NRP PRACTICE EXAM QUESTIONS AND ANSWERS ALL SOLVED SOLUTION
Your team has provided face-mask PPV with chest movement for 30 seconds. When is placement of an
endotracheal tube strongly recommended?
a. The baby's heart rate remains less than 100 bpm and is not increasing.
b. The baby's heart rate is between 60 and 100 bpm and the heart rate is increasing.
c. The baby's heart rate is >100 bpm and the baby is beginning to breathe.
d. The baby's heart rate is >100 bpm and oxygen satura'on is less than the target range. - CORRECT
ANSWER a
During a delivery, when and where should a person with intuba'on skills be available?
a. In the hospital and immediately available
b. In the delivery room or opera'ng room at every birth
c. Available on call at home
d. Available on call from a remote area of the hospital - CORRECT ANSWER a
What are the primary methods of confirming endotracheal tube placement within the trachea?
a. Con'nued central cyanosis and no mist in the tube
b. Ausculta'on of bilateral breath sounds and no air entry heard over the abdomen
c. Demonstra'on of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
d. Absence of crying and no abdominal distension - CORRECT ANSWER c
You are resuscita'ng a cri'cally ill newborn whose heart rate is 20 bpm. The baby has been intubated
and the endotracheal tube inser'on depth is correct. You can see chest movement with PPV and hear
bilateral breath sounds, but the colorimetric CO2 detector does not turn yellow. What is the likely reason
for this?
a. The endotracheal tube is not in the trachea.
b. Excessive ven'la'on pressure.
c. Epinephrine contamina'on.
d. Low cardiac output. - CORRECT ANSWER d
, According to the Textbook of Neonatal Resuscita'on, 8th edi'on algorithm, at what point during
resuscita'on is a cardiac monitor recommended to assess the baby's heart rate?
a. A8er chest compressions are performed for at least 2 minutes
b. When an alterna've airway is inserted
c. Immediately a8er epinephrine is administered
d. Any'me pulse oximetry is used to assess oxygen satura'on - CORRECT ANSWER b
What size laryngoscope blade is recommended to intubate a preterm newborn with an es'mated
gesta'onal age of 32 weeks (es'mated birth weight of 1.4 kg)? a. 2
b. 1
c. 0
d. 00 - CORRECT ANSWER c
Even brief interrup'ons of chest compressions may significantly reduce their effec'veness, but it is also
important to assess the need to con'nue chest compressions. What is the preferred way to assess the
heart rate during chest compressions?
a. Briefly interrupt chest compressions every 30 seconds to auscultate the heart rate.
b. Briefly interrupt chest compressions and palpate the brachial pulse.
c. Briefly interrupt chest compressions every 60 seconds to assess the heart rate using the cardiac
monitor.
d. Briefly interrupt chest compressions to palpate the umbilical cord. - CORRECT ANSWER c
Your team is resuscita'ng a newborn at birth. The heart rate is low and the baby has poor perfusion.
Which is the preferred method to assess the heart rate?
a. Cardiac monitor
b. Pulse oximeter
c. CO2 detector
d. Direct ausculta'on - CORRECT ANSWER a
When are chest compressions indicated?
Your team has provided face-mask PPV with chest movement for 30 seconds. When is placement of an
endotracheal tube strongly recommended?
a. The baby's heart rate remains less than 100 bpm and is not increasing.
b. The baby's heart rate is between 60 and 100 bpm and the heart rate is increasing.
c. The baby's heart rate is >100 bpm and the baby is beginning to breathe.
d. The baby's heart rate is >100 bpm and oxygen satura'on is less than the target range. - CORRECT
ANSWER a
During a delivery, when and where should a person with intuba'on skills be available?
a. In the hospital and immediately available
b. In the delivery room or opera'ng room at every birth
c. Available on call at home
d. Available on call from a remote area of the hospital - CORRECT ANSWER a
What are the primary methods of confirming endotracheal tube placement within the trachea?
a. Con'nued central cyanosis and no mist in the tube
b. Ausculta'on of bilateral breath sounds and no air entry heard over the abdomen
c. Demonstra'on of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
d. Absence of crying and no abdominal distension - CORRECT ANSWER c
You are resuscita'ng a cri'cally ill newborn whose heart rate is 20 bpm. The baby has been intubated
and the endotracheal tube inser'on depth is correct. You can see chest movement with PPV and hear
bilateral breath sounds, but the colorimetric CO2 detector does not turn yellow. What is the likely reason
for this?
a. The endotracheal tube is not in the trachea.
b. Excessive ven'la'on pressure.
c. Epinephrine contamina'on.
d. Low cardiac output. - CORRECT ANSWER d
, According to the Textbook of Neonatal Resuscita'on, 8th edi'on algorithm, at what point during
resuscita'on is a cardiac monitor recommended to assess the baby's heart rate?
a. A8er chest compressions are performed for at least 2 minutes
b. When an alterna've airway is inserted
c. Immediately a8er epinephrine is administered
d. Any'me pulse oximetry is used to assess oxygen satura'on - CORRECT ANSWER b
What size laryngoscope blade is recommended to intubate a preterm newborn with an es'mated
gesta'onal age of 32 weeks (es'mated birth weight of 1.4 kg)? a. 2
b. 1
c. 0
d. 00 - CORRECT ANSWER c
Even brief interrup'ons of chest compressions may significantly reduce their effec'veness, but it is also
important to assess the need to con'nue chest compressions. What is the preferred way to assess the
heart rate during chest compressions?
a. Briefly interrupt chest compressions every 30 seconds to auscultate the heart rate.
b. Briefly interrupt chest compressions and palpate the brachial pulse.
c. Briefly interrupt chest compressions every 60 seconds to assess the heart rate using the cardiac
monitor.
d. Briefly interrupt chest compressions to palpate the umbilical cord. - CORRECT ANSWER c
Your team is resuscita'ng a newborn at birth. The heart rate is low and the baby has poor perfusion.
Which is the preferred method to assess the heart rate?
a. Cardiac monitor
b. Pulse oximeter
c. CO2 detector
d. Direct ausculta'on - CORRECT ANSWER a
When are chest compressions indicated?
