Duke University
NCC National Certification Corporation
NCC Registered Nurse Certified in Neonatal Intensive
Care Nursing RNC- NIC Exam
Course Title and Number: NCC Registered Nurse Certified in
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
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NCC National Certification
Corporation 2024-2025 NICU Critical Care RN
Certification RNC Metabolic/Endocrine Exam Review
Questions with Correct Answers | 100% Pass
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Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Hypocalcemia - Answer>> defined as ionized calcium
concentration less than 0.9 or less than 7mg/dl. In
preterm infants, total serumCa may be low because
serum albumin is low, but [iCa++]may be perfectly
normal. True hypocalcemia may cause jitteriness,
irritability, high- pitched cry, hypocalcemic seizures,
stridor, tetany as well as decreased myocardial
contractility with hypotension and decreased cardiac
output. EKG may show prolonged QT interval and flat T-
wave. Early onset hypocalcemia (less than 72 hours) is
common in: •Preterm infants •SGA infants •Term
infants with birth asphyxia •Infants of diabetic mothers
Late onset hypocalcemia (occurring later than 7days)
may be associated with: •DiGeorge syndrome
•Magnesium deficiency •Hyperphosphatemia •Renal
failure •Hypoparathyroidism •Diuretic therapy -
Transient neonatal hypoparathyroidism -Secondary to
maternal hyperparathyroidism
Management of hypocalcemia - Answer>> Slow
infusion (over 5 min) of calcium gluconate 10% at a
dose of 200 mg/kg (2 cc/kg).
Place on cardiac monitor; rapid infusion may cause
bradyarrhythmias. The infusion may be repeated every
6 hours necessary and maintenance calcium dose can
be increased. In DiGeorge syndrome, may give oral
calcium solution (Neo-Calglucon™). Calcium
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