RNC-NIC : NCC Neonatal Intensive Care Nursing 2025 Exam

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Nursing
RNC-NIC
NCC Neonatal Intensive Care Nursing 2025
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Question: 1175
ent plan for their critically ill infant. What strategy should the nurse utilize to promote share on-making while addressing the parents' concerns?
assure parents that the staff's experience is sufficient
st on the medical team's authority in making decisions
ilitate an open discussion where parents can voice their concerns er: C
nation: Facilitating an open discussion allows parents to express their concerns and feel hear the way for collaborative decision-making in the context of their infant's care.
ion: 1176
thcare provider is assessing a post-term neonate who exhibits signs of lethargy and poor fee of the following complications should be considered?
perthermia poglycemia
onatal abstinence syndrome er: B
nation: Post-term neonates are at an increased risk for hypoglycemia, particularly if there is a of maternal diabetes or if the infant is not feeding effectively.
During a family meeting, a nurse notices a conflict between parents and staff regarding the proposed treatm d
decisi
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2. Insi
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Question: 1177
A nurse is evaluating a neonate with suspected hypoxic-ischemic encephalopathy (HIE). Which of the following findings is most concerning?
1. Hypertonia
2. Seizures
3. Lethargy Answer: B
Explanation: The presence of seizures in a neonate with suspected HIE is concerning and typically indicates significant neurological impairment.
Question: 1178
A healthcare provider is assessing an infant with a suspected diagnosis of cleft lip and palate. Which finding would support this diagnosis during the physical examination?
1. Asymmetrical facial features
cessive drooling er: A
nation: Asymmetrical facial features are characteristic of cleft lip and palate, indicating the pr ondition.
ion: 1179
nurse assesses an infant with suspected heart failure and notes a gallop rhythm on auscultation. W his finding suggest?
reased fluid overload rmal heart function ntricular hypertrophy
er: A
nation: A gallop rhythm indicates increased fluid overload, which is commonly associated wi ailure in neonates.
ion: 1180
nurse is reviewing the formula composition for a neonate. Which component is most critical to monitor in a low-birth-weight infant to prevent metabolic complications?
Abnormal respiratory sounds
2. Ex
Answ
Expla esence
of the c
Quest
A hat
does t
1. Inc
2. No
3. Ve
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heart f Quest A
1. Total carbohydrate content
2. Electrolyte balance
3. Protein concentration Answer: B
Explanation: Monitoring electrolyte balance is critical in low-birth-weight infants to prevent metabolic complications, as they are at higher risk for imbalances that can affect overall health.
Question: 1181
In a case of meconium aspiration syndrome, which of the following laboratory findings is most likely to be present?
1. Metabolic acidosis
2. Elevated white blood cell count
3. High blood pH level Answer: A
nation: Meconium aspiration syndrome often leads to respiratory distress and can result in olic acidosis due to impaired gas exchange and subsequent hypoxia.
ion: 1182
nurse is discussing the factors that can impede the grieving process with a family. Which of the ing factors is least likely to be considered a barrier to effective grieving?
periencing unresolved feelings of guilt. gaging in avoidance behaviors.
ving a strong support system in place. er: C
nation: A strong support system can facilitate the grieving process, while avoidance behavior lved guilt are barriers that can hinder emotional healing.
ion: 1183
ssessing the nutritional needs of a neonate receiving donor breast milk, which of the follow should the nurse consider to ensure adequate nutrition?
donor's dietary habits age of the donor milk
infant's specific caloric needs
Expla metab
Quest
A
follow
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2. En
3. Ha
Answ
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factors
1. The
2. The
3. The Answer: C
Explanation: Considering the infant's specific caloric needs is essential to ensure that the nutritional requirements are met, as donor milk may need fortification to provide adequate nutrients for growth.
Question: 1184
A full-term neonate presents with seizures, and after further investigation, it is found that the infant has suffered a hypoxic ischemic encephalopathy (HIE) event during delivery. Which of the following
interventions is considered a priority in the management of this condition?
1. Immediate initiation of phenobarbital
2. Continuous EEG monitoring
3. Administration of therapeutic hypothermia Answer: C
Explanation: Therapeutic hypothermia is the standard of care for managing HIE in neonates, as it has been shown to reduce the risk of long-term neurological impairment.
ion: 1185
week gestation pregnant woman has been diagnosed with a cytomegalovirus (CMV) infectio of the following complications is most closely associated with this maternal infection for th
?
ngenital heart defects
crocephaly and sensorineural hearing loss onatal respiratory distress syndrome
er: B
nation: CMV is known to cause significant neurological complications in neonates, including cephaly and sensorineural hearing loss, making it a critical infection to monitor during pregn
ion: 1186
naging a newborn with respiratory distress syndrome, which of the following therapies is ered a standard intervention prior to the administration of surfactant?
gh-flow nasal cannula oxygen therapy aled nitric oxide therapy
ntrolled mechanical ventilation
er: C
Quest
A 32- n.
Which e
neonate
1. Co
2. Mi
3. Ne
Answ Expla
micro ancy.
Quest
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1. Hi
2. Inh
3. Co
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Explanation: Controlled mechanical ventilation is often initiated prior to surfactant administration to provide adequate ventilation and oxygenation in infants with RDS.
Question: 1187
In a family-centered care environment, a nurse is discussing the importance of parental involvement in the NICU. Which of the following best illustrates a parent's active engagement in their infant's care?
1. Visiting the NICU only during designated hours
2. Delegating all care responsibilities to healthcare providers
3. Participating in care activities, such as diaper changes and feeding Answer: C
Explanation: Actively participating in care activities helps parents feel more connected to their infant and fosters a sense of competence and confidence in their parenting role.
Question: 1188
of the following conditions is most likely to occur if overfeeding is not managed appropriat
pernatremia stroesophageal reflux crotizing enterocolitis
er: C
nation: Overfeeding can lead to necrotizing enterocolitis, a serious condition that can occur d ive volume causing ischemia and inflammation in the intestines.
ion: 1189
a routine assessment, a nurse notes a significant increase in bilirubin levels in a 5-day-old i exclusively breastfed. Considering the potential causes of indirect hyperbilirubinemia, whic ion should the nurse suspect is contributing to this infant's jaundice?
ysiologic jaundice
molytic disease of the newborn ast milk jaundice
er: C
nation: Breast milk jaundice can occur in infants who are breastfeeding and is due to substan ilk that inhibit bilirubin conjugation, typically appearing after the first week of life.
A nurse is discussing the potential consequences of overfeeding a neonate receiving enteral nutrition. Which ely?
1. Hy
2. Ga
3. Ne
Answ
Expla ue to
excess
Quest
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who is h
condit
1. Ph
2. He
3. Bre Answ
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breast m
Question: 1190
A nurse is preparing to discharge a preterm infant who required a prolonged NICU stay. Which follow-up is most critical?
1. Neurodevelopmental assessment
2. Routine pediatrician visit
3. Immunization status check
Answer: A
Explanation: A neurodevelopmental assessment is critical for preterm infants due to their increased risk of developmental delays and disabilities.
Question: 1191
A neonate is being cared for in the NICU, and the nurse is implementing neurodevelopmental care strategies. Which of the following interventions would best promote positive sensory interactions?
viding limited opportunities for tactile stimulation eping the neonate in a quiet, isolated area
er: A
nation: Encouraging gentle, rhythmic touch during care promotes positive sensory interaction ng the infant's neurodevelopment and supporting their ability to engage with caregivers.
ion: 1192
nurse is assessing a child with Williams syndrome, which is caused by a deletion on chromosom of the following features would most likely be present in this condition?
tinctive facial features and cardiovascular problems stature and learning disabilities
diac defects and webbed neck er: A
nation: Williams syndrome is characterized by distinctive facial features, such as a broad fore mall chin, as well as cardiovascular problems, particularly aortic stenosis.
ion: 1193
Encouraging gentle, rhythmic touch during care
Pro
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During a routine assessment, a post-term neonate shows signs of meconium aspiration syndrome. What underlying condition should be prioritized in the assessment of this neonate?
1. Congenital heart disease
2. Increased risk of infection
3. Fetal distress during labor Answer: C
Explanation: Post-term neonates are at a higher risk for meconium aspiration syndrome, often related to
fetal distress during labor, which can lead to the release of meconium into the amniotic fluid.
Question: 1194
A nurse is caring for an infant diagnosed with colitis. The mother expresses concern about the infant's frequent diaper changes due to diarrhea. What is the best response by the nurse?
1. "This is a normal part of colitis."
2. "We will need to adjust the feeding plan."
er: C
nation: Frequent diaper changes are important to prevent skin irritation and breakdown in inf iarrhea, especially in those with colitis.
ion: 1195
naging neonatal seizures, which of the following first-line medications is commonly used? proic acid
nytoin nobarbital
er: C
nation: Phenobarbital is often the first-line medication for managing seizures in neonates due y and safety profile.
ion: 1196
nurse is preparing to assess a neonate’s oxygen saturation using a pulse oximeter. Which site is ered the most reliable for accurate readings in neonates?
lobe
"Frequent diaper changes will help prevent skin breakdown." Answ
Expla ants
with d Quest In ma
1. Val
2. Phe
3. Phe Answ
Expla to its
efficac
Quest
A
consid
1. Ear
2. Foot
3. Finger Answer: B
Explanation: The foot is often considered the most reliable site for pulse oximetry readings in neonates, especially when peripheral perfusion is poor.
Question: 1197
A nurse is educating parents about the importance of follow-up care for their infant diagnosed with Rh incompatibility. Which statement by the parents indicates an understanding of their infant's ongoing care needs?
1. "Feeding will prevent any serious issues."
2. "We won't need to monitor anything since the baby is fine now."
3. "We need to come back for bilirubin level checks." Answer: C
monitor for potential rebound hyperbilirubinemia.
ion: 1198
gnant woman is found to have a positive HIV test. What is the most critical intervention to r of perinatal transmission?
oiding breastfeeding
ministering antiretroviral therapy during labor uring a routine cesarean delivery
er: B
nation: Administering antiretroviral therapy during labor can significantly reduce the viral loa of transmission to the neonate.
Explanation: Regular bilirubin level checks are critical for infants with a history of Rh incompatibility to
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