RNC NIC || MOST RECENT EXAM 2026-2027 ACTUAL
COMPLETE 612 REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST
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Medication used to treat apnea refractory to methylxanthine
therapy - ANSWER-Doxapram is a respiratory stimulant used to
treat apnea that is refractory to methylxanthine therapy.
Methylxanthine medications are - ANSWER-Caffeine,
theophylline, and
aminophylline are methylxanthines used to
treat apnea.
ECMO for what congenital defect? - ANSWER-Diaphragmatic
Hernia
What type of drainage is impaired with BPD ? - ANSWER-
Lymphatic drainage
is impaired in infants with bronchopulmonary
dysplasia (BPD), which
predisposes them to pulmonary
edema.
,Ventilator settings for BPD and MAS - ANSWER-Short
inspiratory times allow for longer expiratory times. In
bronchopulmonary dysplasia (BPD), expiration is prolonged.
Corticosteroid effects (dexamethasone) on lungs and kidneys –
ANSWER-Corticosteroids have been shown to decrease the
permeability of the pulmonary vasculature, which minimizes
pulmonary edema. Dexamethasone has also been shown to
increase diuresis. A urine output of 5 ml/kg/hr is indicative of
increased diuresis.
What is the organism most commonly responsible for
nosocomial bloodstream
infection in NICU patients? - ANSWER-Coagulase-negative
STAPHYLCOCCI
are the organisms that most commonly cause nosocomial
infections in the
NICU, accounting for approximately 50% of
bloodstream infections.
A 7-day-old infant with a postmenstrual age of 24 weeks has a
history of hyperglycemia and is receiving steroids for treatment
of hypotension. The nurse caring for the patient notices erosive
skin lesions with serous drainage and crusting on the infant's
back. Suspicion should be raised for infection with which of the
following agents? - ANSWER-Think steroids == mainly fungal!
A gestational age of less than 26 weeks, hyperglycemia, and
postnatal steroid therapy are risk factors for invasive fungal
,dermatitis caused by microorganisms such as Aspergillus or
Candida species in the first 2 weeks of life. The characteristic
lesions typically appear on dependent surfaces such as the
back or abdomen.
Erythema toxicum - ANSWER-Erythema toxicum is
characterized by pustules with an erythematous base, said to
be caused by histamine release. The pustules can come and go
on varying sites of the body, including the face, trunk, and
limbs, but are never visualized on the palms of the hands or the
soles of the feet.
A newborn infant presents with hepatomegaly and cataracts,
with noted petechiae and purpuric lesions on the trunk and
extremities. A screening complete blood count shows an
elevated white blood count but is otherwise unremarkable.
What is the most likely cause of these skin lesions? –
ANSWER-These lesions are often described as "blueberry
muffin" spots, or dermal hematopoiesis, and occur when the
skin is called upon to perform blood cell production, which can
occur in instances of congenital viral infections, typically
rubella, but also cytomegalovirus, toxoplasmosis, syphilis, and
herpes. Associated symptoms can include growth restriction,
cataracts, jaundice, hepatosplenomegaly, and
thrombocytopenia.
neonatal herpes presentation - ANSWER-This presentation is
concerning for neonatal herpes. Herpes can be localized central
nervous system disease; disseminated disease; or localized to
, the skin, eyes, and mouth. Herpes can be transmitted to the
newborn during delivery and often will have vesiculopustules
on the presenting part. Given that this infant had a scalp
electrode, the nurse knows that the infant's head was thus
exposed and therefore vulnerable to transmission. When
vesicles are noted and herpes is suspected, treatment with
acyclovir should begin immediately.
This phenomenon is referred to as the Kashbach-Merrit
phenomenon. - ANSWER-The findings are consistent with a
cavernous hemangioma. Although rare, vascular anomalies
resembling a cavernous hemangioma can be associated with
platelet sequestration and thrombocytopenia.
What should the nurse anticipate when caring for an infant
whose mother had been exposed to Toxoplasma gondii in the
first trimester of her pregnancy? - ANSWER-The evaluation of
an infant with suspect congenital toxoplasmosis should include
a review of maternal history and serology; a complete physical
examination; Toxoplasma gondii serology; and evaluation for
ophthalmologic, neurologic, and other manifestations that may
not be evident upon cursory physical examination.
Chorioretinitis may be the only finding, and is evident upon an
ophthalmologic examination. Neurologic testing would include
a lumbar puncture and a head computed tomograph (CT), the
former to test for elevated cerebrospinal fluid (CSF) protein
and/or mononuclear CSF pleocytosis. One can also test for
Toxoplasma-specific IgM in the CSF or isolation of T. gondii
from the CSF. A head CT would be performed in lieu of a brain
COMPLETE 612 REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST
RELEASED!!
Medication used to treat apnea refractory to methylxanthine
therapy - ANSWER-Doxapram is a respiratory stimulant used to
treat apnea that is refractory to methylxanthine therapy.
Methylxanthine medications are - ANSWER-Caffeine,
theophylline, and
aminophylline are methylxanthines used to
treat apnea.
ECMO for what congenital defect? - ANSWER-Diaphragmatic
Hernia
What type of drainage is impaired with BPD ? - ANSWER-
Lymphatic drainage
is impaired in infants with bronchopulmonary
dysplasia (BPD), which
predisposes them to pulmonary
edema.
,Ventilator settings for BPD and MAS - ANSWER-Short
inspiratory times allow for longer expiratory times. In
bronchopulmonary dysplasia (BPD), expiration is prolonged.
Corticosteroid effects (dexamethasone) on lungs and kidneys –
ANSWER-Corticosteroids have been shown to decrease the
permeability of the pulmonary vasculature, which minimizes
pulmonary edema. Dexamethasone has also been shown to
increase diuresis. A urine output of 5 ml/kg/hr is indicative of
increased diuresis.
What is the organism most commonly responsible for
nosocomial bloodstream
infection in NICU patients? - ANSWER-Coagulase-negative
STAPHYLCOCCI
are the organisms that most commonly cause nosocomial
infections in the
NICU, accounting for approximately 50% of
bloodstream infections.
A 7-day-old infant with a postmenstrual age of 24 weeks has a
history of hyperglycemia and is receiving steroids for treatment
of hypotension. The nurse caring for the patient notices erosive
skin lesions with serous drainage and crusting on the infant's
back. Suspicion should be raised for infection with which of the
following agents? - ANSWER-Think steroids == mainly fungal!
A gestational age of less than 26 weeks, hyperglycemia, and
postnatal steroid therapy are risk factors for invasive fungal
,dermatitis caused by microorganisms such as Aspergillus or
Candida species in the first 2 weeks of life. The characteristic
lesions typically appear on dependent surfaces such as the
back or abdomen.
Erythema toxicum - ANSWER-Erythema toxicum is
characterized by pustules with an erythematous base, said to
be caused by histamine release. The pustules can come and go
on varying sites of the body, including the face, trunk, and
limbs, but are never visualized on the palms of the hands or the
soles of the feet.
A newborn infant presents with hepatomegaly and cataracts,
with noted petechiae and purpuric lesions on the trunk and
extremities. A screening complete blood count shows an
elevated white blood count but is otherwise unremarkable.
What is the most likely cause of these skin lesions? –
ANSWER-These lesions are often described as "blueberry
muffin" spots, or dermal hematopoiesis, and occur when the
skin is called upon to perform blood cell production, which can
occur in instances of congenital viral infections, typically
rubella, but also cytomegalovirus, toxoplasmosis, syphilis, and
herpes. Associated symptoms can include growth restriction,
cataracts, jaundice, hepatosplenomegaly, and
thrombocytopenia.
neonatal herpes presentation - ANSWER-This presentation is
concerning for neonatal herpes. Herpes can be localized central
nervous system disease; disseminated disease; or localized to
, the skin, eyes, and mouth. Herpes can be transmitted to the
newborn during delivery and often will have vesiculopustules
on the presenting part. Given that this infant had a scalp
electrode, the nurse knows that the infant's head was thus
exposed and therefore vulnerable to transmission. When
vesicles are noted and herpes is suspected, treatment with
acyclovir should begin immediately.
This phenomenon is referred to as the Kashbach-Merrit
phenomenon. - ANSWER-The findings are consistent with a
cavernous hemangioma. Although rare, vascular anomalies
resembling a cavernous hemangioma can be associated with
platelet sequestration and thrombocytopenia.
What should the nurse anticipate when caring for an infant
whose mother had been exposed to Toxoplasma gondii in the
first trimester of her pregnancy? - ANSWER-The evaluation of
an infant with suspect congenital toxoplasmosis should include
a review of maternal history and serology; a complete physical
examination; Toxoplasma gondii serology; and evaluation for
ophthalmologic, neurologic, and other manifestations that may
not be evident upon cursory physical examination.
Chorioretinitis may be the only finding, and is evident upon an
ophthalmologic examination. Neurologic testing would include
a lumbar puncture and a head computed tomograph (CT), the
former to test for elevated cerebrospinal fluid (CSF) protein
and/or mononuclear CSF pleocytosis. One can also test for
Toxoplasma-specific IgM in the CSF or isolation of T. gondii
from the CSF. A head CT would be performed in lieu of a brain
