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Certification exams

Neonatal Intensive Care Nursing

RNC Certification for Neonatal Intensive Care Nursing (RNC-NIC)

Computer testing

See Overview for more information

Apply for computer testing

Paper & Pencil testing

See Overview for more information

Only online registrations on this website are accepted. Applications submitted by mail, fax or email will not be accepted and will be returned to the individual.

This registration portal is only for those taking the test via computer or individual paper and pencil testing. If you are taking the test as part of a group or at a PEC course, select Special Testing Opportunities from the menu on the right or contact your PEC sponsor, ICP sponsor or NCC at for further instructions.

Registration Catalog - Eligibility, Overview, Fees and Policies
Guide to Testing Methods - Rules, Procedures and What to Expect

Candidate Guides - Exam Content, Competency Statements, Study Resources and Scoring

Exam outline

This is an outline of topics and areas which may be included in the Neonatal Intensive Care Nursing examination.

  1. General Assessment and Management (45-50%)
    1. Maternal History and Risk Factors
    2. Gestational Age (At Birth)
    3. Physical Assessment
    4. Resuscitation and Stabilization
    5. Fluids and Electrolytes
    6. Nutrition and Feeding
    7. Oxygenation and Acid Base Homeostasis
    8. Thermoregulation
    9. Pharmacology
    10. Developmental Care
  2. Assess & Manage Pathophysiologic States (40-45%)
    1. Cardiac
    2. Respiratory
    3. Gastrointestinal
    4. Genitourinary
    5. Hematopoietic
    6. Neurological/Neuromuscular
    7. Infectious Diseases
    8. Metabolic/Endocrine
    9. Genetic Disorders
    10. Head, Eye, Ear, Nose Throat
  3. Assess and Manage Psychosocial/ Behavioral Adjustments (<5%)
    1. Discharge Planning and Follow up
    2. Grieving Process
    3. Family Integration
  4. Professional Issues (<5%)


More detailed outline can be found in the Candidate Guide. Click on Policies and Procedures to download a copy.