMPLETE ANSWERS 100%
CORRECT | NEW 2026/27 UPDATE
Correct
Incorrect
, B. Minimal enteral or trophic feedings facilitate intestinal maturation with small volumes
(typically less than 24 mL/kg/day). Minimal enteral or trophic feedings are hypocaloric and do
not contain sufficient calories to sustain somatic growth. Minimal enteral or trophic feedings
facilitate intestinal maturation, and the lack of any enteral feedings may lead to intestinal villous
atrophy. Minimal enteral or trophic feedings are hypocaloric, low-volume feeds and do not
replace the need for parenteral nutrition.
B. Lactose is the main disaccharide in human milk and is hydrolyzed into glucose
and galactose in the small intestine by the enzyme lactase. Sucrose is a
disaccharide and is hydrolyzed into glucose and fructose in the small intestine.
Fructose is a monosaccharide that is predominately found in plants. Glucose is a
monosaccharide that is predominately found in food as a building block in complex
carbohydrates.
D. Duodenal atresia is classically seen radiologically as a double bubble as air in the
stomach presents as the first bubble and the dilated duodenum filled with air is the
second bubble. Colonic obstruction and meconium ileus reflect multiple dilated loops of
bowel per abdominal x-ray. Pneumoperitoneum is a large, single, dark area of free air on
abdominal x-ray.
Don't know?
2 of 54
Term
,The nurse admitting a 26-week infant who is on high-frequency ventilation and
vasopressors is talking with the parents of the infant. The parents would like to
start infant massage on their son now. The most appropriate response by the
nurse to this request is:
A. "Infant massage has shown to have positive effects for preterminfants."
B. "Your son is too sick to be touched at this time."
C. "Touch is important and your son needs you to make contact withhim but
massage may be too much stimulation for him at this time." D. "Massage
can only be done by a certified infant massage therapist."
Give this one a try later!
C. A minimum of 75 mL/kg/day of enteral nutrition should be achieved before parenteral
amino acids are tapered in the ELBW and VLBW infants. Protein
malnutrition can easily develop in this patient population during the transition from
parenteral to enteral nutrition. Enteral intake of 20mL/kg/day involves hypocaloric low-
volume feeds and does not supply enough enteral protein to warrant parenteral amino acid
tapering. A significant part of the enteral protein intake does not reach the systemic
circulation and is not immediately available for the growth of other tissues. Enteral intake of
40 mL/kg/day, although greater in volume than trophic feeds, still does not supply enough
enteral protein to warrant parenteral amino acid tapering. Enteral intake of 140 mL/kg/day is
approaching a full enteral feeding volume, and the infant will most likely not require
parenteral nutrition.
B. Back to Sleep "dressing" may include a sleep sac or blanket up to the nipple line.
Infants should always have access to their hands for self-consoling behaviors. Back to Sleep
protocols need to be initiated in the NICU, giving the infant enough time to adjust to the supine
sleeping and to pattern the behavior for families. Infants may be excluded based on airway
obstructions or birth defects, for example. Once Back to Sleep protocols are started, an infant
is placed supine after feeds. The infant's needs are assessed and individualized. Infants who are
, "Back to Sleep" should not be completely swaddled. Appropriately identified NICU infants
should be in a sleeper and/or wrapped only to the nipple level. Patterning behavior for the
family with the Back to Sleep program would include minimizing the amount of blankets and
bedding in the bed.
A. Maternal breast milk is the optimal primary nutritional source for premature neonates
because evidence has shown that it reduces the incidence of necrotizing enterocolitis.
Maternal breast milk does not completely meet all the nutritional
needs of premature infants. Therefore premature infants fed human milk may have slower
growth rates compared with infants fed formula. Maternal breast milk does contain bacteria
and viruses.
C. Current research has shown that infant massage is best utilized for medically stable
preterm infants at a variety of gestational ages. At this time their son may be too
overstimulated by massage when he is dealing with respiratory and blood pressure
problems. The nurse can guide the family to more appropriate types of touch such as
facilitated tuck. Infant massage has been demonstrated to have many positive effects in
stable preterm infants; currently their son is too unstable for this intervention. The infant,
although sick, can have appropriate touch and does need that. It is the nurse and the
parents working together who can identify what will be the appropriate type of touch for
the infant currently. Massage can be done by parents, health care personnel, and a
massage therapist.
Don't know?
