1|Page
RNC-NIC EXAM 2025/2026 BANK CURRENTLY
COMPLETE TESTING QUESTIONS AND DETAILED
CORRECT ANSWERS (VERIFIED) FOR
GUARANTEED PASS TOP-RATED A+.
RNC-NIC
Achieve success on the RNC-NIC exam with this comprehensive
certification guide, meticulously designed to help you master the
complexities of neonatal intensive care nursing. This resource
streamlines your study process by delivering high-yield practice
questions and evidence-based rationales that mirror the official exam's
focus on high-risk neonates. Invest in your professional advancement
and earn your credential with confidence, fully prepared to excel on
this critical certification test.
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 .......
Candida
RATIONALE: 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.
,2|Page
The characteristic lesions typically appear on dependent
surfaces such as the back or abdomen.
Considering the extremely low-birth-weight infant's fluid
status, the nurse considers which of the following
interventions as most appropriate in providing skin care?
...... ANSWER ....... Incubator humidity should be kept
at 70% to 90% for the first 7 days of life and then decreased
to 50% on day of life 8.
RATIONALE: Incubator humidity should be kept between
70% and 90% for the first week in order to reduce insensible
water loss in the extremely low-birth-weight infant (ELBW).
Incubator humidity should be kept between 70% and 90% for
the first week in order to reduce insensible water loss in the
extremely low-birth-weight infant (ELBW). Thereafter, it is
reasonable to gradually reduce the humidity to 50%.
The nurse is caring for an infant being cooled for hypoxic-
ischemic encephalopathy. On morning rounds the attending
physician says it is important to monitor the infant for
subcutaneous fat necrosis. The nurse anticipates that an
appropriate intervention would be to: ...... ANSWER
....... monitor serum calcium levels.
,3|Page
RATIONALE: Calcium levels should be monitored in
infants with subcutaneous fat necrosis, because these are
caused by the crystallization of the subcutaneous fat cells.
Both hypercalcemia and hypocalcemia have been reported in
these infants, and therefore the serum calcium should be
closely monitored.
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 ....... Dermal hematopoiesis
RATIONALE: 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.
A newborn infant presents with a few vesicopustules on the
scalp, lateral to the site of the fetal monitor electrode. The
nurse notifies the provider and anticipates the initial
, 4|Page
intervention to be: ...... ANSWER ....... an antiviral
agent, such as acyclovir, will be ordered.
RATIONALE: 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
A newborn infant presents with a very large, bluish-red,
cystlike, firm, ill-defined mass under the top layer of skin on
the right buttock. The nurse anticipates which of the
following laboratory tests to be performed ...... ANSWER
....... Platelet count
RATIONALE: The findings are consistent with a cavernous
hemangioma. Although rare, vascular anomalies resembling
a cavernous hemangioma can be associated with platelet
sequestration and thrombocytopenia. This phenomenon is
referred to as the Kashbach-Merrit phenomenon.
RNC-NIC EXAM 2025/2026 BANK CURRENTLY
COMPLETE TESTING QUESTIONS AND DETAILED
CORRECT ANSWERS (VERIFIED) FOR
GUARANTEED PASS TOP-RATED A+.
RNC-NIC
Achieve success on the RNC-NIC exam with this comprehensive
certification guide, meticulously designed to help you master the
complexities of neonatal intensive care nursing. This resource
streamlines your study process by delivering high-yield practice
questions and evidence-based rationales that mirror the official exam's
focus on high-risk neonates. Invest in your professional advancement
and earn your credential with confidence, fully prepared to excel on
this critical certification test.
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 .......
Candida
RATIONALE: 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.
,2|Page
The characteristic lesions typically appear on dependent
surfaces such as the back or abdomen.
Considering the extremely low-birth-weight infant's fluid
status, the nurse considers which of the following
interventions as most appropriate in providing skin care?
...... ANSWER ....... Incubator humidity should be kept
at 70% to 90% for the first 7 days of life and then decreased
to 50% on day of life 8.
RATIONALE: Incubator humidity should be kept between
70% and 90% for the first week in order to reduce insensible
water loss in the extremely low-birth-weight infant (ELBW).
Incubator humidity should be kept between 70% and 90% for
the first week in order to reduce insensible water loss in the
extremely low-birth-weight infant (ELBW). Thereafter, it is
reasonable to gradually reduce the humidity to 50%.
The nurse is caring for an infant being cooled for hypoxic-
ischemic encephalopathy. On morning rounds the attending
physician says it is important to monitor the infant for
subcutaneous fat necrosis. The nurse anticipates that an
appropriate intervention would be to: ...... ANSWER
....... monitor serum calcium levels.
,3|Page
RATIONALE: Calcium levels should be monitored in
infants with subcutaneous fat necrosis, because these are
caused by the crystallization of the subcutaneous fat cells.
Both hypercalcemia and hypocalcemia have been reported in
these infants, and therefore the serum calcium should be
closely monitored.
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 ....... Dermal hematopoiesis
RATIONALE: 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.
A newborn infant presents with a few vesicopustules on the
scalp, lateral to the site of the fetal monitor electrode. The
nurse notifies the provider and anticipates the initial
, 4|Page
intervention to be: ...... ANSWER ....... an antiviral
agent, such as acyclovir, will be ordered.
RATIONALE: 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
A newborn infant presents with a very large, bluish-red,
cystlike, firm, ill-defined mass under the top layer of skin on
the right buttock. The nurse anticipates which of the
following laboratory tests to be performed ...... ANSWER
....... Platelet count
RATIONALE: The findings are consistent with a cavernous
hemangioma. Although rare, vascular anomalies resembling
a cavernous hemangioma can be associated with platelet
sequestration and thrombocytopenia. This phenomenon is
referred to as the Kashbach-Merrit phenomenon.
