RNC-NIC 2026 ACTUAL CERTIFICATION
EVALUATION NEUROCRITICAL
INSTRUMENTATION PRACTICE RESOURCE
SOLUTION VERIFIED GRADED A+
●● 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.
EVALUATION NEUROCRITICAL
INSTRUMENTATION PRACTICE RESOURCE
SOLUTION VERIFIED GRADED A+
●● 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.
