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RNC NIC REAL EXAM QUESTIONS WITH VERIFIED CORRECT SOLUTIONS || ALREADY GRADED A+ <LATEST VERSION>

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RNC NIC REAL EXAM QUESTIONS WITH VERIFIED CORRECT SOLUTIONS || ALREADY GRADED A+ &lt;LATEST VERSION&gt; 1. What is the most sensitive indicator of ventilation status? - ANSWER PaCO2 2. TGA (transposition of the great arteries) x-ray - ANSWER egg-shaped heart on xray 3. Tetrology of F...

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  • January 17, 2025
  • 108
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • RNC-NIC
  • RNC-NIC
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ProfBenjamin
RNC NIC REAL EXAM QUESTIONS WITH
VERIFIED CORRECT SOLUTIONS ||
ALREADY GRADED A+
<LATEST VERSION>



1. What is the most sensitive indicator of ventilation status? - ANSWER ✔
PaCO2

2. TGA (transposition of the great arteries) x-ray - ANSWER ✔ egg-shaped
heart on xray

3. Tetrology of Fallot (TOF) x-ray - ANSWER ✔ boot-shaped heart on xray

4. TAPVR (total anomalous pulmonary venous return) x-ray - ANSWER ✔
snowman-shaped heart on x-ray

5. Omphalocele - ANSWER ✔ -failure of intestines to return from umbilical
cord into abdominal cavity
-viscera covered by thin, transparent membrane composed of peritoneum and
amnion
-visible bowel is normal in appearance

6. Gastroschisis - ANSWER ✔ -Full-thickness defect in abdominal wall
through which uncovered intestines protrude
-Bowel is uncovered and appears edematous and matted

7. Prune Belly Syndrome (Eagle-Barrett Syndrome) - ANSWER ✔ Absence of
abdominal musculature, undescended testes, urinary tract malformations

,-Weakened abdominal muscles often give the abdomen a wrinkled, prune-like
appearance
-Maternal cocaine use is a known teratogen that may play a role
-As many as 50% will die by two years of age

8. Esophageal atresia/TEF - ANSWER ✔ -Issue with esophagus or failure of
esophagus to differentiate from trachea
-Polyhydramnios may occur in utero (can't swallow fluid)
-Inability to pass oral or nasal tube may be first clue
-Take great care with suctioning/tube placemnet post op

9. Pyloric Stenosis - ANSWER ✔ -Hypertrophy of pylorus - nodule that
constricts lumen of pyloric canal
-Begins with non-bilious vomiting which progresses to frequent, projectile
vomiting
-Pylorotomy is the only treatment

10.Duodenal atresia - ANSWER ✔ Obstruction of lumen in duodenum
-polyhydramnios may occur in utero (can't digest fluid)
-May fail to pass meconium

11.Duodenal atresia x-ray findings - ANSWER ✔ "Double bubble"

12.Jejunal/Ileal Atresia - ANSWER ✔ Similar to duodenal atresia, but lower -
the lower the defect, the longer it takes to start vomiting

13.Meconium Ileus - ANSWER ✔ -Due to pancreatic insufficiency, almost
always associated with CF
-Progressive abdominal distension 12-24hrs after birth, followed by bilious
vomiting and failure to pass meconium
-Contrast enema to evacuate bowel

14.Meconium plug syndrome - ANSWER ✔ Similar presentation to meconium
ileus; will not reoccur once plug passes

15.Malrotation - ANSWER ✔ an abnormality in the process of intestinal
rotation and fixation

,16.Carnitine and the preterm infant - ANSWER ✔ Present in human breast milk
and formulas but premature infants have low tissue stores so may need
supplementation so they're better able to metabolize fats

17.Symptoms of carnitine deficiency - ANSWER ✔ Increased episodes of
apnea
Decreased muscle tone
Poor growth

18.When must a soy formula be used? - ANSWER ✔ Galactosemia and
hereditary lactose deficiency

19.When can soy formula not be used? Why? - ANSWER ✔ In preterm infants
< 1800 g bc it results in less weight gain, increases risk of osteopenia,
elevated ALP & aluminum

20.What are three types of specialized formulas? - ANSWER ✔ Pregestimil
Sim PM 60/40
Nutramigen LIPL

21.What is pregestimil and when is it used? - ANSWER ✔ A hypoallergenic
formula that provides predigested protein
For infants with malabsorption caused for GI or hepatobiliary disease

22.What is sim PM 60/40 and when is it used? Why is it called 60/40? -
ANSWER ✔ Cows milk based formula with low P content and low renal
solute load
For those with impaired renal function o hypocalcemia due to high P
Whey to casein ratio of 60:40

23.What is nutramigen LIPL and when is it used? - ANSWER ✔
Hypoallergenic formula with hydrolysis (digested) proteins that are easier to
absorb
Used for infants sensitive to the intact protein found in cows milk based
formula
Used when there is a cows milk protein allergy

, 24.What is the IV lipid protocol? Possible complications? - ANSWER ✔ Start
with 0.5 g/kg on third DOL & advance slowly to final admin rate of 3-3.5
g/kg/day by 7-10 days

Kernicterus in those with elevated unconjugated bili
Exacerbation of chronic lung dz & persistent pulm HTN

25.Protocol for iron supplementation in neonates - ANSWER ✔ Preterm infants
susceptible to iron deficiency due to lack of maternal iron transfer during
third trimester

26.Premature infants fed human milk should have supplemental iron once they
reach full feeds or iron fortified formulas

27.What is extrauterine growth restriction? What is it associated with? -
ANSWER ✔ Poor growth after birth common in premature infants
(especially VLBW)

Short stature
Adverse neurological outcomes like neurosensory impairments, delayed
development & poor school performances

28.What are some causes of respiratory acidosis? - ANSWER ✔ Processes that
disturb the transfer of CO2 across the respiratory membrane eg
inflammation or excessive fluid
Decreased respiratory rate
Severe pulmonary disease
Muscle fatigue
Central depression of breathing

29.What vent changes should be made to treat respiratory acidosis? - ANSWER
✔ Increase tidal volume by increasing PIP, PEEP or rate

30.What are some causes of metabolic acidosis? - ANSWER ✔ Lactic acidosis
production from inadequate tissue perfusion and oxygenation
Hypothermia —> increased lactic acid production
Renal failure
Excessive chloride in IVF
diarrhea

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