RNC-NIC Neonatal Intensive Care Nurse Basic 3

Question 1

A neonate at 27 weeks gestation is receiving mechanical ventilation. Which ventilator setting primarily controls oxygenation?

Accepted Answer

FiO2 and PEEP

Answer

Oxygenation is primarily regulated by FiO2 and PEEP, which determine mean airway pressure and alveolar recruitment.

Question 2

Which developmental care intervention has the strongest evidence for reducing pain during minor procedures in preterm neonates?

Accepted Answer

Oral sucrose with non-nutritive sucking

Answer

Oral sucrose combined with non-nutritive sucking is the best-evidenced pharmacologic and behavioral pain management strategy for minor neonatal procedures.

Question 3

A neonate with necrotizing enterocolitis (NEC) shows sudden abdominal distension, bloody stools, and a fixed dilated loop of bowel on X-ray. What is the priority intervention?

Accepted Answer

Prepare the infant for surgical consultation

Answer

A fixed dilated loop of bowel suggests intestinal perforation or necrosis, necessitating urgent surgical evaluation.

Question 4

Which blood glucose level requires immediate intervention in a symptomatic term neonate?

Accepted Answer

Less than 40 mg/dL

Answer

A blood glucose below 40 mg/dL in a symptomatic term neonate requires immediate IV dextrose treatment per AAP guidelines.

Question 5

A neonate on total parenteral nutrition (TPN) develops signs of cholestasis. Which component of TPN is most associated with this complication?

Accepted Answer

Intravenous lipid emulsions

Answer

Prolonged intravenous lipid emulsions are strongly associated with TPN-associated cholestasis in neonates.

Neonatal Intensive Care Nurse Exam Practice Test

Neonatal Intensive Care Nurse Exam Practice Test

RNC-NIC Neonatal Intensive Care Nurse Basic 3