University of Pennsylvania
(Pennsylvania)
NCC National Certification Corporation
NCC Registered Nurse Certified in Neonatal Intensive
Care Nursing RNC- NIC Exam
Course Title and Number: NCC Neonatal Intensive Care
Nursing RNC-NIC Exam
Exam Title: Board Exam
Exam Date: Exam 2024- 2025
Instructor: [Insert Instructor’s Name]
Student Name: [Insert Student’s Name]
Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you have completed
the Exam.
6. This test has a time limit, The test will save and submit automatically when the
time expires
7. This is Exam which will assess your knowledge on the course Learning
Resources.
Good Luck!
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NCC National Certification
Corporation 2024-2025 NCC Registered Nurse Certified
in Neonatal Intensive Care Nursing RNC-NIC Exam
Comprehensive Review Questions with Correct Answers
| 100% Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
GIR - Answer>> 6-8mcg/kg/min caloric intake
D10 Bolus - Answer>> 2mL/kg
Fluid Volume Bolus - Answer>> 10mL/kg
Term Parenteral Fluid Requirement - Answer>>
80mL/kg/day
Enteral 100-150 mlk/kg/day
Preterm Parenteral Fluid Requirement - Answer>>
120
Enteral 150-200ml/kig/day
GIR Calculation - Answer>> (%dextrose x IV rate) / (6
x wt in kg)
I/T ratio - Answer>> %Metas + Bands / %Metas +
Bands + Segs
I/T ratio greater than >0.2 to >.25 suggestive of
infection
>0.8 associated with shock
Absolute Neutrophil COUNT - Answer>> WBC x (%)
Segmented neutrophils + band neutrophils +
metamyelocytes
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Example. 15,000 x 35 segs + 15
bands + 3 metas (turns into
percent)
15,000 x .53 = 7950
ANC <1800 suggestive of infection
Normal Range
Mature WBCs - Answer>> Poly, Segs, Neutrophils
Immature WBCs - Answer>> Meta, Bands, Stabs
Platelet Range - Answer>> 150-400k
Thrombocytopenia (< 100,000/mm 3 ): possible
association with bacterial sepsis or viral infection, but
usual onset does not occur until 1 to 3 days after
infection onset (late indicator). May also occur with
maternal HELLP syndrome ( h emolysis, e levated l iver
function test results, and l ow p latelet count),
pregnancy-induced hypertension, and intrauterine
growth restriction, as well as some syndromes such as
trisomies 13, 18, and 21, Turner's syndrome, and
hemolytic disease.
CRP level - Answer>> CRP level usually <1.6 for the
first two days of life
Elevated cord blood CRP levels are associated with
chorioamnionitis with prolonged rupture of membranes.
Most common pathogens - Answer>> Currently, GBS
E. coli
Candidas - Answer>> -Diaper dermatitis presents with
intense erythema and satellite lesions.
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-Congenital candidiasis presents
with widespread erythematous
maculopapular rash, and preterm infants may present
with pneumonia.
Congenital CMV infection - Answer>> congenital
infection include: intrauterine growth restriction,
hepatosplenomegaly, jaundice, purpura, pneumonitis,
microcephaly, hydrocephalus, intracerebral
calcifications, hearing loss, chorioretinitis, and optic
atrophy.
Endotracheal Measurement - Answer>> 6 + wt in kg
Proper placement on an endotracheal tube is midway
between the thoracic inlet and the carina.
Polyethelane Wrap for Infant < 29 weeks - Answer>>
Dry infants head only
Place infant in bag, from neck down
Remove bag once infant is in an NTE and humidified
environment
UAC Placement - Answer>> High Placement T6-T9
Low Placement L3-L4
UVC Placement - Answer>> 1 to 2cm above the
diaghragm
Low Lying 2-4cm in the cord
Chest Tube Placement - Answer>> Mid Clavicular line
with distal chest tube hole inside the thoracic space
lecithin/sphingomyelin (L/S) ratio - Answer>> An L/S
ratio greater than 2:1 is considered to indicate fetal
lung maturity.
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