RNC-NIC Neonatal Intensive Care Nurse Basic 2

Question 1

A term neonate has a heart rate of 90 bpm immediately after birth. What is the priority action?

Accepted Answer

Begin positive pressure ventilation

Answer

A heart rate below 100 bpm after birth requires immediate positive pressure ventilation per NRP guidelines.

Question 2

Which acid-base disturbance is most commonly seen in a neonate with severe respiratory distress syndrome?

Accepted Answer

Respiratory acidosis

Answer

RDS causes CO2 retention due to alveolar collapse, resulting in respiratory acidosis.

Question 3

A preterm neonate at 28 weeks gestation is placed in a radiant warmer. Which intervention best prevents transepidermal water loss?

Accepted Answer

Apply a polyethylene plastic wrap

Answer

Polyethylene plastic wraps significantly reduce transepidermal water loss in extremely preterm infants.

Question 4

Which finding on a chest X-ray is most consistent with meconium aspiration syndrome?

Accepted Answer

Hyperinflation with patchy infiltrates

Answer

MAS typically shows hyperinflation with coarse, asymmetric patchy infiltrates due to air trapping and atelectasis.

Question 5

A neonate born at 35 weeks receives phototherapy for jaundice. The nurse notes a bronze discoloration of the skin and dark urine. This finding indicates:

Accepted Answer

Bronze baby syndrome from phototherapy

Answer

Bronze baby syndrome is a rare complication of phototherapy occurring primarily in neonates with conjugated hyperbilirubinemia.

Neonatal Intensive Care Nurse Exam Practice Test

Neonatal Intensive Care Nurse Exam Practice Test

RNC-NIC Neonatal Intensive Care Nurse Basic 2