RNC-NIC Actual Exam Version 1& 2 Newest / RNC-NIC Exam Preparation
RNC-NIC ACTUAL EXAM VERSION 1& 2 NEWEST / RNC-NIC EXAM
PREPARATION /RNC-NIC PRACTICE EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+(NEWEST VERSION!)
Upon exam of a 12 hour old, 35 week gestation infant, you notice an axillary temp
of 36.0, respiratory rate of 64, 4 second capillary refill time with cool hands and
feet, and redness noted at the umbilicus. The mother reports the infant not
feeding well for the last two attempts. You suspect the underlying cause is:
A. Congenital heart defect
B. Early Onset Sepsis
C. Hypoglycemia
B. Early Onset Sepsis
Which of the following statements is true?
A. Inactivated vaccines may occasionally cause infection
B. Neonatal patients should not receive vaccines due to weakened immune
systems
C. When given, Hepatitis B Immune Globulin (HBIG) is an example of passive
immunity
C. When given, Hepatitis B Immune Globulin (HBIG) is an example of passive
immunity
This sensory system is the most primitive at the time of birth.
A. Auditory
B. Gustatory
C. Visual
C. Visual
1|Page
, RNC-NIC Actual Exam Version 1& 2 Newest / RNC-NIC Exam Preparation
Polyhydramnios is a maternal indicator of which neonatal condition?
A. Choanal Atresia
B. Duodenal atresia
C. Total Anomalous Pulmonary Venous Return
B. Duodenal atresia
When examining a 1 day old 38 week newborn in the NICU for suspected sepsis,
you note scalp swelling on the right side of the head that does not cross the
suture line. You would identify this as:
A. Caput Succedaneum
B. Cephalohematoma
C. Subgaleal Hemorrhage
B. Cephalohematoma
Which eye abnormality is found in an infant with CHARGE syndrome?
A. Coloboma
B. Congenital cataract
C. Retinoblastoma
A. Coloboma
During tracheal intubation, the endotracheal tube is inserted through the: A.
Epiglottis
B. Glottis
C. Vallecula
B. Glottis
Ultrafiltration in the kidneys of a neonate is driven by:
A. Chemicals
B. Osmosis
C. Pressure
C. Pressure
2|Page
, RNC-NIC Actual Exam Version 1& 2 Newest / RNC-NIC Exam Preparation
Oligohydramnios is a maternal indicator for a malfunction in which fetal body
system:
A. Cardiac
B. Gastrointestinal
C. Renal
C. Renal
You are caring for a 7 day old infant weighing 1.8 kg. The infant is NPO due to
feeding intolerance. In order for the infant to receive 130 ml/kg/day the IV rate
should be:
A. 5.6 ml/hr
B. 6.3 ml/hr
C. 9.8 ml/hr
C. 9.8 ml/hr
Upon delivery, a newborn is noted to be extremely pale with signs of shock,
requiring extensive resuscitation including volume replacement with packed red
blood cells. What maternal test would be performed to determine if a fetal-to-
maternal hemorrhage occurred?
A. Apt Test
B. Direct Antibody Test
C. Kleihauer Betke Test
C. Kleihauer Betke Test
Which pharmacologic intervention is indicated for painful interventions such as
venipuncture, IM injections or heelsticks?
1. Acetaminophen
2. Morphine
3. Sucrose
3. Sucrose
3|Page
, RNC-NIC Actual Exam Version 1& 2 Newest / RNC-NIC Exam Preparation
A newborn had emergency surgery on day of life 2 for malrotation with a midgut
volvulus. The baby has since had intolerance of feedings due to short gut
syndrome. Now at 2 months of age the infant has a direct bilirubin level of 1.7.
What is the likely cause of this lab result?
A. ABO incompatibility
B. Hepatitis
C. TPN
C. TPN
A male newborn is noted to have excessive bleeding during and after his
circumcision. Upon hematologic workup, he is found to have hemophilia.
Hemophilia is an example of this type of inheritance pattern:
A. Autosomal Recessive
B. Sex-linked Dominant
C. Sex-linked Recessive
C. Sex-linked Recessive
Vasopressors improve blood pressure through which action?
A. Increased heart rate
B. Increased myocardial contractility
C. Increased vascular tone
C. Increased vascular tone
Neonatal Side Effects of Maternal Administration of Magnesium Sulfate include:
A. Hypertonia
B. Hypoglycemia
C. Respiratory Depression
C. Respiratory Depression
Analyze the following blood gas value:
pH 7.11, CO2 65, HCO3 17
4|Page
RNC-NIC ACTUAL EXAM VERSION 1& 2 NEWEST / RNC-NIC EXAM
PREPARATION /RNC-NIC PRACTICE EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+(NEWEST VERSION!)
Upon exam of a 12 hour old, 35 week gestation infant, you notice an axillary temp
of 36.0, respiratory rate of 64, 4 second capillary refill time with cool hands and
feet, and redness noted at the umbilicus. The mother reports the infant not
feeding well for the last two attempts. You suspect the underlying cause is:
A. Congenital heart defect
B. Early Onset Sepsis
C. Hypoglycemia
B. Early Onset Sepsis
Which of the following statements is true?
A. Inactivated vaccines may occasionally cause infection
B. Neonatal patients should not receive vaccines due to weakened immune
systems
C. When given, Hepatitis B Immune Globulin (HBIG) is an example of passive
immunity
C. When given, Hepatitis B Immune Globulin (HBIG) is an example of passive
immunity
This sensory system is the most primitive at the time of birth.
A. Auditory
B. Gustatory
C. Visual
C. Visual
1|Page
, RNC-NIC Actual Exam Version 1& 2 Newest / RNC-NIC Exam Preparation
Polyhydramnios is a maternal indicator of which neonatal condition?
A. Choanal Atresia
B. Duodenal atresia
C. Total Anomalous Pulmonary Venous Return
B. Duodenal atresia
When examining a 1 day old 38 week newborn in the NICU for suspected sepsis,
you note scalp swelling on the right side of the head that does not cross the
suture line. You would identify this as:
A. Caput Succedaneum
B. Cephalohematoma
C. Subgaleal Hemorrhage
B. Cephalohematoma
Which eye abnormality is found in an infant with CHARGE syndrome?
A. Coloboma
B. Congenital cataract
C. Retinoblastoma
A. Coloboma
During tracheal intubation, the endotracheal tube is inserted through the: A.
Epiglottis
B. Glottis
C. Vallecula
B. Glottis
Ultrafiltration in the kidneys of a neonate is driven by:
A. Chemicals
B. Osmosis
C. Pressure
C. Pressure
2|Page
, RNC-NIC Actual Exam Version 1& 2 Newest / RNC-NIC Exam Preparation
Oligohydramnios is a maternal indicator for a malfunction in which fetal body
system:
A. Cardiac
B. Gastrointestinal
C. Renal
C. Renal
You are caring for a 7 day old infant weighing 1.8 kg. The infant is NPO due to
feeding intolerance. In order for the infant to receive 130 ml/kg/day the IV rate
should be:
A. 5.6 ml/hr
B. 6.3 ml/hr
C. 9.8 ml/hr
C. 9.8 ml/hr
Upon delivery, a newborn is noted to be extremely pale with signs of shock,
requiring extensive resuscitation including volume replacement with packed red
blood cells. What maternal test would be performed to determine if a fetal-to-
maternal hemorrhage occurred?
A. Apt Test
B. Direct Antibody Test
C. Kleihauer Betke Test
C. Kleihauer Betke Test
Which pharmacologic intervention is indicated for painful interventions such as
venipuncture, IM injections or heelsticks?
1. Acetaminophen
2. Morphine
3. Sucrose
3. Sucrose
3|Page
, RNC-NIC Actual Exam Version 1& 2 Newest / RNC-NIC Exam Preparation
A newborn had emergency surgery on day of life 2 for malrotation with a midgut
volvulus. The baby has since had intolerance of feedings due to short gut
syndrome. Now at 2 months of age the infant has a direct bilirubin level of 1.7.
What is the likely cause of this lab result?
A. ABO incompatibility
B. Hepatitis
C. TPN
C. TPN
A male newborn is noted to have excessive bleeding during and after his
circumcision. Upon hematologic workup, he is found to have hemophilia.
Hemophilia is an example of this type of inheritance pattern:
A. Autosomal Recessive
B. Sex-linked Dominant
C. Sex-linked Recessive
C. Sex-linked Recessive
Vasopressors improve blood pressure through which action?
A. Increased heart rate
B. Increased myocardial contractility
C. Increased vascular tone
C. Increased vascular tone
Neonatal Side Effects of Maternal Administration of Magnesium Sulfate include:
A. Hypertonia
B. Hypoglycemia
C. Respiratory Depression
C. Respiratory Depression
Analyze the following blood gas value:
pH 7.11, CO2 65, HCO3 17
4|Page
