NCC Exam Newest 2025/2026
NCC EXAM NEWEST 2025/2026 COMPLETE ALL 300
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
Term neonate has a brief history of lethargy and poor feeding. Upon
exam he is pale, mottled, diaphoretic. Palpation reveals strong pulses in
the upper but diminished in the lower extremities. Temp 36.6, HR 176,
RR 84, cap refill 5 seconds, UOP 0.2. A diagnostic step that is useful is
obtaining 4 point BPs
A term neonate who has just come off mechanical ventilation and
begun enteric feedings has developed abdominal distention and bilious
emesis. An xray depicts small bowel obstruction with soap bubble
appearance in the RLQ. This is consistent with
meconium ileus
Compared to morphine, fentanyl citrate my produce
chest wall rigidity
A preterm neonate on prolonged lasix therapy is at increased risk for
hypokalemia
1|Page
, NCC Exam Newest 2025/2026
Perinatal transmission of HIV infection is increased when the mother
has
low CD4+ lymphocyte count
A key principle for resuscitation is that
medications are not substitute for adequate ventilation
The American Academy of Pediatrics recommends discharge of the late
preterm infant after
48 hours
Preterm infants should receive the influenza vaccine at
6 months of age
Hirschsprung's disease occurs due to
ganglion cell deficiency
Inborn errors of metabolism should be considered when the infant
presents with
seizures
A characteristic that is common in infants with Trisomy 13, 18, and 21 is
2|Page
, NCC Exam Newest 2025/2026
cardiac defects
A risk factor for intraventricular hemorrhage (IVH) is
hyperviscosity
Synchronized ventilation has been demonstrated to decrease
duration of ventilatory therapy
Infants should not receive fluoride supplements until they are
6 months old
Infants of diabetic mothers are at increased risk for hypoglycemia
because of insulin-stimulated peripheral glucose uptake and
inhibition of gluconeogenesis
The rise in glomerular filtration rate after birth can be attributed to
expansion of the filtration surface area
During resuscitation an infant is noted to have weak peripheral pulses,
persistent tachycardia and diminished muscle tone. The most
appropriate intervention would be
3|Page
, NCC Exam Newest 2025/2026
normal saline 10mL/kg
A statement that characterizes neonatal renal function in the VLBW
neonate, is that the neonate has an
inability of the proximal tubule to reabsorb adequate amounts of
sodium
High-pitched sound heard on expiration
wheeze
Maturation of the 25 week gestation neonate's skin may take up to how
many weeks?
8 weeks
In premature infants bilirubin levels generally peak on day
5 of life
A neonate born to a mother who developed varicella rash 3 days prior
to delivery should receive
VariZIG
Genital ambiguity should prompt the healthcare team to screen for
4|Page
NCC EXAM NEWEST 2025/2026 COMPLETE ALL 300
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
Term neonate has a brief history of lethargy and poor feeding. Upon
exam he is pale, mottled, diaphoretic. Palpation reveals strong pulses in
the upper but diminished in the lower extremities. Temp 36.6, HR 176,
RR 84, cap refill 5 seconds, UOP 0.2. A diagnostic step that is useful is
obtaining 4 point BPs
A term neonate who has just come off mechanical ventilation and
begun enteric feedings has developed abdominal distention and bilious
emesis. An xray depicts small bowel obstruction with soap bubble
appearance in the RLQ. This is consistent with
meconium ileus
Compared to morphine, fentanyl citrate my produce
chest wall rigidity
A preterm neonate on prolonged lasix therapy is at increased risk for
hypokalemia
1|Page
, NCC Exam Newest 2025/2026
Perinatal transmission of HIV infection is increased when the mother
has
low CD4+ lymphocyte count
A key principle for resuscitation is that
medications are not substitute for adequate ventilation
The American Academy of Pediatrics recommends discharge of the late
preterm infant after
48 hours
Preterm infants should receive the influenza vaccine at
6 months of age
Hirschsprung's disease occurs due to
ganglion cell deficiency
Inborn errors of metabolism should be considered when the infant
presents with
seizures
A characteristic that is common in infants with Trisomy 13, 18, and 21 is
2|Page
, NCC Exam Newest 2025/2026
cardiac defects
A risk factor for intraventricular hemorrhage (IVH) is
hyperviscosity
Synchronized ventilation has been demonstrated to decrease
duration of ventilatory therapy
Infants should not receive fluoride supplements until they are
6 months old
Infants of diabetic mothers are at increased risk for hypoglycemia
because of insulin-stimulated peripheral glucose uptake and
inhibition of gluconeogenesis
The rise in glomerular filtration rate after birth can be attributed to
expansion of the filtration surface area
During resuscitation an infant is noted to have weak peripheral pulses,
persistent tachycardia and diminished muscle tone. The most
appropriate intervention would be
3|Page
, NCC Exam Newest 2025/2026
normal saline 10mL/kg
A statement that characterizes neonatal renal function in the VLBW
neonate, is that the neonate has an
inability of the proximal tubule to reabsorb adequate amounts of
sodium
High-pitched sound heard on expiration
wheeze
Maturation of the 25 week gestation neonate's skin may take up to how
many weeks?
8 weeks
In premature infants bilirubin levels generally peak on day
5 of life
A neonate born to a mother who developed varicella rash 3 days prior
to delivery should receive
VariZIG
Genital ambiguity should prompt the healthcare team to screen for
4|Page
