NCC RNC–NIC Complete Exam Questions & Detailed Answers
– Neonatal Intensive Care Certification (A+ Graded,
Updated Version)
Introduction:
This document provides the full set of verified and graded A+
questions and detailed answers for the NCC RNC–NIC (Neonatal
Intensive Care Nursing Certification) exam. It covers neonatal
pathophysiology, pharmacology, respiratory management,
thermoregulation, infection control, genetic disorders, and maternal-
fetal health. Each question includes the correct and comprehensive
explanation, aligned with current NCC standards and clinical practice
guidelines. Ideal for NICU nurses preparing for certification or
review.
Exam Questions and Answers
What is premature EBM deficient in? --- correct answer ---calcium
and phosphorous; need to fortify
neuroendocrine respone to pain --- correct answer ---release of
cortisol/plasma renin @ 23 weeks; suppression of insulin leads to
hyperglycemia
low pH, high CO2 --- correct answer ---respiratory acidosis; causes
are lung disease, apnea
,high pH, low CO2 --- correct answer ---respiratory alkalosis; causes
are over ventilation
low pH, low bicarb --- correct answer ---metabolic acidosis; causes
are diarrhea, renal tubular acidosis, lactic acidosis
high pH, high bicarb --- correct answer ---metabolic alkalosis;
causes are vomiting, suctioning, bicarb use
factors that shift oxyhemoglobin dissociation curve to the LEFT ---
correct answer ---High pH, low temp, low DBG, fetal HGB
(ALKALOTIC, LITTLE, COLD)
factors that shift oxyhemoglobin dissociation curve to the RIGHT ---
correct answer ---low pH, high temp
hypoxemia --- correct answer ---blood
hypoxic --- correct answer ---tissue
when hypoxia exists, metabolism continues via? --- correct answer
---anaerobic metabolism, producing lactic acid
, what is the most sensitive indicator of ventilation? --- correct
answer ---CO2
PIP --- correct answer ---highest pressure on inhalation
how does PIP work? --- correct answer ---decreases CO2 by
increasing TV
high PIPs cause? --- correct answer ---barotrauma
<1500g, PIP should be? --- correct answer ---15
>2kg, PIP should be? --- correct answer ---20
Rate --- correct answer ---used to blow off CO2
how to decrease a high co2 with the rate? --- correct answer ---
lower the rate
PEEP --- correct answer ---keeps lungs distended at the end of
every breath
what is a physiological peep? --- correct answer ---4-5
– Neonatal Intensive Care Certification (A+ Graded,
Updated Version)
Introduction:
This document provides the full set of verified and graded A+
questions and detailed answers for the NCC RNC–NIC (Neonatal
Intensive Care Nursing Certification) exam. It covers neonatal
pathophysiology, pharmacology, respiratory management,
thermoregulation, infection control, genetic disorders, and maternal-
fetal health. Each question includes the correct and comprehensive
explanation, aligned with current NCC standards and clinical practice
guidelines. Ideal for NICU nurses preparing for certification or
review.
Exam Questions and Answers
What is premature EBM deficient in? --- correct answer ---calcium
and phosphorous; need to fortify
neuroendocrine respone to pain --- correct answer ---release of
cortisol/plasma renin @ 23 weeks; suppression of insulin leads to
hyperglycemia
low pH, high CO2 --- correct answer ---respiratory acidosis; causes
are lung disease, apnea
,high pH, low CO2 --- correct answer ---respiratory alkalosis; causes
are over ventilation
low pH, low bicarb --- correct answer ---metabolic acidosis; causes
are diarrhea, renal tubular acidosis, lactic acidosis
high pH, high bicarb --- correct answer ---metabolic alkalosis;
causes are vomiting, suctioning, bicarb use
factors that shift oxyhemoglobin dissociation curve to the LEFT ---
correct answer ---High pH, low temp, low DBG, fetal HGB
(ALKALOTIC, LITTLE, COLD)
factors that shift oxyhemoglobin dissociation curve to the RIGHT ---
correct answer ---low pH, high temp
hypoxemia --- correct answer ---blood
hypoxic --- correct answer ---tissue
when hypoxia exists, metabolism continues via? --- correct answer
---anaerobic metabolism, producing lactic acid
, what is the most sensitive indicator of ventilation? --- correct
answer ---CO2
PIP --- correct answer ---highest pressure on inhalation
how does PIP work? --- correct answer ---decreases CO2 by
increasing TV
high PIPs cause? --- correct answer ---barotrauma
<1500g, PIP should be? --- correct answer ---15
>2kg, PIP should be? --- correct answer ---20
Rate --- correct answer ---used to blow off CO2
how to decrease a high co2 with the rate? --- correct answer ---
lower the rate
PEEP --- correct answer ---keeps lungs distended at the end of
every breath
what is a physiological peep? --- correct answer ---4-5
