NRP Practice Exam Questions and Answers
(2024/2025)(Verified Answers)
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 saturation is less than the target range.
a
During a delivery, when and where should a person with intubation skills be available?
a. In the hospital and immediately available
b. In the delivery room or operating room at every birth
c. Available on call at home
d. Available on call from a remote area of the hospital
a
What are the primary methods of confirming endotracheal tube placement within the trachea?
a. Continued central cyanosis and no mist in the tube
b. Auscultation of bilateral breath sounds and no air entry heard over the abdomen
c. Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
d. Absence of crying and no abdominal distension
c
You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The baby has been intubated
and the endotracheal tube insertion 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 ventilation pressure.
c. Epinephrine contamination.
d. Low cardiac output.
d
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what point during
resuscitation is a cardiac monitor recommended to assess the baby's heart rate?
a. After chest compressions are performed for at least 2 minutes
b. When an alternative airway is inserted
c. Immediately after epinephrine is administered
d. Anytime pulse oximetry is used to assess oxygen saturation
b
What size laryngoscope blade is recommended to intubate a preterm newborn with an estimated
gestational age of 32 weeks (estimated birth weight of 1.4 kg)?
a. 2
b. 1
c. 0
d. 00
c
, Even brief interruptions of chest compressions may significantly reduce their effectiveness, but it is
also important to assess the need to continue 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.
c
Your team is resuscitating 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 auscultation
a
When are chest compressions indicated?
a. When the heart rate is less than 80 bpm
b. When the heart rate remains less than 60 bpm after at least 30 seconds of PPV that moves the
chest, preferably through an alternative airway
c. When the heart rate remains less than 100 bpm after 30 seconds of PPV that moves the chest
preferably through an alternative airway
d. When the heart rate remains less than 100 bpm despite PPV with 100% oxygen
b
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor indicates a heart
rate of 70 beats per minute. What is your next action?
a. Stop chest compressions and continue PPV.
b. Continue chest compressions and continue PPV.
c. Stop chest compressions and stop PPV.
d. Administer epinephrine while continuing chest compressions and PPV with 100% oxygen.
a
What is the recommended depth of chest compressions?
a. One-third of the anterior-posterior diameter of the chest
b. One-fourth of the anterior-posterior diameter of the chest
c. Half of the anterior-posterior diameter of the chest
d. Two-thirds of the anterior-posterior diameter of the chest
a
During chest compressions, which of the following is correct?
a. To coordinate compressions and ventilations, the compressor calls out Breathe-two-three; breathe-
two-three....
b. The compression to ventilation ratio is 15 compressions:2 ventilations.
c. Most babies who require chest compressions will also require volume expander.
d. To coordinate compressions and ventilations, the compressor calls out one-and-two-and-three-
and-breathe-and....
d
(2024/2025)(Verified Answers)
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 saturation is less than the target range.
a
During a delivery, when and where should a person with intubation skills be available?
a. In the hospital and immediately available
b. In the delivery room or operating room at every birth
c. Available on call at home
d. Available on call from a remote area of the hospital
a
What are the primary methods of confirming endotracheal tube placement within the trachea?
a. Continued central cyanosis and no mist in the tube
b. Auscultation of bilateral breath sounds and no air entry heard over the abdomen
c. Demonstration of exhaled carbon dioxide (CO2) and a rapidly increasing heart rate
d. Absence of crying and no abdominal distension
c
You are resuscitating a critically ill newborn whose heart rate is 20 bpm. The baby has been intubated
and the endotracheal tube insertion 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 ventilation pressure.
c. Epinephrine contamination.
d. Low cardiac output.
d
According to the Textbook of Neonatal Resuscitation, 8th edition algorithm, at what point during
resuscitation is a cardiac monitor recommended to assess the baby's heart rate?
a. After chest compressions are performed for at least 2 minutes
b. When an alternative airway is inserted
c. Immediately after epinephrine is administered
d. Anytime pulse oximetry is used to assess oxygen saturation
b
What size laryngoscope blade is recommended to intubate a preterm newborn with an estimated
gestational age of 32 weeks (estimated birth weight of 1.4 kg)?
a. 2
b. 1
c. 0
d. 00
c
, Even brief interruptions of chest compressions may significantly reduce their effectiveness, but it is
also important to assess the need to continue 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.
c
Your team is resuscitating 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 auscultation
a
When are chest compressions indicated?
a. When the heart rate is less than 80 bpm
b. When the heart rate remains less than 60 bpm after at least 30 seconds of PPV that moves the
chest, preferably through an alternative airway
c. When the heart rate remains less than 100 bpm after 30 seconds of PPV that moves the chest
preferably through an alternative airway
d. When the heart rate remains less than 100 bpm despite PPV with 100% oxygen
b
After 60 seconds of PPV coordinated with chest compressions, the cardiac monitor indicates a heart
rate of 70 beats per minute. What is your next action?
a. Stop chest compressions and continue PPV.
b. Continue chest compressions and continue PPV.
c. Stop chest compressions and stop PPV.
d. Administer epinephrine while continuing chest compressions and PPV with 100% oxygen.
a
What is the recommended depth of chest compressions?
a. One-third of the anterior-posterior diameter of the chest
b. One-fourth of the anterior-posterior diameter of the chest
c. Half of the anterior-posterior diameter of the chest
d. Two-thirds of the anterior-posterior diameter of the chest
a
During chest compressions, which of the following is correct?
a. To coordinate compressions and ventilations, the compressor calls out Breathe-two-three; breathe-
two-three....
b. The compression to ventilation ratio is 15 compressions:2 ventilations.
c. Most babies who require chest compressions will also require volume expander.
d. To coordinate compressions and ventilations, the compressor calls out one-and-two-and-three-
and-breathe-and....
d
